I am 43 years old. I want to rid off (or reduce) Juverdem from my cheekbones. I tried Thermage to minimize the effect. Is it helpfull? Or I should try the hyalase for more obvious result. Is it safe?
Can I Reduce Hyalouronic Acid Effect with Thermage?
Doctor Answers (3)
Thermage Effect on Hyaluronic Gel Fillers vs Hyaluronidase
Hyaluronidase is quite safe. It simply liquifies the HA gel. You can use a very small amount to recontour filler already in place or more to make all of it "go away". Thermage will have some impact on skin laxity, but it's very unlikely it would have any effect on fillers since most are injected beneath the Thermage treatment depth.
Hyaluronic acid gels are the only ones which can be altered once in the skin. These include Juvederm, Restylane, Perlane, Prevelle and the upcoming Belotero (though Belotero will be suitable for more superficial injection).
How to remove over correction with a filler
Studies have shown that radiofrequency devices such as thermage do not reach the depth of penetration to affect fillers placed in the subcutaneous layer of the skin, where most fillers are placed. If the filler is a hyaluronic acid based filler, as the great majority of fillers are, they can be dissolved by injection of hyaluronidase, an enzyme your physician can obtain.
Unhappy with Juvederm Injections.....
I would recommend if you are unhappy with your Juvederm results to have hyaluronidase injected in those areas to have them dissolved. This the most cost effective and fastest way to get your desired results.
Good luck. Hope this helps.
Dr. Grant Stevens