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Which is Best, Ultherapy Vs Hyaluronidase, at Removing Restylane Under Eyes?

asked 8 months ago by samuele in london
Latest answer by Timothy Jochen, MD
Question viewed 673 times
Tags: alternative, effectiveness, removal

Hi. I want to remove restylane from under my eyes. I am considering trying ultherapy first and then assessing the need for hyaluronidase. I believe ultherapy to be the safer but expensive option (and also maybe less likely to work) but im not fussed about cost vs safety.  I would appreciate any professional advice/opinions regarding my planned approach. Many thanks.

17 answers to Which is Best, Ultherapy Vs Hyaluronidase, at Removing Restylane Under Eyes?

+1

Hyaluronidase is Best Option for Removing Restylane

Hyaluronidase which melts away hyaluronic acid is a very safe effective technique that will eliminate any hyaluronic acid filler that is improperly placed or that has left an undesired result. It is a quick and easy procedure with minimal risks. In the first 24 hours you may experience slight bruising, redness and slight swelling. In my practice, I have 100% satisfaction when using hyaluronidase.
Timothy Jochen, MD

Palm Springs Dermatologic Surgeon
+1

Unwanted Restylane

Greetings~ The easiest, quickest and more economical way to get rid of unwanted Restylane under the eyes is definitely Hyaluronidase/Vitrace. You will notice the Restylane gone within seconds to minutes. As with any injections, you may get some bruising or swelling but it should resolve in a few days. Hyaluronidase--always first choice for unwanted hyaluronic acid fillers like Restylane, Perlane, Juvederm. Good luck~ Dr. Grant Stevens
Grant Stevens, MD

Los Angeles Plastic Surgeon
+1

Excess Restylane in lower eyelids.

The safest, quickest, and most economical way to remove excess Restylane (or any hyaluronic acid) is Hyaluronidase. My choice is Vitrace and it can start working as rapidly as five to ten minutes after the injection.
Kenneth L. Stein, MD

Chicago Plastic Surgeon
+1

Best way to remove Restylane

The best way to remove Restylane is hyaluronidase. Which can be performed through an easy injection similarly to the Restylane injection. Ulthera is not a way of removing unwanted Restylane.
Ted Brezel, MD

Long Island Dermatologist
+1

Removing filler from the face

I would definitely go with the hyaluronidase for consistent and predictable results in removing the restylane from under your eyes. 1-2 treatments is typically sufficient, make sure to see a skin expert for this treatment.
Benjamin Barankin, MD

Toronto Dermatologic Surgeon
+1

Hyaluronidase works, Ulthera not so well

Look at all the answers favoring hyaluronidase. This will clearly work, is safe and reliable. Ulthera is not indicated for this, raises potential eye safety issues and has not worked well for reducing bulges -whether fatty or Restylane/Juvederm based in the lower lids.
Lawrence Bass, MD

Manhattan Plastic Surgeon
+1

Restylane and Ultherapy

Ultherapy does not have an indication for removing Restylane. Hyaluronidase is very safe (barring allergies) and is the best way to remove misplaced or migrated Restylane.
David Alessi, MD

Beverly Hills Facial Plastic Surgeon
+1

Hyaluronidase works for restylane removal

I agree with my colleagues. If you want to target the product directly, use the hyaluronidase. I do not think that the ultherapy will be effective. It certainly won't be cost-effective. A good resource for all things injectables is the web resource put out by the Physicians Coalition for Injectable Safety. Thank you.
Michael M. Kim, MD

Portland Facial Plastic Surgeon
+1

Hyaluronidase works very quickly and very predictably.

Hyaluronidase works very quickly and very predictably to remove Restylane from under the eyes.
Mark Taylor, MD

Salt Lake City Dermatologic Surgeon
+1

Restylane antidote

As fillers are increasingly injected by anyone with a medical or nursing license, I am seeing more patients requesting partial or complete reversals. This is particularly true in areas requiring greater expertise: under the eyes and the lips. Fortunately excess or misplaced filler is reversible in the case of hyaluronic acid (Restylane and Juvederm). It takes a week to work. Dont waste your money on Ultherapy.
Edmund Fisher, MD

Los Angeles Facial Plastic Surgeon
+1

Hyaluronidase works well

I would suggest going with the hyaluronidase first to remove the hyaluronic acid filler. The hyaluronidase dissolves the Restylane and it is safe when injected in small quanities. Ulthera is microfocused ultrasound and I have never heard of it working for these situations. Go with the tried and true technique.
Jason D. Bloom, MD

Philadelphia Facial Plastic Surgeon
+1

Which is Best, Ultherapy Vs Hyaluronidase, at Removing Restylane Under Eyes?

Ulthera isn't likely to remove the Restylane, from under your eyes but hyaluronidase injected into the area will. Time and patience would, IMHO, be your best bet as Restylane won't last that long and will go away completely on its own.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Hyaluronidase is the treatment of choice.

Not sure the ultrasound will do anything but take a bite out of your wallet. Hyaluronidase breaks down Restylane or any hyaluronic acid filler for that matter. Flooding the eyelid with the enzyme is not your only choice. The treatment can be shaped or feathered with the enzyme. The key is going to someone who actually knows what they are doing.
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

How to remove Restylane

Restylane is a hyaluronic acid dermal filler. The way to remove it is to inject hyaluronidase, an enzyme that digests hyaluronic acid, into the area where Restylane was injected. Ultherapy does not do that.
Emily Altman, MD

Short Hills Dermatologic Surgeon
+1

Hyularonidase Works Well to Remove Restylane

Hyaluronidase is a very effective and inexpensive way to safely remove any hyalaronic acid based fillers (Restylane, Perlane and Juvederm). In my experience bruising and swelling are minimal and the filler is dissolved within hours.
David Schlessinger, MD

New York Oculoplastic Surgeon
+1

Hyaluronidase to Remove Restylane

Your best bet is hyaluronidase. It will disolve the Restylane (hyaluronic acid). However if you have an allergy to bees you should avoid hyaluronidase. They can cross react.
Julia Carroll, MD

Toronto Dermatologist
+1

Removing Restylane From Under The Eyes

The best way to remove Restylane is with Hyaluronidase. It will work fast, is not expensive, and does no damage to your normal tissue. The only downside might be a bruise as with any injection in a delicate area.
Sheri G. Feldman, MD

Beverly Hills Dermatologist

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