Hyaluronidase: Q&A

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Will Hyaluronidase Correct an Uneven Lip Augmentation Result?

I have recently had half a syringe of Hydrafill with a bad result - the product has collected in the wrong part of the lip and it's uneven. If I was to use hyaluronidase to correct an uneven result I have had recently with Hydrafill, would it dissolve all product in the mouth or would you be able to inject a tiny amount into certain areas without it spreading? I have been having injections for 10 years and am happy with the size of my lips, so I'm worried it will completely dissolve the Hydrafill and I will have to start from scratch. Thanks for any help.

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lips uneven
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5 Doctor Answers | Asked by anon
+3

Hyaluronidase for dissolving excess hyaluronic lip fillers

The use of hyaluronidase for dissolving excess hyaluronic fillers (such as Restylane or Juvederm) is a not uncommon. Other approaches to improve excess filler or lumpiness includes insertion of a hypodermic needle to extract (aspriate) the product. Before a physician uses either of these approaches it is essential to evaluate the lump to make sure that it is specifically excess product and not a granuloma or other type of mass that may potentiall occur after filler injections. Before... more
+1

Hyaluronidase is Non-Specific

Unfortunately, hyaluronidase will fix your problem but you will have to start from scratch. By its nature, hyaluronidase will dissolve into the surrounding tissues and dissolve any hyaluronic acid in its path.
+1

Hyaluronidase to reverse filler

Hyaluronidase works like a charm to reverse HA fillers.  It usually does its work in 24 hours.  By its nature, hyaluronidase infiltrates and spreads from the injection site.  I would expect all the filler in the area to be reversed.  I think you will have to start over unless you are willing to just wait it out.   The ability to reverse the filler is one of the many advantages of HA fillers.  Even the most experienced and careful injector can... more
+1

Can Hyaluronidase spot treat?

Hyaluronidase injections are a valuable option when hyaluronic acid fillers need to be dissolved.  You are correct in being concerned with whether or not the hyaluronidase can "spot treat" just the one area that appears over-filled.  There is no way to tightly control where the enzyme will work and no way to contain the effects.  However, we have found that using very small amounts of hyaluronidase, combined with patience, makes this a good treatment option for... more
+1

Correcting an uneven lip augmentation with hyaluronidase

Dermal fillers are an excellent option for lip augmentation. However, it is possible to develop an uneven result after an injection. Your best bet is to work with a board-certified plastic surgeon was a great deal of experience working with lip tissue and dermal fillers. They will be able to assess you and let you know if you would best be served by the addition of more filler into other areas to balance your result or a portion of the dermal filler may be drained, or if an injection of... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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