Question

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.


Asked by: S.B.

Answers (1)

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March 14, 2008

Hyaluronidase for dissolving excess hyaluronic lip fillers

Mark Jewell, M.D.
Mark Jewell, M.D.
Board Certified
Plastic Surgeon

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 you visit another physician, obtain your past injection records and insist that this include product brand names and the lot numbers from any product injected into you to verify the legitimacy and origin of any injectable. (It is an essential and appropriate practice that the lot number or a sticker bearing the lot number of any dermal filler be recorded in your patient record at the time of injection).  The brand and lot number will also be valuable in researching whether there have been adverse events associated with the particular product lot that you received.

 

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