djverret

Greetings Kathy, I'm sorry you had a problem with Evolence. I would have anticipated that by now the product would have dissolved. At this point, I would suggest evaluation with a facial plastic surgeon. I have had success using additional hyaluronic acid based fillers (namely Juvederm) to correct the lumpiness caused by other fillers. Unfortunately there is no way to dissolve the collagen based evolence once it is used.

Myobloc is a good alternative to Botox in people who have developed antibodies but I have no personal experience. There is a new muscle paralytic which is undergoing clinical trials and has been used in Europe for some time which should be available in a year if it achieves FDA approval. As to your laser question - depending on the lines, laser resurfacing can be a good alternative. This is permanent and often does not require other treatments to be beneficial. It is more of an investment and obviously more down time than Botox.

Greetings Lisa,

Hyaluronidase should not effect the native fat under your skin. The enzyme simply breaks down hyaluronic acid, not the fat itself. As to what you are describing, without examining you myself, I couldn't speculate.

Juvederm does work for acne scarring but what I'm found for ice pick scars is that some additional procedure is necessary to break up scar bands which cause the depression - subcision being one of those treatments. The Juvederm can then be used to fill in the defect and prevent it from reforming. If Juvederm migration is your problem and you are looking to fix it, might I suggest talking to your physician about injecting hyaluronidase. In a couple of injections the Juvederm can be dissolved.

Greetings Choy,

What you describe is very peculiar. I would certainly suggest visiting the physician who performed the injections and consider visiting an ophthalmologist. In general, you should not be having this much pain one week after injection.