I have been in touch with some realself ladies who have had great success with monthly saline injections after their skin did not rebound from hyaluronidase. One doctor even advertises this service on her website but I cannot find someone in Chicago who believes in this and will try this kind of treatment. The theory is that it thickens the skin after a series of treatments. Most have seen significant improvement after the 5th treatment and the after pics are impressive.