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How Soon After Hyaluronidase Injections to the Lip May a Filler Be Reinjected?

San Diego2264Mar 13, 2011
A friend of a friend who used to work as a physician's assistant for yet another friend opened, with another doctor, a medspa. Wanting to support her, I allowed her to inject my lips, which was a total disaster. My plastic surgeon injected vitrase to dissolve the filler (it hurt like the dickens, let me tell you), so now I'm wondering when I can reinject. I'd forgotten what my real lips looked like! Ugh.

Answers (4)

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Dr. Ron Shelton, MD
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Dr. Ron Shelton, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Answered on Sep 1, 2015
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Dr. Paul L. Leong, MD, FACS
Dr. Paul L. Leong, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Jun 7, 2013
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Dr. Samir Shureih, MD
Dr. Samir Shureih, MD
Board Certified Plastic Surgeon
Answered on Mar 14, 2011
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Dr. Marc Cohen, MD (retired)
Dr. Marc Cohen, MD (retired)
Oculoplastic Surgeon, Board Certified in Ophthalmology
Answered on Mar 14, 2011
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Ron Shelton, MD

Not sure as to which filler or dissolving treatment you had injected, I'm not able to comment specifically on your situation.  Most unusual symptoms tend to go as mysteriously as they come. See your doctor for follow-up advice.

+2 answers
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Raffy Karamanoukian, MD, FACS

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm,...

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Ron Shelton, MD

If the hyaluronidase were to reduce excess volume of Juvederm or Restylane then you may see improvement once the new swelling and possible brusing resolves. If there were no overcorrection, then you may even consider one more attempt at filling the area to improve the appearance. Different...

+3 answers
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Otto Joseph Placik, MD

IT is difficult to quantify the effects of hyalturonidase and using dilution of the product, one could administer extremely small quantities but to some degree you will get an all or nothing response.

+7 answers
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Kevin M. Robertson, MD, FACS

The answer to your question is that hyaluronidase does not typically dissolve enough of your native hyaluronic acid (HA) to show as a depression at the strength and concentration we use. Think of it this way.  HA as a filler is injected in a bolus, or larger but discrete deposit that...

+2 answers
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Ron Shelton, MD

If you are concerned that there is permanent damage to your face, you should see your doctor right away and if you don't get reassurance then you should see a second opinion.

+2 answers
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