After having hyaluronidase to remove a lump/hardening of Juvederm, how long must I wait before refilling the same area?

Question

The injection on the right side of my face, is apparently much harder than the other side. It has been like this for a while but I really took no notice of. I am requesting hyaluronidase to remove the filler in that area. SO: how long must I wait before a refill? (nasolabial folds)

Jeff Angobaldo, MD · Answer

Thank you for your question. Normally I like to wait a few weeks depending on how much is injected to dissolve the filler. Consult with a Board Certified Plastic Surgeon for a treatment plan that is best for you.

Young R. Cho, MD, PhD · Answer

Thank you for your question. I would wait until all the swelling goes down and the full effects of the Hyaluronidase takes effect. A week is probably a good estimate. I would also make sure that you go to an experienced injector.

Jason Emer, MD · Answer

My suggestion is to wait 2-4 weeks until all the swelling and lumps have subsided.  If they are not gone to get another hyaluronidase injection.  After the swelling is gone, cannula injections can be used to limit complications and decrease the risk of irritation.  Best, Dr. Emer.

Steven F. Weiner, MD · Answer

In most instances, I see improvements before the patient leaves the door. Wait a bit for the hyaluronidase to absorb and get refilled about a week later. Sometimes, particularly with Juvederm and Voluma, a 2nd treatment with hyaluronidase is needed.

Alim R. Devani, MD, FRCPC · Answer

Thanks for your question. My suggestion would be to
wait at least 4 weeks to ensure the filler is dissolved to satisfaction.
Sometimes a repeat injection is needed to dissolve the filler and sometimes the
filler doesn’t completely disolve right away. Once the hyaluronidase is
injected, it creates swelling which needs time to resolve as well. Don't be in
a rush to re-inject and make sure you have an experienced injector. These are
advanced techniques so be sure to get an experienced cosmetic dermatologist
consultation for recommendations and treatment options.

Stephen Weber MD, FACS · Answer

I usually advise patients to wait at least three days before refilling the area. Usually I use very small amounts to fine tine fillers. You might consider waiting longer if you require a large amount of hyaluronidase to remove a large collection of filler.

After having hyaluronidase to remove a lump/hardening of Juvederm, how long must I wait before refilling the same area?

Answers (6)

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