I have hard bumps after Viterase! Any suggestions? (photos)

Question

I had Viterase ( Hyaluronidase) yesterday to even out my bumpy lips. The doctor injected the lower lips and a tiny bit of the left side of the upper lip. Couple of hrs later I had swelling and pain in my right side of lips it felt a bit hard. Woke up in the morning it subsided but still looks more swollen than its natural size. And now there are " NEW" asymmetry in my upper lip and it still feels sort of hard !! I don't know what to do ?!??!?

Raffy Karamanoukian, MD, FACS · Answer

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Regina M. Fearmonti, MD · Answer

@noora007:
Hyaluronidase takes about 48 hrs to dissolve product, and usually is done in small doses over a few sessions to minimize side effects as well as not overcorrect. Swelling is not unusual, but these effects should resolve.  I would inform your injector so that they can further guide your care.

Ana Carolina Victoria, MD - Account Suspended · Answer

I am sorry to hear you are going through a difficult time. Simetimes to reverse HA fillers, hyaluronidase may have to be injected more than once to achieve the desired results. Follow up with your injector to assess your need formpossible more reversal.best of luck!

I have hard bumps after Viterase! Any suggestions? (photos)

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I have hard bumps after Viterase! Any suggestions? (photos)

Answers (3)

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Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.