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Hylenex (hyaluronidase) is effective at dissolving hyaluronic acid-based fillers like Voluma, but when the filler is encased in a biofilm—a protective layer formed by bacteria—it can be more resistant to enzymatic breakdown. Biofilms can act as a physical barrier, making it harder for Hylenex to fully access and dissolve the filler.In some cases, multiple sessions are needed, especially if the filler is deeply embedded or partially degraded. If you've already had about six rounds of Hylenex without significant improvement, it’s possible that a biofilm is impairing the response. In such scenarios, a combination approach using antibiotics to disrupt the biofilm, followed by additional Hylenex injections, may be more effective.Persistent nodules or lack of resolution after multiple treatments warrant further evaluation, and in rare cases, surgical removal or biopsy may be considered.
Hello and thank you for your question. Every provider has their own techniques, so that might be your dermatologist's preference. In our practice, we typically perform facial balancing treatments in one session. This can involve multiple syringes incorporating both need and cannula techniques....
When a patient requests to have a medical procedure filmed, doctors may have various considerations before agreeing to the request. While patient consent is a crucial factor, other aspects also influence the decision: Hospital or Clinic Policies: Many healthcare facilities have specific...
In the presence of a biofilm, particularly one associated with hyaluronic acid fillers, treatment options require careful consideration. Biofilms can complicate the healing process and increase the risk of infection or adverse reactions. Here's an overview of the situation and the potential use...
