Is there a way to speed up natural absorption of Juvederrm Voluma?

Question

I had juvederm voluma injected in my checks 6 weeks ago (1ml in each side) but I don't like the results. It has caused extra skin to push up under my eyelids and create white folds/creases that weren't there before. I don't want to use the enzyme to dissolve it. How can I make it dissolve quicker without using the 'antidote'. Will massage or pressure help? How long will it take to go away if I don't get any touch ups, will it be quicker than the 24 months?

Kaveh Alizadeh, MD, MSc, FACS · Answer

Hi, Rachel. I’m sorry to hear you’re not happy with your results. Unfortunately, massage and pressure will not expedite the dissolving process. Vitrase/Hyaluronidase is the only way to dissolve the filler. If left alone, it may last beyond one year. It is important to know that placement of the material is just as important as the material itself. Hope that helps!

Raffy Karamanoukian, MD, FACS · Answer

There appears to be a linear dissolution of hyaluronic acid fillers over time. However, Vitrase injections can help speed up the process of absorption. Best, Dr. Karamanoukian Los Angeles

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. There's no other way to dissolve hyaluronic acid fillers but to use the hyaluronidase. If it's left alone,  it can last up to 24 months. I hope this helps!

Mark K. Markarian, MD, MSPH, FACS · Answer

Unfortunately the only proven way to dissolve (or "melt") Voluma, a hyaluronic acid, is to use hyaluronidase (the "antidote) -- the trade names are Vitrase or Hylenex.  Massage and/or pressure 6 weeks out is unlikely to work.  Note, if you are to ask a clinician to use the "antidote", make sure they have experience injecting the enzyme.  You will need a close examination to assess the location of the undesired Voluma before injecting the hyaluronidase.Good luck.

Martin Jugenburg, MD · Answer

Thank you for your question. You can massage the area. The best alternative is hyaluronidase to remove the product. Best,

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.Yes, Voluma XC can be dissolved by using small injections of hyaluronidase -- Hylenex or Vitrase.Massage and pressure is likely to disappoint.

To be sure, see two or more licensed
and board-certified providers in your area for a complete evaluation to make
sure you are a good candidate and that it is safe for you to have these
treatments.

I hope this helps.

Michael A. Zadeh, MD, FACS · Answer

Hi Rachel. The only way to quickly get rid of the Juvederm Voluma from your cheeks if you are unhappy with your results is to have it dissolved with the Hyaluronidase enzyme. Other than that, there is really nothing you can do to speed its absorption. Your body will naturally break down the filler over the course of the next year or so. If you only had 1ml injected on each cheek then it will probably not last the 24 months that is advertised. Best of luck.

Stephen M. Chen, MD · Answer

I am sorry to hear about your disappointment with Voluma.  The fastest way is to use the hyaluronidase products.  They will degrade over time but I am not familiar with any mechanical ways to make it disappear faster.

Michael H. Gold, MD · Answer

As
previously noted by others, hyaluronidase is a naturally occurring enzyme which
is used to reverse the HA that you do not like – it is the beauty behind these
products in that they can be treated and taken care of if we do not like the
results. I am not sure why you would not want this – just a little here is all
that should be needed.

Massage and
other techniques have not boded well at this period of time – so use
hyaluronidase if needed.

Ross Horton, MD, FRCSC · Answer

Voluma is a cross-linked form of hyaluronic acid; a type of sugar molecule. The "antidote" is hyaluronidase which is a naturally occurring enzyme that dissolves the hyaluronic acid. The wonderful thing about the hyaluronic acid fillers is that they are reversible with this enzyme. If you don't like it the product can be removed with injection of the enzyme. Unfortunately if you like it your own natural hyaluronidase will slowly remove it over 1 to 1 1/2 years. I do not know of any other proven way of dissolving it. Although massage is not proven to dissolve the product it is generally accepted that products don't last as long in areas that have more movement (ie around the mouth) so it may work and can't hurt.

Is there a way to speed up natural absorption of Juvederrm Voluma?

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