Will Hyaluronidase dissolve a 4 years old Juevederm fillers? (Photos)

Question

Hello, I had my first lip fillers in 2015 and again in 2018, both Juvederm were used. Now I would like to do fillers again but I want to dissolve with Hyaluronidase and start again. Mostly I feel the fillers above my upper lips, it’s noticeable from the side and when I wake up in the morning it’s puffy. Will Hyaluronidase dissolve a 4 years old Juevederm fillers? And will it breakdown my own natural HA? Only one syringe were used in 2015&2018. Photos are my current lips now and before 2015

Nima Shemirani, MD · Answer

Hi @Celebrated70579! Hyaluronidase will dissolve dermal filler from 4 years ago. However, it may take more than 1 session to completely dissolve the filler. Best of luck to you!

Raffy Karamanoukian, MD, FACS · Answer

Fillers can swell and migrate unpredictably, especially when a filler with a high-edema quotient is used in thin areas. Our office uses disciplined approaches to help patients with acute or chronic issues related to hyaluronic acid fillers. We begin by assessing for any tissue compromise and advocate early treatment to avoid complications with vascular occlusion. In chronic issues, it is important to gradually break up and dissolve filler so there is no further migration of loose filler substrate. Conservative staged dilution may also help avoid volume loss.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Angelina Postoev, MD, FACS - Account Suspended · Answer

Hi, yes, hyaluronidase should be able to dissolve old filler. You may need more than one session to get full effect.

Will Hyaluronidase dissolve a 4 years old Juevederm fillers? (Photos)

Answers (3)