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Dissolving nose filler with Hyaluronidase doesn’t work. What could be the reason?

rgeioSep 26, 2022
Hello, I got fillers from “Revofil” in my nose two years ago and now I wanted it to get dissolved with Hyaluronidase but there is no difference. What could be the reason?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 125 Reviews
Answered on Dec 27, 2022
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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your question and posting your photos. It’s difficult to compare the before and after photos. The before looks filtered. The after looks like you need additional filler. You should get a second opinion in person by a board certified oculofacial surgeon with expertise in i...

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Raffy Karamanoukian, MD, FACS

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...

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Raffy Karamanoukian, MD, FACS

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...

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Raffy Karamanoukian, MD, FACS

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...

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Michael A. Persky, MD

Hi Laura, Hyaluronidase breaks down hyaluronic acid fillers as well as natural hyaluronic acid.  It is best to be conservative with it when it is used to treat excess lip filler.  Normally, in conservative doses there is no problem and original lip shape returns.  I recommend waiting a few mo...

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Raffy Karamanoukian, MD, FACS

I use a multi-level approach to hylenex injections so as to minimize debulking the lip too much. The enzyme should be done over a few sessions and most of all, conservatively. Best, Dr. Karamanoukian Realself100 Surgeon

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