Can I dissolve dermal cheek fillers with polyethylene submalar implants?

Question

Hello, I have had revanesse cheek filler mostly focused on my mid face. I want to dissolve a little bit because I feel a little overfilled/unnatural. However, I had polyethylene based a submalar cheek implants in June of 2020. As per my injector, my cheek filler has been placed fairly superficially to avoid complications. Can I dissolve some of the filler without negatively affecting my implants?

Jacob Tower, MD · Answer

Hello, hope you are well. The short answer is yes, you can use hyaluronidase for HA based dermal fillers to dissolve the product. It will not dissolve, displace, or otherwise harm your cheek implants. 
Best,Dr. Tower

Anna Chacon, MD, FAAD · Answer

Hyaluronidase, the enzyme used to dissolve hyaluronic acid-based dermal fillers such as Revanesse, acts specifically on hyaluronic acid and should not have any direct impact on your polyethylene implants. However, the process of injecting the hyaluronidase could theoretically cause some temporary swelling or inflammation around the implants. It's crucial to note that this procedure should only be done by a trained and experienced professional who understands the anatomy of the face and the location of your implants. They should be able to inject the hyaluronidase in a way that minimizes any potential impact on the implants.Before proceeding, I would recommend a consultation with the physician who performed your implant surgery or a board-certified dermatologist who is experienced in both fillers and implants. They can provide more personalized advice based on your specific circumstances and the exact location of your fillers and implants.

Jared Blau, MD - Account Suspended · Answer

Great question. Your hyaluronic acid filler can be dissolved with the hyaluronidase enzyme we use for this purpose. It only breaks down that one molecule and not polyethylene. The dissolving may have some swelling and then volume loss, so that might affect how we see the implant underneath your skin, but it won't target the implant.

Can I dissolve dermal cheek fillers with polyethylene submalar implants?

Answers (3)

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