How can I remove lip filler and lump? I tried hyaluronidase but the result weren't satisfying. May I need another dose? (photo)

It is very possible that you need another treatment with hyaluronidase.  It can often take multiple injections with hyaluronidase to dissolve the filler completely.  

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 cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Yes, it can take a series of treatments with hyaluronidase. I recommend following up with your injector. Hope this helps.

Not all hyaluronidase is the same. If you have had one treatment and weren't satisfied with the results you can try Hylenex. This hyaluronidase seems to dissolve better than most. 
Good luck! 

Hi Ayla.  Yes, we would advise another attempt at Vitrase (hyaluronidase) before taking further steps.  If the lump is dense and hard, it's possible you have a granuloma.  This type of lump would normally be injected with a steroid like Kenalog.  Best of luck.

Yes, it can take a series of treatments with hyaluronidase to dissolve filler. I recommend following up with your injector. Best, Dr. Emer

Thankyou for your questions.If the lip lump is hard then it often requires more than one treatment of hylase. I suggest you go back to your injector and have another treatment .Good luck

Hi Ayla44, Definitely, you could use more hyaluronidase. In fact, it is best to dissolve with a series of treatments rather than with one  single dose.All the best, Justin Harper, M.D.