Can Hyaluronidase Injections Dissolve Juvederm Several Months Later?

Hi Debhon,
Sorry to hear about your complication. You have received excellent advice from the docs here on RealSelf.com. Your case further emphasizes the admonition that it is crucial to choose an injecting physician most carefully, especially around the eye lid area.
Patients should seek our physicians who are experienced and board certified in one of the cosmetically oreinted specialities such as facial plastic surgery, plastic surgery, ENT, opthalmoplastic surgery, or dermatology.
Good luck with rapid resolution of your lumpiness under your eyelid.
Dr. P

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

It is more difficult to dissolve HA's months later since some collagen is often incorporated into the filler.  While this is a good thing generally, it can make dissolving filler more difficult, particularly much later.  Best Dr. Anil Shah

Thank you for your question and for sharing your photo.  Sorry to hear that you're experience with injectables has not been ideal.  I would recommend that you visit an experienced injector who is a plastic surgeon or dermatologist who has worked with Hyaluronidase in their practice.  I have used Hyaluronidase in this region even years after an injection that has lingered around with some success.

Yes--great news.  Hyaluronidase can help even months later.  Find an experienced aesthetic physician (oculoplastic, facial plastic/plastic surgeon, dermatology) that has a lot of experience with fillers and hyaluronidase.  Good luck.