Continue with Hylenex or wait for filler to dissolve?

Question

Got filler for 1st time 3 months ago. Voluma 2cc lateral Contour 2.5cc medial to correct mid-cheek lines. NLFS 1cc Vollure. R cheek now visibly larger than L. Looks fake/too much volume. Went to plastic surgeon for 2nd opinion. Agrees they’re overfilled. Injected Hylenex in R cheek to 1st attempt to even out. 48 hours later no change in size. Don’t want to look like this for 1-2 yrs and want filler removed completely, but read Hylenex can damage tissues. What should I do?

J. Renee Booth, MD · Answer

It is common to need multiple sessions of the enzyme hyaluronidase to dissolve filler. Even just 1 cc of filler usually require multiple injections to achieve the desired result. It would be reasonable to expect 3-4 sessions to remove the majority of filler in the area the enzyme is injected. Overuse of hyaluronidase is a real concern and I would not recommend more than 3-4 sessions. Of note, the enzyme can help a lot, but cannot completely dissolve all filler.

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