How long should I wait to get fillers again after filler reversal with hyaluronidase? (photos)

Question

I had Juvederm in the marionette lines last Nov. I suspect the filler wasn't deep enough as I had a blue tint that stayed for months. When the blue tint faded, I was left w/red patches that look a bit shiny. A small dent also formed on the left side. The PS put more juvederm in, but the dent re-appeared in 6 wks. He reversed the filler (on both sides) 5 days ago. But since I'm lopsided, I'd like to get more filler to balance things out. How long should I wait to get fillers after hyaluronidase?

Michael A. Zadeh, MD, FACS · Answer

The answer to this question is often a matter of opinion. You have had multiple injections to the area recently which can cause trauma and scarring. Personally, I would wait anywhere between 2-4 weeks after your Hyaluronidase injection for any swelling or injection related trauma to improve before I go injecting fillers into the area again. Best of luck.

Martin Jugenburg, MD · Answer

Thank you for your question. I recommend waiting 1-2 weeks before further injections. It appears as though the left line you are attempting to fill is a smile line, as long as you continue smiling that line will reappear. Best,

Brian S. Biesman, MD · Answer

It sounds as if you have been dealing with some challenges with your juvederm injections but that your plastic surgeon is managing them appropriately.  The question is whether you remove all of the filler and start from scratch or add more filler.  I would discuss this issue with your plastic surgeon before deciding how to proceed.

Frank Barone, MD, FACS · Answer

The hyaluronidase effect will only last 1-2 days so it should be safe to have additional filler after that time.The 'blue tint' you mention most likely resulted from placing the Juvaderm to close to the surface where it can be visible.  Another option is to consider the hyaluronic filler Belotero; because of it's unique physical characteristics, it can be placed more superficially than other fillers and usually not result in the blue tinge (tyndall effect) that you experienced.

Francisco Canales, MD · Answer

I would wait as long as possible, perhaps even 2 to 3 months to make sure there are no further changes. You should be evaluated in person for the best answer to your questions. Best,

How long should I wait to get fillers again after filler reversal with hyaluronidase? (photos)

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How long should I wait to get fillers again after filler reversal with hyaluronidase? (photos)

Answers (8)

Answer: Questions after filler reversal

Answer: Questions after filler reversal

Answer: How long to wait before having filer again

Answer: How long to wait before having filer again

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.