How many units of Hyaluronidase does it usually take to dissolve 2cc of Voluma?

Question

I had 2 cc voluma divided into both cheeks about a year ago. I hate the result and unfortunately I do not metabolize the filler fast so I don’t want to wait for it to go away. How many treatments of Hylenex would it take and what are the usual dosages you use in your practice? Diluted or not diluted? I would appreciate some guidance. I have only made small progress in few dissolving sittings so far and wondering if doses used by my injector are too small or too diluted. Thank you for advice !

Jason Emer, MD · Answer

typically 15 units per 1cm2 is needed. It is not based on the amount of filler injected but rather the area.  Voluma also takes often 2-3 injections to remove.  See an expert and combine with radio frequency like legacy, Exilis, forma.  Best, Dr. Emer.

Daniel Chang, MSc, MBBS, MRCS · Answer

Dear farba,
Thanks for your question.
Voluma, being cross linked, is not easy to dissolve and takes 3 sessions. In some cases, more.
It is not so much the volume of hyalase used, but the depth of injection.
I recommend an in-person consult with a Dermatologist.
Hope this helps and Merry Christmas!!
Dr Daniel Chang

Steven F. Weiner, MD · Answer

It really doesn't matter if the hyaluronidase is diluted or not. By adding lidocaine, the HA'ase will diffuse more and be more comfortable. I can take several treatments. I would use at least 150u per session. Voluma is not as easy as the Restylane fillers to remove.

How many units of Hyaluronidase does it usually take to dissolve 2cc of Voluma?

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