Wait period after Hyaluronidase to get chemical peel?

Question

I will be receiving an injection of Hyaluronidase for an over injection of tear troughs with Belotero. I had previously scheduled a peel and these treatments are less than a day apart (Hyaluronidase at 6:00 pm and peel at 12 noon the next day). Is this ok?

Tanveer Janjua, MD · Answer

You can have the peel right away but skip the area of injection. Wait for at least a week before peeling that area.

Michelle R. Yagoda, MD · Answer

Dear Natco16,Once the injection marks are fully healed, it is safe to have a peel.  Usually, that takes 3-4 days.  If you want to proceed with the peel you scheduled, simply ask your doctor to skip the area of your injection.All the best,Dr. Michelle Yagoda

Steven Wallach, MD · Answer

You can probably get them done at the same time, but it sounds reasonable to wait and see if the hyaluronidase works before going ahead with the peel.

George C. Peck, Jr, MD · Answer

The reason to wait with the chemical peel is to make sure that the treatments with Hyaluronidase are complete, the over injected area has been appropriately treated, and the problem of over injection has resolved. Once the chemical peel is performed, the associated swelling (edema) and skin changes will obscure the problem area. The swelling and skin changes from chemical peels may vary based on the depth of penetration of the acid. There are mild peels, moderate peels, and deep peels using different acid options like TCA or Phenolic Acid.If the problem of excess Hyaluronic Acid persists after the chemical peel, the affected area can be re-treated with Hyaluronidase. Best wishes!

Michele S. Green, MD · Answer

A chemical peel can be done a week after Hyaluronidase injections. Depending on the peel if there are no marks from the injections it should be safe to proceed. Best, Dr. Green

Wait period after Hyaluronidase to get chemical peel?

Answers (5)