Can Direct Heat and Massage Help Break Down Restylane?

Hi 2396anon.  The heat and massage will likely not help get rid of the Restylane.  The hyaluronidase is the answer for you to get rid of the Restylane.

The most interesting part of your question relates to two plastic surgeons not wanting to do the reversal for you.  While it is risky for any practitioner to step in the middle of another's botched work, hyaluronidase is pretty straightforward, especially if you were to bring your medical records proving the injection of Restylane.  

Given your situation, we might still suggest going back to your original injector as the risk of any potential side effect with hyaluronidase is extremely low - even if he/she has not performed the procedure previously.

I am not aware that direct heat will make the Restylane go away faster, nor massage. You mention you don't want more needles, but if the doctor puts a numbing gel on the inner lips and does a local block, the injections of hyaluronidase may not hurt! This way you can get to the desired end point sooner than trying things that we don't know if they will be successful or detrimental.

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Restylane can definitely be broken down by massage! It takes a couple weeks of aggressive massaging to the area and you will see it significantly decrease the product. Hyaluronidase is an option but in 99% of cases not necessary. However, before you try this on your own, see an injection specialist to rule out any complications.