Does Hylaronidase Dissolve Some Natural Hyaluronic Acid?

Dear Katie - I would strongly recommend massage, now. There's no downside as it will not make your concerns worse and will likely help you. If that does not work, small amounts of hyaluronidase will help dissolve your filler. Better to be conservative and risk having to return to your cosmetic surgeon for another hyaluronidase injection than to overdo it. Best wishes.Stephen Weber MD, FACS

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hyaluronidase will break down the filler material, and should not have any major impact on your "native" tissues other than transitory swelling.