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Topilase review?

beinar4Jan 17, 2024
I'm scared to try hyaluronidase because of the online reviews, but keen to know if anyone can recommend Topilase® cream as a non invasive option. Are the side effects as scary as it still contains hyaluronidase? I have over filled under eye fillers that are puffy when I smile. I don't want to remove all the filler, just improve puffiness. I'm a 34yo female.

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Michael A. Persky, MD profile photo
Dr. Michael A. Persky, MD
Facial Plastic Surgeon
4.7 | 72 Reviews
Answered on Jan 29, 2024
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Raffy Karamanoukian, MD, FACS

Your lips may be swollen after the root canal from retraction. I would suggest waiting a few days for the Hylenex treatments. Best, Dr. Karamanoukian Realself100 Surgeon

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Nelson Lee Novick, MD

This quite possibly is lymphatic obstruction/lymphedema, a condition that has been called under-eye "puffy pillows" that is believed to arise from an improper choice of HA filler for the under-eyes and/or too superficial placement of an appropriate filler. It can be a difficult problem to treat....

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Nelson Lee Novick, MD

For HA filler complications, hyaluronidase is the first-line treatment of choice. But, to be effective, it the proper concentration and amount must be used to match the characteristics of the particular HA filler used. If this has been done properly, but without the desired effect, then other...

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