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HA fillers can be reversed safely with Hylenex injections. If you have associated granulomas, additional therapy may be required. Best, Dr. KaramanoukianRealself100 Surgeon
All areas of the face are safe to inject hyaluronidase so as to dissolve Juvederm or any other hyaluronic-acid based filler. This agent is not ototoxic (not toxic to the ear).
Hylenex is not ototoxic. I am curious where you came across that information? Hylenex can be used anywhere that hyaluronic acid filler has been placed. The key is to place the Hylenex within the filler collection for optimal results. Typically, 20-30 units of Hylenex are required to remove about 0.1mL of filler. Best.
Generally when I use hyaluronidase I don’t dilute it with lidocaineane primarily because I want to put a concentrated amount of hyaluronidase and massage it in, because I can actually see the improvement right away. I don’t want lidocaine or other diluents I may use to give it a little swe...
Failure of Hylenex to reverse filler may be due to a variety of factors. I would consider alternate approaches to reversing your HA filler. Best, Dr. KaramanoukianRealself100 Surgeon
Hello,Unfortunately, there is no way to know for certain what was injected. We suggest that you request your medical records to determine what product was used as there should be a product label/lot number recorded. If you are having trouble obtaining these or believe non-approved FDA p...
Hi there,I feel that the swelling will resolve itself in a couple of days. Ice, taking antihistamine and sleeping with your head elevated will help the inflammation go down quicker. Hylase has a half life of 48 hours so in a weeks time see how the results were and if possible you might need ...
Your pictures appear to show developing skin necrosis from arterial occlusion caused by the filler. You need to follow up with your physician immediately for further treatment (more hyaluronidase, warm compresses, aspirin etc.) to prevent permanent damage. This is an emergency, don't wait. Good...
Facial fillers using Hyaluronic acid can cause immediate swelling and uneven contour. The swelling usually subsides with time. I recommend applying Plato's Bruise Balm twice daily for a few days after injecting my patients. If the filler lumps do not resolve, then a small injection of Hylenex ...
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