Is hylenex diluted with lidocaine?

Dilution of Hylenex and Hyaluronidase is physician specific. I would speak to your surgeon about your condition immediately.Best, Dr. KaramanoukianRealself100 Surgeon

Every injector is different, but I most commonly do not dilute hylauronidase at all, and when I do, its with normal saline. Ringing of ears, even with lidocaine, would be highly unlikely. Most important is to have a highly trained and experienced physician (e.g. dermatologist) to optimize your results and safety.

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 swelling. At this point when I inject hyaluronidase I do some topical numbing, some icing and inject the hyaluronidase and massage it down. Final results will be several days but you should be able to see some immediate improvement.