Dissolving Restylane - Best gentle, natural way to make it disappear faster w/o giving it another Hyaluronidase injection

Hi Ajja.  Unfortunately, we do not knwo of any other method for removing Restylane than to dissolve it with Hyaluronidase (Vitrase).

The good news is that your lips should look exactly as they did originally when the injections wear off.

Sagging should not occur because of hyaluronidase being used to dissolve Juvederm, Restylane or Perlane.  There is no other way of expediting the resolution of the filler's effect. Steroid injections have risk and they may nont dissolve the filler, only reduce inflammation and your volume is probably filler and not swelling this many days after the procedure.

Thank you for your question.  Unfortunately, there is no other known method to removing Restylane other than to dissolve it with hyaluronidase. However, your lips will return to their original state once the Restylane wears off. Best of Luck!

Thank
you for your question.  Unfortunately,
there is no other known method to removing Restylane other than to dissolve it
with hyaluronidase. However, your lips will return to their original state once
the Restylane wears off. Best of Luck!

Restlyane or any other hyaluronic based injectable is slowly absorbed by the body over time. Hyaluronidase is an enzme that dissolves Restylane. It can lead to bruising and swelling, but the tissue should return to normal after a few days. Massaging the area where the Restylane has been injected may help move it out of the tissues faster.

Firstly, Hyaluronidase is NOT FDA approved for the indication of dissolving restylane or other hyaluronic acid fillers.  Is is FDA approved for other reasons though.  I have had to use it only a few times my career thus far (seven years in practice and hundreds of patients injected) and studied it extensively before doing so.  The hyaluronidase that is available in the US is of porcine origin (from pigs) and therefore, can cause an allergic reaction.  Because this is the case, a small amount should be injected as a test spot and observed for AT LEAST ten minutes to see that you do not have an allergic reaction prior to having it injected for the purpose of dissolving hyaluronic acid.  Then, when it is injected, LESS IS MORE!  You do not want it to digest your own naturally occuring hyaluronic acid.  So, it is best to have too little of it injected and to have a little filler left and WAIT than it is to be impatient and have too much injected. 

When I do need to use hyaluronidase, I am sure to explain very thoroughly to my patients that it IS NOT FDA approved for the purpose of dissolving fillers and that there are inherent risks associated with its use.

Dissolving the hyaluronic acids can only be done with hyaluronidase. It will not cause the tissues to sag anymore than then did before injection.

Ajja,

Hyaluronidase speeds up the natural breakdown of hyaluronic acid that your body would do automatically. Using it in a timely manner, while Restylane is still actively present, should not cause sagging in a normal situation. Your lips should just eventually go back to how they looked before the filler, but it may take some time for the inflammation from all this activity to wear off.

Good luck to you.

Restylane is made of hyaluronic acid. It is found in your skin and joints and eyes. Your body knows how to dispose of it and will do so over several months to years. Hyaluronidase merely speeds up the process to hours. There will be no sagging when it goes away. Be sure the hyaluronidase is FDA approved and not compounded as it will work better, faster, and has no impurities. 

Even if you want to speed up the process with hyaluronidase, there should not be any sagging as the skin will just go back to its natural state.

Hyaluronidase may deplete a little of your natural hyaluronic acid when injected but that is quickly replaced by your skin's natural processes.