Hyaluronidase Safe for Use Around the Eyes?

One of the best things about using the class of products called Hyaluronic Acids (HA's) (Restylane, Juvederm) is the fact that they are soft, natural, malleable, and reversible.  This allows us to "go for it" with minimal overall risk.  We use this class of materials over 90% of the time as we llike to "fix" problems and minimize risk.

Specifically, hyaluronidase is used, and has been used in the orbital area (can be used anywhere except if there is  suspected skin cancer at the site of injection.)

When a patient is concerned after a treatment with Restylane or Juvederm, we try to massage and observe as thse products typically do very well over time.  However, we do have instances where patients want some or all of the product reversed.  We simply inject hyaluronidase and it immediately dissolves.  Very nice treatment.

Periorbital area is one of the most common place to use hyaluronidase. If you want to be conservative, do a test area on inner forearm and evaluate a couple days afterwards to make sure you do not have any allergic reaction to hyaluronidase.

Can hyaluronidase be used safely around the eyes? Short answer: Yes Long Answer: Yes it can but it really depends where your doctor placed the Juvederm. Most applications of Juvederm around the eye are in the tear trough area of the eye and to improve the eye cheek interface. It is a common mistake that I see that HA's are placed too close to the lower eyelid creating an unaesthetically pleasing lower eyelid. It is safe to use hyaluronidase around the eyes but it is dependent on the injector's comfort level with facial/orbital anatomy and knowing the different anatomic planes.