Can Hyaluronidase Be Used Incrementally to Avoid Dissolving All of the Juvederm?

IT is difficult to quantify the effects of hyalturonidase and using dilution of the product, one could administer extremely small quantities but to some degree you will get an all or nothing response.

Since hyaluronidase works by enzymatic breakdown of the Hyaluronic acid (HA) fillers, the degree and amount of dissolution is related to the amount of the original HA filler and its original injection technique (tiny amounts placed in microdroplets within the target tissues--the preferred method), or larger blobs and lumps (unfortunately all too common), as well as the concentration and the amount of the hyaluronidase injected. With all these variables, you can see why the correct answers tell you that it is difficult, but not impossible, to "just take a little off the sides." Precision with enzymatic removal may not be a reasonable expectation from an injector who gave you "major swelling" in the first place.

Precision and conservatism in the original injection of HA fillers is preferable to trying to precisely remove SOME of the (expensive) filler.You can always add more, but it's much harder to take away smoothly and evenly.

It is possible that small doses of hyaluronidase can be used and to follow and a later date with more so not all filler is dissolved at one time.