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There is no set amount or guideline for dissolving hyaluronic acid with hyaluronidase. Similar to what Dr. Janjua suggested, we usually use a ratio slightly less than a one to one ratio. In our experience, it is prudent to inject in small amounts, adding more as needed. Much will also depend on whether or not you are wanting to dissolve the entire product injected or just one area such as a lump or unintended outcome.
There is no determined amount. Every physician basis it on his or her own experience. In my experience you need about 20 units for each 1cc of Restylane.Regards
Granulomas form in response to a foreign body. Our body has various defense mechanisms and if it encounters something it doesn't like, it will try to surround it and block it from being exposed. In other words build a wall of protection around it so it doesn't irritate...
It should be ok to get hyaluronidase in multiple areas in a controlled fashion. Alternatively you could get treatments over several days to stagger the treatment.
Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm,...