Can I use hyaluronidase on lip scar tissue? (photos)

Question

Hello, I had a bilateral cleft and had lip filler for the past 10 years. I find them too big since my last injection (Restylane Kysse, 15 months ago) and the HA doesn't seem to resorb much. Can I do hyaluronidase? Also, I noticed a sort of big blister that formed on the top of my upper lip. Is it due to lip filler? Thank you

Jason Emer, MD · Answer

If there is minimal swelling, most doctors will recommend waiting 3-5 days before getting more filler. These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical and full lip. PDO NovaThreads can also be used to improve shape and also provide lift. Please see an expert. Best, Dr. Emer

Aaron Capuano, MD, FACS · Answer

Hello and thank you for the question. Your blister may be the result of filler or it may be from another cause.  Knowing more about the symptoms associated with the blister and the onset and duration relative to your last injection may help shed some light on a diagnosis.  There is no contraindication to using hyaluronidase on your lips to dissolve the excess filler.  I would proceed very slowly and carefully though, because removing a large volume of filler in your lips may leave them looking hollow and wrinkled, because they are used to accommodating the larger volume.  An in person evaluation by a board certified plastic surgeon I’d a good place to start.  I hope this helps. Good luck.

Shaun Patel, MD · Answer

I would followup with your injector to discuss you concerns. Restylane Kysse is a hyaluronic acid based filler and so could be dissolved using hyaluronidase.

Can I use hyaluronidase on lip scar tissue? (photos)

Answers (3)