Will results from PRP be reduced if I get Hyaluronidase filler dissolved?

Question

I am about to get the fillers in my cheeks and under eyes dissolved with Hyaluronidase. I want to start PRP treatments straight away as I am aware that the skin might be saggy and also I want to treat my dark circles and hollows without fillers. However I think I will need a few sessions of dissolving and I wonder if the PRP effects will be reduced if I am still getting the filler dissolved. I know the Hyaluronidase temporary removed natural HA, do I wait until I have finished with Hyaluronidase?

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Will results from PRP be reduced if I get Hyaluronidase filler dissolved?

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