How can I dissolve Volift when Hyaluronidase isn’t dissolving it?

Question

I had Volift injected into my eyebrows 2.5 years ago. I had an adverse reaction 3 months later. I have been trying to dissolve it since but it still is present. I had a ultra sound that confirmed it is still tracing under my eyebrows. I have hard lumps and swelling still. How do I get rid of it as my face looks deformed with the lumps.

Harold J. Kaplan, MD · Answer

Hi Cevancio. Very sorry to hear about your situation.  With Vycross technology, the particles of Hyaluronic acid are more closely linked, which is better for duration, but worse for dissolvability.  We have spoken to several injectors that have had to use Vitrase 6, 8 or 10 times to dissolve Voluma.  It's possible that with repeated reverals, you may accomplish your goals.  Short of that, you may need to wait longer or have it surgically removed.  Best of luck.

Steven F. Weiner, MD · Answer

Vycross problems are becoming more numerous. Also, they are hard to reverse as in your case. Excision might be your only solution. When the filler is very hard, it doesn't respond to hyaluronidase. Consider injection with steroid or 5FU.

How can I dissolve Volift when Hyaluronidase isn’t dissolving it?

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