Will dissolving my jaw line filler with Hyaluronidase also dissolve my local HA?

Question

I had jawline fillers done over a month ago and I’m not happy with my results. The fillers used were Boletero. I’m worried that if I dissolve the fillers, it will dissolve the local HA in that region. Please advise if this is possible and if so, how long would it take for the local HA to develop in that region again?

Raffy Karamanoukian, MD, FACS · Answer

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, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

I recommend seeing your injector, but keep in mind, it may take a series of treatments. Also, it takes 1-2 weeks for final results. See an expert. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear sarahbrownxxx,
hyaluronidase will dissolve hyaluronic acid fillers if they get in contact with it. If you are considering to dissolve fillers, it is best to visit your injector again and get treated. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leonard Grossman, MD · Answer

If acceptable, I would go to the person who originally injected you with belotero and have them treat you with hyaluronidase because they know exactly where the product was injected. Hyaluronidase has to be used judiciously in order not to cause more damage than needed. I hope this helps and good luck from New York City plastic surgery

Will dissolving my jaw line filler with Hyaluronidase also dissolve my local HA?

Answers (4)

Answer: Using hyaluronidase

Answer: Using hyaluronidase

Recommended reading

Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.

Will dissolving my jaw line filler with Hyaluronidase also dissolve my local HA?

Answers (4)

Answer: Using hyaluronidase

Answer: Using hyaluronidase

Browse related questions

Recommended reading

Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.