How many time can you have Hyalase on an injectable area?

Question

I had my nasal fold done with prohilo.The practitioner did a very bad job. After 3 weeks, it was creating other funny lines. Asked the same practitioner to remove the filler and a week after that. On the two occasion Hyalase 1500UI was used, some of the filler disappeared. However there some lumps on the corner mouth which causing me a lot of concern. Wondering if to have Hyalase from a different practitioner?

Raffy Karamanoukian, MD, FACS · Answer

Filler complications are common and can cause emotional distress and in some cases, physical deformity. Swelling, lumpiness, and uneven facial volume are just a few of the complications associated with hyaluronic acid fillers. 
  
Our office is a global center of excellence for the management of facial complications. Once we receive a consultation for filler complications, it is imperative that an examination is performed with a detailed history to determine the type of facial filler and the severity of swelling and nodule formation. 
  
Hyaluronidase can work on facial fillers that are primarily comprised of hyaluronic acid. In some cases, we see patients who believe that they have had HA fillers; but may have had some other category of injections such as silicone or Artefill Artecoll. 
  
Management of HA fillers is complex; may require multiple sessions; and depending on the severity and volume of filler; may not be possible given facial biometrics or filler-specifics. 
  
We are often asked if hyaluronidase can affect normal tissue; and this is a question that may not have a simple answer. Hyaluronidase can affect hyaluronic acid, which is contained in your tissue. The degree of effect depends; lending us to perform conservative reversals.  
  
In a small subset of patients, surgery is required to remove fillers. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

George Davis, MD · Answer

Thanks for your question. 1500 seems like a lot for one area.  However, it can be repeated if needed.  If you are still concerned, it may be best to get another opinion.

F. Victor Rueckl, MD (in memoriam) · Answer

The filler you are speaking of is not one we have in the U.S. so I'm not familiar with the properties. However, I will assume it's an HA filler as that's what hyaluronidase is good for. You can have hyaluronidase as many times as needed. The most I usually do is 3x spread about a week apart. I never inject as much as your injector though. Please remember that removing filler is just as much as art as putting it in, so if you aren't getting where you would like to be, perhaps consulting another physician would be a good idea. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

How many time can you have Hyalase on an injectable area?

Answers (3)

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