How Long After Hyaluronidase Can You Have More Juvederm Injections?

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

I have had good success using hyaluronidase selectively to correct overinjected areas.  The effect is rapid, usually within 3 days but I would advise waiting about a month before reinjection with Juvederm to insure all changes from both filler reduction and swelling are complete.

If you are not happy with your current Juvederm result and have a Hyaluronidase treatment to correct the problem, you should allow 3-4 weeks prior to considering further injectable.  However, prior to proceeding, sit down with your Doctor of choice and review your treatment goals.

usually will start working within a day- you can re-inject if you like in 2 weeks- but best to wait 4 weeks so that it all disappears before re-introducing product!

Great question!  The half life of hyaluronidase is about 3 days, so with a single local injection, its effect should approach zero in 3-4 weeks.  So I would wait about 4 weeks, before reinjecting an area previously treated with hyluronidase.  All the best, Dr. Vartanian

Hyaluronidase is wonderful and I have corrected many overdone Restylane-Juvederm injections including one of my own patients.    The good news is that the product can be removed almost instantly by hyaluronidase.  When this is necessary, wait at least 4 weeks for all to settle down.   Generally when this misfortune occurs, surgeons will do the followup treatment free of charge.  Some fillers such as sculptra and rdiesse cant be removed and you must let them wear out.  The fact that juvederm is easy to reverse is actually a blessing when needed.  Good luck.