Is it possible to dissolve filler (nasolabial fold)? (Photo)

Question

Is it possible to get rid of this puffiness on the front of my face in the loughing line area where I highlighted . I had 2 jevedurm syringes in the loughing lines done 1 year ago in 6 months I added 1 syringe to the same location . Also , Throughout the last year I had around 6 syringes of filer (radiess & voluma ) done to the mid face . Is it possible to find out if this part I highlated is dissolvable ?

Nima Shemirani, MD · Answer

Hi @aboudi! Hyaluronic acid dermal fillers like Juvederm and Restylane can be dissolved with Hyaluronidase. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

Yes, you can have HA filler to your nasolabial dissolved with hyaluronidase. It may take a series of treatments. I recommend following up with a cosmetic dermatologist. Best, Dr. Emer

Michael S. Mall, MD · Answer

Thank you for your photos and questions. Juvederm and Voluma can be dissolved  with hyaluronidase which may require one or more treatments; however, with Radiesse, you will need to allow a few months before it breaks down.  Thank you again and please see your injector for the best evaluation.

Michael Hall, MD · Answer

The Voluma you had previously injected is dissolvable.  All hyaluronic acid based fillers (Juvederm, Voluma, Volbella, Restylane, etc) are able to be dissolved with hyaluronidase, an enzyme that catalyzes the breakdown of hyaluronic acid.  Sometimes it can take more then one injection of hyaluronidase to fully breakdown the filler. Radiesse on the otherhand is composed of calcium hydroxylapatite which is not amenable to hyaluronidase.  Radiesse typically lasts around 9-15 months before it is naturally broken down in your body.
 I recommend you return to your previous injector to voice your concerns.  They should tell you where each filler was placed and be able to reverse the hyaluronic acid if desired.  Good luck.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Yes, any hyaluronic acid based dermal filler can be dissolved by hyaluronidase (brand name Hylenex or Wydase). It may take a few treatments for desired effects. My recommendation is to follow up with the medical office where the treatment was provided.

Hope this helps!
Kelly

Hope this helps!
Kelly

Seth Kates, MD · Answer

Hi and thanks for the question.  Hyaluronic acid based fillers (eg Voluma) are fairly easy to dissolve using hyaluronidase.  Radiesse goes away over time and there is no product that will dissolve it.  Gentle massage of the area will frequently make it go away much faster than it would have naturally and can save you a visit to your provider.  Good luck

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