Can you dissolve filler with Hyaluronidase on areas with Botox too? Would there be any contraindications?

Question

Can you dissolve filler with Hyaluronidase on areas with Botox too? Would there be any contractions?

Raffy Karamanoukian, MD, FACS · Answer

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Michael I. Echavez, MD · Answer

Dissolving a hyaluronic acid filler with hyaluronidase should not affect results from a Botox treatment previously performed in that area.  Likewise, the Botox should not affect the results from the hyaluronidase injection.

Vilma Di Maria, MBBS · Answer

Thankyou for your question.Yes you can dissolve filler over botox area s they are 2 completely different treatments. Your botox will not be affected. Hope this helps

Can you dissolve filler with Hyaluronidase on areas with Botox too? Would there be any contraindications?

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Can you dissolve filler with Hyaluronidase on areas with Botox too? Would there be any contraindications?

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Everything you need to know about Hyaluronidase

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