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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. KaramanoukianRealself100 Surgeon
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.
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
It is most likely the brand of hyaluronidase that was used on you. Some have animal byproducts in them which cause reactions. I personally use Hylenex without any issues and have done this for years. I have removed fillers from thousands of patients. The issue is how the product is made. And...
Hylauronidase has many advantages and should be considered in patients who are unhappy with their results or in acute cases of overfilling or occlusion. Its often better to reverse filler and restart then to deal with long term edema. Filler migration and permanence is a very common problem...
