Hyaluronidase nervousness. Any suggestions?

Question

Hi, I had restyle filled in my marionette, laugh lines and tear troughs like 2 months ago and ever since I have only hated it. It had given me the appearance of having jowls and a fat lower face with no cheek bones which is the opossite of my desired outcome. I just want to know if hylase is a good idea and how the doctor knows where to inject it. I am paranoid of just relying on his memory.

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your experience. I am sorry that you did not like your Restylane injection result.  Using hyaluronidase is also an art in and of itself. An experienced injector is your best bet for this procedure.

Harold J. Kaplan, MD · Answer

Hi Hoho.  Your injector will know where to place it based on your assertion of where it is and the process of feeling the face.  In most cases, the product can still be felt under the skin even after 2 months.  In addition, if the Vitrase does not hit the Restylane, it will not matter as it has no effect on the surrounding tissue.  To see an example of a Juvederm reversal for one of our Los Angeles patients, click on the link below.

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