Juvederm removal. Any suggestions?

Will dents and loss of hyaluronic acid grow back? I used hyaluronidase to get rid of juvederm and it has changed my natural skin. Will I ever regain it or have I lost it forever. One doctor says it has no effect and the others say it does. I don't know who to believe

Doctor Answers 4

Juvederm can help

Hyaluronic acid tissues that dissolve with hyaluronidase can be re-injected to restore volume or skin health.

Juvederm Results - If Unhappy, Reverse with Hyaluronidase

Juvederm can be reversed and if don't properly would not cause you any problems.  Filler would need to be reinjected by someone who is an expert.  Hyaluronidase should not damage our normal skin.  Lasers, microneedling/PRP, skin care can all be used to strengthen your normal skin.  Please see a cosmetic dermatologist.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

Hyaluronidase and Dents

If the dents were present before, they'll be present once the Juvederm is dissolved and perhaps this is what you're experiencing? I haven't heard of hyaluronidase causing dents. You may be experiencing uneven dissolving of the Juvederm. This would create an uneven contour, with valleys/dents where the hyaluronidase worked and hills/bumps where the Juvederm remains because the hyaluronidase didn't get to it. I advise you to return to your injector for evaluation and further treatment if necessary. 

Millicent Odunze-Geers, MD, MPH
Sacramento Physician
4.6 out of 5 stars 5 reviews

Hyaluronidase for HA fillers

Loss of your own hyaluronic acid after injection of hyaluronidase to eliminate HA fillers is a potential adverse effect which can give the appearance of indentations. You didn't mention timing or the reason for hyaluronidase...  Laser resurfacing induces collagen and tightens skin - theoretically this could help your dents. Alternatively, small injections of filler (HA or non-HA) could be placed in the "dents" for a smoother appearance. It is important to find an experienced aesthetic surgeon whom you trust to advise you what to do next. Be sure to allow yourself time to think about that next step!

Sara A. Kaltreider, MD
Charlottesville Oculoplastic Surgeon
5.0 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.