How many units of hyaluronidase are usually needed to dissolve a Vycross filler?

Question

Hi doctors, I'm having trouble dissolving a vycross filler, juvederm volux (25 mg vycross hyaluronic acid). I know that in many countries this filler has not yet been approved by the FDA, it should be similar to voluma, but more robust and denser. How many units of hyaluronidase are usually needed to dissolve a stubborn vycross filler? Is a filler injected under the muscle (and above the bone) more difficult to dissolve? I really need help because this stressful situation is affecting my life.

Raffy Karamanoukian, MD, FACS · Answer

Fillers can swell and migrate unpredictably, especially when a filler with a high-edema quotient is used in thin areas. Our office uses disciplined approaches to help patients with acute or chronic issues related to hyaluronic acid fillers. We begin by assessing for any tissue compromise and advocate early treatment to avoid complications with vascular occlusion. In chronic issues, it is important to gradually break up and dissolve filler so there is no further migration of loose filler substrate. Conservative staged dilution may also help avoid volume loss. If the filler is not dissolving, we may consider stronger concentrations or surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

How many units of hyaluronidase are usually needed to dissolve a Vycross filler?

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