Broken capillaries after dissolving jaw filler - can hyaluronidase cause rosacea?

Question

Had some filler dissolved in my jaw. The filler was only 0.5ml on each side but it was enough to make my oval face look saggy. Where I was injected with hyaluronidase has now red broken capillaries it looks like. I do have rosacea on my cheeks and always have. It does appear there still filler in there and I would like to get more dissolved however if it is a risk of rosacea flaring up then maybe I shouldn’t. Some advice would be much appreciated

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Broken capillaries after dissolving jaw filler - can hyaluronidase cause rosacea?

Answers (1)