Can filler dissolver partially remove filler?

Question

I would just like the tip of my nose to be reduced in terms of filler without it removing any type of Juvederm from my nose bridge, as I’m aware the dissolver spreads? Will it remove all filler in my nose or only the place where it is injected (would like some filler removed in the tip)?

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Onir Spiegel, DDS, PhD · Answer

Removing fillers made of Hydraulic acid is simple and easy with hyaluronidase. This material is a clear liquid and will work in the area it's injected.  The results are instantaneous. But, you may need to wait about 10 days for any inflammation caused from the injection to come down to see your final results.Best from Boston, Dr. Onir

F. Victor Rueckl, MD (in memoriam) · Answer

Hyaluronidase will spread but not much. If only a tiny amount is put into the tip of your nose, there is no way it's going to spread all the way up to the nasal bridge. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Can filler dissolver partially remove filler?

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