Hyaluronidase - indicated? Where to get it? How soon? Concerned abt complications, she says over phone to wait (Photo)

Question

I didn't want zygoma fillers but trusted dr; now want hyaluronidase. It's been a day, but I want the arch fillers removed ASAP regardless of final result. Hematoma formed immediately, so I am concerned a vessel was nicked. It continues/d to enlarge & I have some numbness + pressure; am scared of delayed necrosis. Dr said to wait (over phone) & doesnt work weekends. How do I know if there's an emergency & where can I go - urgent care, ED, GP? (am in europe for work)

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

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