2 treatments with full strength vitrase on chin and it won't budge.
Doctor Answers 3
Thank you for your question septembergirl2016. I am sorry to hear about your situation. Voluma is a great treatment that can enhance the cheeks. Hyaluronidase (Vitrase, Hylenex) can be used to dissolve hyaluronic acid based fillers such as Juvederm, Restylane, and Voluma. Firstly Voluma is made using Vycross technology, which is more cross linking in the hyaluronic acid chains. This provides more longevity, but also makes it more difficult to dissolve. Multiple rounds may be required. Second there may be something secondary such as an inflammatory reaction, hematoma, or granuloma; hyaluronidase will not address these things. I am not able to speak about what was use in your case. Please consult with your doctor for specific recommendations. Good luck!
Voluma that Doesn't Budge?
When injectables don't dissolve after multiple attempts it is possible that the firm rubbery swelling is due to a hemorrhage or inflammation that occurred at the time of the injection not the substance itself. Therefore hyaluronidase (vitrase) won't get rid of it . Your doctor can try a kenalog injection or just wait it out -it will probably dissipate on its own.
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