Undoing a bad hyaluronic job?
Doctor Answers 10
If there is a lump, the dissolver needs to be injected accurately into the center of the lump to dissolve it.
If the filler was Hyaluronic Acid, it should be dissolvable using Hyaluronidase. When lumps form, the filler is not evenly distributed and has likely created a depot of filler. A depot is an accumulation of pure filler in a single location. Sometimes these lumps of filler have a small rind of collagen which may have formed around the filler, which makes them tricky to dissolve.
If the dissolver is injected outside of the rind of collagen, the filler will not dissolve, because the your collagen is protecting filler from dissolving. If the dissolver is able to be injected into the center of the lump, then the chance of dissolving it increases. Sometimes, it can also take more than one session to wash out the filler as much as possible. Usually one session will not dissolve it all, unless massive amounts of dissolver is used. Using too much dissolver has issues of its own.
Personally I attempt accuracy over quantity. It is like a laser guided missile to the target building of interest, instead of carpet bombing a village to try to hit the building of interest.
I hope that helps.
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Hyaluronic Acid Filer Bumps
Restylane and Dissolving Lump
If Restylane was injected it can definitely be dissolved. There are times when more than one injection of Vitrase is needed to correct the situation. Please consult an expert who is familiar with Vitrase and an expert in these cosmetic injections. Best, Dr. Green
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.