After receiving a hyaluronidase (undiluted hylenex) injection at my eyelid cheek junction for a lump of tear trough filler (which obviously also dissolved my native hyaluronic acid), would it be correct to assume that collagen and elastin were also lost since HA enhances the body’s ability to produce and synthesize collagen? My entire cheek fell flat from top to bottom after the injection, which was 6 months ago, and I had never had cheek fillers. What can I do?
May 17, 2020
Answer: Filler Issues BeccaI am sorry you are having these issues after hyaluronic acid treatment and subsequent removal with hyaluronidase. I believe there is some confusion with regard to hyaluronic acid filler. While HA is an excellent choice to plump up areas of the face, it does not enhance the body’s ability to produce and synthesize collagen. Once the product goes away with time, re-treatment is necessary maintain the result. Hyaluronidase treatment to correct areas like the eyelid/cheek junction must be performed conservatively with judicious amounts injected, because over correction with depressions can occur. However these depressions can be corrected with more filler. Consult with a board-certified plastic surgeon or dermatologist in our area to explore the best options for you. Good luck.
Helpful
May 17, 2020
Answer: Filler Issues BeccaI am sorry you are having these issues after hyaluronic acid treatment and subsequent removal with hyaluronidase. I believe there is some confusion with regard to hyaluronic acid filler. While HA is an excellent choice to plump up areas of the face, it does not enhance the body’s ability to produce and synthesize collagen. Once the product goes away with time, re-treatment is necessary maintain the result. Hyaluronidase treatment to correct areas like the eyelid/cheek junction must be performed conservatively with judicious amounts injected, because over correction with depressions can occur. However these depressions can be corrected with more filler. Consult with a board-certified plastic surgeon or dermatologist in our area to explore the best options for you. Good luck.
Helpful
Answer: Depends So if you had the hyaluronidase 6 months ago then you have to think you will continue the aging process of more atrophy loss of superficial fat pads and what not. Also think if you are losing weight as well as that can make you have more loss of volume in your cheeks. There are options. You can talk to your doctor about fat grafting, doing more fillers. Also hyaluronidase does not remove elastin...only hyaluronic acid.
Helpful
Answer: Depends So if you had the hyaluronidase 6 months ago then you have to think you will continue the aging process of more atrophy loss of superficial fat pads and what not. Also think if you are losing weight as well as that can make you have more loss of volume in your cheeks. There are options. You can talk to your doctor about fat grafting, doing more fillers. Also hyaluronidase does not remove elastin...only hyaluronic acid.
Helpful
