Hyaluronidase on nose tip?

Question

Hi, I had unfortunately been injected HA on nose tip. I want my old nose truly back. Would it be safe, in terms of it dissolving evenly or not losing my own tissues, to Hyaluronidase it? Or would you suggest that It is better that I wait 6-10mo for my nose tip? I also have very inelastic skin (43 y.o.)

Jason Emer, MD · Answer

Yes, if you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Hyaluronidase on nose tip?

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