Can saline or sterile water injections help dissolve Restyalne Defyne in upper eyes instead of Hyalulronidase?

Question

I know most dont go by this method but I read on here that many doctors actually have used saline injections to help break down radiesse and scultpra, so can they be used to break down defyne in upper eye/brow region? I had filler injected a year ago there to make brows fuller but I miss my high crease and I cant wait 4 years for filler to dissolve and dont want to use Hyalulronidase because I have seen some horror stories on here. Would it even help slightly to tone fullness down?

Nelson Lee Novick, MD · Answer

I thoroughly agree that hyaluronidase, particularly of the human derived kind (Hylenex), is the most appropriate way to dissolve unwanted hyaluronic acid-based injectable fillers and volumizers. I have been using hyaluronidase for years and have found it to be a safe and effective product for this purpose. Although generally felt not to affect normal surrounding hyaluronic acid, I have actually seen it do so. If there is a known allergy to this product or if there is concern about the above, as appears to be the case here, subcision (to physically break up the filler masses) combined with saline injections are a safe alternative approach, although gratifying results via this method typically require two or three treatment sessions. Very dilute concentrations of intralesional triamcinolone are sometimes additionally needed, but these must be used with extreme caution to avoid steroid atrophy. Make sure that you consult with a board certified aesthetic physician with experience and expertise in this field. Best of luck.

Anil R. Shah, MD · Answer

Hyaluronidase is an enzyme that breaks down Hyaluronic Acid. Water or Saline do not have the same effect on fillers. Hyaluronidase is safe and effective if injected properly and used in conservative amounts. Rather than relying on horror stories on RealSelf, I would strongly suggest that you seek in-person consultation with an experienced injector, preferably a Face and Neck Plastics Surgeon. Best, Dr. Anil Shah

Kenneth D. Steinsapir, MD · Answer

Have this stuff removed with hyalronidase. No it does not wreck your skin. Yes you do need to actually go to someone who knows what they are doing. The Restylane Defyne is not like regular Restylane. It is much more runny and will require more enzyme. Most of the so-called enzyme horror stories are from folks who were under treated by well meaning doctors. There is no substitute to going to someone who really knows what they are doing.

Steven F. Weiner, MD · Answer

Saline will have no effect on the Defyne. I would do hyaluronidase. It is simple and has no side effects despite what you see on Realself. There is no scientific evidence to show it has any long term negative effects. In patients with occlusion, thousands of units are injected and they do fine afterwards.

Adam Goodwin, MBBS, FRCS(Plast) · Answer

So saline will be ineffective at removing hyaluronic acid-based filler. Most of these fillers last between six months and 24 months at the most so I don’t think you will have to wait 4 years. Having said that, don’t be too nervous of hyaluronic acid dissolvers as they are very effective, act quickly and have a low side-effect profile. Hope that helps. Regards, adam goodwin.

Can saline or sterile water injections help dissolve Restyalne Defyne in upper eyes instead of Hyalulronidase?

Answers (8)

Answer: Will saline dissolve Defyne?

Answer: Will saline dissolve Defyne?

Answer: Not really

Answer: Not really

Recommended reading

Everything you need to know about Restylane Defyne

Our mission is to create a world where every investment in modern beauty is Worth It.

Can saline or sterile water injections help dissolve Restyalne Defyne in upper eyes instead of Hyalulronidase?

Answers (8)

Answer: Will saline dissolve Defyne?

Answer: Will saline dissolve Defyne?

Answer: Not really

Answer: Not really

Browse related questions

Recommended reading

Everything you need to know about Restylane Defyne

Our mission is to create a world where every investment in modern beauty is Worth It.