Hyaluronidase was injected to dissolve any Restylane from 1 year prior before I have surgery in 3 days. Is this normal? (photos)

Question

Dr recommended upper bleph to fix extra fat near nose and lower bleph with his "cheek" lift to eliminate malar festoons. Dr also said the outward ends of my eyes tilt slightly downward and will lift up. Dr said no fat under my eyes. Dr felt there was still filler and wanted to dissolve.

Ellen A. Janetzke, MD · Answer

Hello! This a completely normal practice with lower lid procedures. If you are concerned with the bruising, that is common as well. Be sure to have your surgeon address all of your concerns prior to you procedure.

Adam Goodwin, MBBS, FRCS(Plast) · Answer

The problem with residual filler is that it gives a false sense of youth. If your problem is partly volume related and partly gravity and tissue quality related then my advice is almost always to have the filler dissolved. This will give you an idea of the actual problem and make you more able to come up with a congruent plan. What your doctor has described is exactly how I would describe your facial ageing. I think the plan he has put in place is an excellent one. I would follow it if you are happy to. Hope that helps. Regards, Adam Goodwin.

Ivan Vrcek, MD, FACS · Answer

thank you for your question. Yes, dissolving the filler prior to surgery is common practice. It can allow your surgeon to design a surgery to give you the results that you are looking for without filler in place so that hopefully you won't require filler in the future. I hope this makes sense. Best of luck!

Jeremy B. White, MD · Answer

You got a bad bruise related to your injection. This can happen at times, but I would recommend that you give yourself time to heal and for swelling / bruising to resolve prior to doing your eyelid surgery. That bruise will make your surgery a lot more difficult to do properly.

J. Charles Finn, MD · Answer

yes dissolving the previous filler is important, but your bruising is very unusual. You might postpone surgery to investigate your blood clotting. Have you been taking blood thinners?

Jasmine Mohadjer, MD · Answer

Hello,   I am not sure what exactly your question is.   I do think you still had filler in your lower lids from your injection 1 year ago and I would agree that it needs to be dissolved prior to surgery on the lower lids to best determine surgical technique (fat repositioning etc).  It seems like you got a nice bruise after, which is also very possible in that area.  My only suggestion would be to wait a few weeks before surgery to let this current bruise and swelling to resolve prior to preceding.  Best of luck

Hyaluronidase was injected to dissolve any Restylane from 1 year prior before I have surgery in 3 days. Is this normal? (photos)

Answers (6)

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