Does hyaluronidase injected only under the muscle reduce the risk of dissolving one's own hyaluronic acid? (Photo)

Question

I recently got restylane injections to try to correct some bagging I had under my eyes, but I think my injector may have gotten a little overzealous and exercised a bit of creative license to give me what he felt was an optimal result (although I was already very content with the base structure of my face). I've read some horror stories here about doctors being cavalier with hyaluronidase. He advises me that there's no risk of collateral damage if he only injects under the muscle. Is this true?

Jason Emer, MD · Answer

Injecting synthetic hyaluronidase does not effect your bodys natural connective tissue.  The solution attracts synthetic fillers which have a different pH than your bodys natural connective tissue.  Best, Dr. Emer.

F. Victor Rueckl, MD (in memoriam) · Answer

Hyaluronidase needs to be injected where the filler is. If your filler was placed under the muscle then this is where the hyaluronidase needs to be injected. I agree that hyaluronidase should be done conservatively. I'd always rather inject someone two or three times rather than overdo it the first time. There is no proof that injecting it under or over the muscle makes any difference in whether your own HA could be affected. What matters is that the right amount is used and that it is injected where the product is. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

Does hyaluronidase injected only under the muscle reduce the risk of dissolving one's own hyaluronic acid? (Photo)

Answers (2)