Should a physician inject Hyaluronidase around an infected abscess? To dissolve hyaluronic acid (Photo)

Question

It appears my filler migrated. l am considering having it dissolved,, but l have a large infected abscess 1.5cm.Would this be a option?

Nima Shemirani, MD · Answer

Hi @Katcon! I recommend seeing a facial plastic surgeon to drain the abscess and take care of the infection prior to dissolving the filler with Hylenex. Best of luck to you!

Elham Jafari, MD · Answer

Hi and thank you for your question! In general we want to avoid doing any elective cosmetic injections at or near areas of skin infection. Furthermore, hyaluronidase might further digest the naturally present hyaluronic acid in your skin and undermine the extracellular matrix, paving the way for further expansion of the infection. Hence, it would be best to put the injection on hold until the infection is completely treated and healed. As long as hyaluronidase infection is not part of the management strategy of your doctor to control the injection and it is only being done for aesthetic purposes, it can always wait. I hope it helps and good luck!

Raffy Karamanoukian, MD, FACS - Account Suspended · Answer

Solid plastic surgery techniques are needed here. Before injecting the Hylenex, the abscess should be drained to reduce bacterial proliferation.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Should a physician inject Hyaluronidase around an infected abscess? To dissolve hyaluronic acid (Photo)

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