How long should I wait between Hyaluronidase and a genioplasty?

Question

I have about 3ml of HA in my chin currently, over the course of a month I’m going to get it dissolved in three separate sessions. My final session is 11 days before my scheduled genioplasty, will there be any problems with surgery due to anything such as inflammation caused by the enzyme? My surgeon will be performing the surgery with custom plates designed using my CT scan so I’m guessing any soft tissue inflammation beforehand won’t affect the outcome of the surgery?

Mats Hagstrom, MD (license on probation) · Answer

This is something you should ask your providers to help you with.
Surgeons will have different opinions about this.
My experience has been that reversing AA fillers is pretty quick. Unless you bleed from the injections, there should be minimal swelling because the enzymatic treatment reverses swelling.
If the injections don’t physically reach the filler, then dissolving the product will be incomplete.
The person who did the injections is probably the right person to ask about reversing them.
Some plastic surgeons are not that concerned about fillers prior to surgery and other plastic surgeons are really particular.
The surgery you’re having is about bone structure and doesn’t really address soft tissues so in someways the soft tissues are irrelevant.
 Size and shape is almost exclusively, determined by bone structure.
Soft tissue coverage is very consistent from person to person.
You described the plan more than enough, but in the end dosing and technique are also really important.Best,
Mats Hagstrom MD

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