Can you spot dissolve filler in the nose with hyaluronidase?

Question

I've had my NSJ (restalyne) for a year. There's still filler in my bridge but it seemed to have spread in the tip of my nose. I am still happy with how my bridge looks. Can I just dissolve the remaining filler in the tip of my nose and refill it?

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Can you spot dissolve filler in the nose with hyaluronidase?

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Can you spot dissolve filler in the nose with hyaluronidase?

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Recommended reading

Everything you need to know about Hyaluronidase

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