I am allergic to hylenex. How can I dissolve my fillers?

Question

filler dissolving

Leah Totton, MBBS · Answer

Hi,
At Dr Leah Clinics we have had some success using Q- switch laser (clearlift laser by Alma) to breakdown HA dermal filler. You are likely to need multiple sessions (normally 2 weeks apart) but there is no downtime and little or no significant side effects. In our case studies we have found it works well to dissolve / reduce thin fillers placed superficially ( tear trough or smokers line filler) but we have had limited success using clearlift to break down more viscous filler which is in a deeper anatomical plane (e.g. cheek filler). 
Massage of the area, which you can do yourself at home daily and heat treatment (radio frequency which can be performed if it is cheek filler) can also be of benefit in speeding up the breakdown process of HA dermal filler. 
Hope this helps. 
Best wishes,
Dr Leah Totton

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Michael I. Echavez, MD · Answer

I am not sure what component of Hylenex you are allergic to, but there is another form of hyaluronidase called Vitrase.  It is possible that Vitrase could be used on you instead of Hylenex to dissolve your fillers.

Dmitriy Schwarzburg, MD · Answer

There are many brands of hyaluronidase. Hylenex is just one of them. Consult a trusted practitioner in your area to know which may be best for you.

I am allergic to hylenex. How can I dissolve my fillers?

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Answer: Hyaluronidase

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I am allergic to hylenex. How can I dissolve my fillers?

Answers (4)

Answer: Hyaluronidase

Answer: Hyaluronidase

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Everything you need to know about Hyaluronidase

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