Does hylauronidase dissolve HA filler evenly? (photos)

Our office specializes in hyaluronidase injections to reverse facial fillers. This injection should only be injected by experts in its use and application. It dissolves the filler where injected. Best, Dr. Karamanoukian Los Angeles

I am sorry that you did not obtain satisfactory results from your injection.  While hyaluronidase can remove all of the filler present if injected in large enough dose and concentration, with smaller, more dilute solutions a lesser effect can often be achieved.  This is not an easy, readily predictable procedure (e.g. where 10% or 20%) of the HA can be reduced but, in my personal experience, there can be a middle ground between all and nothing.  I recommend finding an injector who is extremely experienced with hyaluronidase.

Thank you for your question.It can be very difficult to control the amount of filler that is dissolved by hyaluronidase...very difficult.  It may result in more uneven lips.

To be sure, see two or more board-certified providers in
your area for a complete evaluation to make sure you are a good candidate and
that it is safe for you to have these treatments.

I hope this helps.

Hi SweetMint.  Hyaluronidase is very safe although we do use a patch test to determine if patients are allergic before we use it.  Hyaluronidase does not dissolve the regular skin tissue , rather it only works to dissolve the Hyaluronic acid based product like Restylane, Juvederm, Perlane, Belotero and Voluma.  If your filler was placed evenly, it will dissolve it evenly.  Good luck.

Dear Sweet-mint,When injected correctly (depth), hylauronidase can be a powerful tool to dissolve HA fillers with good results. If used appropriately, it is very safe. There may be some transient skin changes but should resolve within few days. I would seek out a facial plastic surgeon in your town and discuss your options.

If hyaluronidase is injected properly in the correct amount, it works very evenly and shouldn't result in any divots or contour issues. I always recommend very conservative injections with followup scheduled about one week later. This allows for more precise dissolution of the filler and avoids any unexpected results. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon