Will Ultrasound Waves Help Dissolve Restylane?

Question

I had restylane injections under my eyes three weeks ago I now have small bags and a blue tint. The texture of my skin is also changed. I want to get the restylane out but do not want to do the injections to dissolve it. I wad wondering if ultrasound waves would help dissolve the product quicker?

Ron Shelton, MD · Answer

Once there is swelling and bluish discoloration from Restylane or Juvederm, the only way to lessen it is by physical extraction (by the physician doing this in a sterile fashion, not you) or dissolving it with hyaluronidase. I am not aware of ultrasound improving this as it should not degrade it.

Thomas T. Le, MD · Answer

The blue tint your describe is called the Tyndall effect, which occurs after placment of Restylane in a less than ideal depth or in skin that may be too thin. The best way to remove the Restylane is with hyaluronidase if you want it out right away. Ultrasound is not the choice treatment. The presence of factors affecting periorbital blood flow can also compound the Tyndall effect, and patients undergoing filler injections in the tear trough area need to be thoroughly evaluated and treated for these issues before proceeding.

Kenneth D. Steinsapir, MD · Answer

The issues you have in your lower eyelid are minor and are easily adjusted with hyaluronidase, the enzyme that breaks down the filler. You need a very experienced injector who knows what they are doing. Don't be discouraged by this bit of swelling which is easily adjusted.

Peter A. Aldea, MD · Answer

The ONLY things which break up hyaluronic acid filles (Juvederm,Restylane, Perlane) are time and hyaluronidase, an enzyme. Most people prefer not to wait a year waiting for the Resylane to dissolve and for them the only solution currently on the market is using the hyaluronidase injections. Using other modalities in the hope they would somehow magically work is a waste of your time and money.

	Sorry.

Houtan Chaboki, MD · Answer

Hi simpson1317 i,

	As other cosmetic specialist have stated, ultrasound will most likely not reverse the results of Restylane injection and typically not recommend around the eyes. Hyaluronidase the best option to reverse or remove hyaluronic acid fillers (Restylane, Juvederm). Hyaluronidase is given via a small injection to remove Restylane, with results typically within days. The option is to wait and allow the Restylane to slowly dissolve with time. Speak with your Restylane injector to help determine appropriate options for you. Best of luck.

	Dr. Chaboki

Will Ultrasound Waves Help Dissolve Restylane?

Answers (10)