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Vitrase doesn't damage normal skin, it cant due to the pH difference in the medication versus normal skin hyaluronic acid. I suggest you see a filler expert to assess the area and improve with future treatments. Best, Dr. Emer.
Hi. Hyaluronidase can be found in two commercially available products- vitrase and hylanex. Vitrase is made from purified ovine (sheep) hyaluronidase whereas hylanex is recombinant. Due to this, hylanex has less incidence of tissue reaction or allergy. Both can be used to dissolve HA fillers. Dissolving filler "evenly" has more to do with injection technique and can not be 100% guaranteed. You can always inject more hyaluronidase or add more filler to even things out. There can be a temporary loss of natural hyaluronic acid in the skin when hyaluronidase is used, but it should not permanently damage it. Best regards, Ira Vidor, M.D.
It is common to get swelling after fillers into the lips. It is not normal to have irregularities or severe swelling. If you are unhappy you should speak to your physician and have the area injected with hyaluronidase, an enzyme that reverses the hyaluronic acid filler. For the next...
I dont use any numbing on my patients because I use cannulas which limit pain on injections. I suggest you go to someone gentle who does cannulas for fillers. Best, Dr. Emer.
You need a cosmetic dermatologist who specializes in acne scarring/pigmentation and does a combination of treatments including: surgery, subcision, or TCA cross for deep or pitted "ice pick" scars; fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars; Eclipse...
I suggest posting photos and/or speaking to your physician about reversing the filler with hyaluronidase. Massage typically doesn't help improve this. Best, Dr. Emer.
Thank you for your question. In my opinion, 14 is too young to have a lip augmentation. Allow yourself a few years time to fully mature physically and psychologically before pursuing any cosmetic surgery procedure.
These need a combination approach with lasers, radiofrequency tightening and fillers. Often Sculptra is also used to tighten and lift. Please see a cosmetic dermatologist with experience in facial rejuvenation for an evaluation. Best, Dr. Emer.
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