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Hyaluronidase is NOT as filler and should not be confused.In actuality, it does the opposite of the filler. It is an enzyme that dissolves the hyaluronic fillers. It is an expensive medication even if it is not name brand.In general, there is no charge if it is used to correct excessive filling by the hyalurinic acids such as Juvederm or Restylane. I generally do not charge, if I feel overcorrection has occurred. However, if this is a patient request or correction of another surgeons technique, I will charge anywhere from $300-$500 in general.
The vast majority of Hyaluronidase patients are new to my practice. I typically charge between $4-600 for a Hyaluronidase treatment and half the amount if subsequent treatment visits are necessary. If one my own patients are in need of this treatment, then I would not charge them.
The cost of hyaluronidase will vary depending on the amount used and the areas of treatment. I perform many of these injections on patients who come to my office after injection by others. My technique involves Hidef Hyaluronidase injections that are staged over a few weeks. Precision is much better than bulk reduction. Products used include Hyaluronidase and Hylenex. It is important to titrate the dose based on the type of filler injected. Best, Raffy Karamanoukian, Los Angeles
Hyaluronidase is an enzyme that can dissolve hyaluronic acid filler and is used for softening, or removing less than perfect hyaluronic acid filler injection/placement. If I happen to be using it on my own patients, of course there is no charge as it is my fault they are not perfectly happy with the injection. However I am mostly removing another injectors work, and in that circumstance, I charge between $300-$500 depending upon how much hyaluronidase I need/use.
Hyaluronidase is not used as a filler or for cosmetic enhancement. It is an enzyme which breaks up and dissolves the hyaluronic acid found in Juvederm and Restylane. Thus, it is used when excessive hyaluronic acid is injected, or misplaced in the skin. It is a great eraser and can literally be face saving in the event of the rare complication of vascular necrosis ( the blood flow is compromised by the filler and the tissue dying). I personally have not found the need to use it, (yet!) but would not charge the patient if I did. My feeling is that other physicians would do the same.
A couple things about hyaluronidase 1. It takes 2-3 days to dissolve the filler 2. It may take an additional 2 weeks for absorption of filler/hyaluronidase to occur 3. It may take a couple more months for the skin and local swelling of tissue to resolve Most of the effect is seen...
There is no set amount or guideline for dissolving hyaluronic acid with hyaluronidase. Similar to what Dr. Janjua suggested, we usually use a ratio slightly less than a one to one ratio. In our experience, it is prudent to inject in small amounts, adding more as needed. Much will also depend...
Granulomas form in response to a foreign body. Our body has various defense mechanisms and if it encounters something it doesn't like, it will try to surround it and block it from being exposed. In other words build a wall of protection around it so it doesn't irritate...
It should be ok to get hyaluronidase in multiple areas in a controlled fashion. Alternatively you could get treatments over several days to stagger the treatment.
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,...
Surgiderm is NOT available in the US. It is produced by Corneal, a subsidiary of Allergan (the producer of Botox, Latisse etc) has been launched in the UK in 2006. It consists of a family of tightly bonded Hyaluronic acids in various states of bonding for varying thicknesses and duration) from...
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