Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Sunday, March 16, 2008

Hyaluronic acid lump in lip

Hello

I have recently had half a syring of hydrfaill with a bad result - the product has collected in the wrong part of the lip
if I was to use hyaluronidase to correct an uneven result I have had recently with Hydrafill, would it dissolve all product in the mouth or would you be able to inject a tiny amount into certain areas without it spreading?
I have been having injections for 10 years and am happy with the size of them so am worried it will completely dissolve them and I will have to start from scratch
Thanks

hi sally
hydrafill is not available in the US, so I had to look it up. its a hyaluronic acid filler, similar to restylane. all of the hyaluronic acid fillers are temporary, so you would not have to worry about dissolving built up hyaluronic acid. hyaluronidase is very effective at dissolving hyaluronic acid and yes, i use it to dissolve small parts of an injection. around the eyes, for example, i sometimes need to bring down a small part of one saide and i can do that effectively by putting in a small ammount of hyaluronidase.
i would certainly go to a physician who has lots of experience with fillers and hyaluronic acid ones in particular. someone who has never used hyaluronidase would have a hard time figuring out the ammount of enzyme to use.
cheers,

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