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I am not happy with my hyaluronic acid treatment. How much enzyme will I need to remove this treatment?

Published on June 23, 2013

One of the great advantages of treatment with hyaluronic acid fillers–more commonly known by their individual names such as Restyane, Restylane Lyft®, Belotero, and Juvederm–is that they can be adjusted after treatment to improve your results. Typically we see that treatment with these fillers leaves an individual with very satisfactory improvements, but if you find yourself dissatisfied with your service in any way, you can feel reassured knowing that your outcome doesn’t have to be permanent and that you can request adjustments or even essentially a reversal of your treatment.

The benefits of treatment with hyaluronic acid fillers are long-lasting, regularly present for a year or even two years, which means that their good longevity rivals surgical results especially when weighed against the minimum downtime. This also means that in cases of overfilling or otherwise dissatisfactory results, which may be seen after a treatment with a non-specializing facility such as a medi-spa or more generalized provider, the sooner you seek correction the sooner and longer you will be able to enjoy the benefits of treatment.

With a small injection of the hyaluronidase enzyme, your treatment can be modified. Larger doses are capable of removing a treatment altogether. The precise amount of enzyme needed depends on how much filler you received, which of the hyaluronic acid fillers you were treated with, and when the treatment was performed. In many cases, an unsatisfactory treatment can be adjusted in one or two office visits with Dr. Steinsapir.

At a personal consultation, Dr. Steinsapir can evaluate your needs, provide a physical examination, and give you a detailed answer specific to your personal situation along with recommendations. He will tell you what he thinks! You will discuss with you what to expect from hyaluronidase treatment and approximately how much enzyme you are likely to need. Generally is goal is to preserve what you have and shape it with enzyme if this is feasible. Occasionally, a prior service has been done so poorly that it is necessary to “clear the deck” and start over again. Fortunately, this occurs in a small minority of cases. Keep in mind that there is no one-size-fits-all approach for this. Dr. Steinsapir is looking to shape a prior service to preserve as much of the volume you have previously received.

While it would be nice to believe that all physicians injecting fillers in the under eye area would be expert with both the placement of product and its subsequent shaping with enzyme when necessary, this is not the case. The filler service in the lower eyelid is an advanced service. Experience counts. Dr. Steinsapir has one of the largest practices of under eye fillers in the World. Yes people travel from all over the World and the United States to see him for adjustment. So, while we would love to be able to give you a name for someone in your hometown to have this adjustment performed, this is not always feasible. Placing these products and shaping these products remains an art form. We invite you to consult with Dr. Steinsapir today, and learn how you can optimize your facial filler results. Please call us today to achieve your personal best as soon as possible.

About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles and Beverly Hills where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice in Beverly Hills and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.

Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.