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  • It is currently Thu May 23, 2013 9:08 am

hyaluronidase

section of the forum is dedicated to discussions addressing injectable fillers including Restylane, Perlane, Juvederm, Radiesse, Sculptra, Silicone, Artefill, or other office-based injectable filler, except for the management of acne scarring (See Acne/Acne Scarring Forum).
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hyaluronidase

Postby nuni6050 » Wed Dec 19, 2012 12:17 am

Hi Doctor , i had a really bad job of restylane under my eyes , I end it up having big and uneven bags under my eyes . My doctor injected hyaluronidase to dissolve it but i guess also dissolve my own Ha in one side of my face. I have a hole in one cheek , its been 2 month and I don't see any improvement .Is this damage permanent? o maybe because Im 36 will take more time to heal ? Im so depressed !! is anything that I can do to fix this ?? I really appreciate your help,, thank u
nuni6050
 
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Re: hyaluronidase

Postby dr. lam » Wed Dec 19, 2012 10:11 pm

in most cases it comes back in a few months time. it should resolve itself. if you can't wait, i would consider using some more HA products to fill in the hole and if it come back you could GENTLY dissolve it.
s
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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Re: hyaluronidase

Postby nuni6050 » Wed Dec 19, 2012 11:57 pm

thank u so much for ur fast response !
nuni6050
 
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Re: hyaluronidase

Postby dr. lam » Thu Dec 20, 2012 6:49 am

my pleasure!
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
Site Admin
 
Posts: 4996
Joined: Wed Oct 03, 2007 10:51 am
Location: Dallas Texas
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Re: hyaluronidase

Postby nuni6050 » Fri Dec 21, 2012 2:41 am

Doctor, I keep reading that hyaluronidase can cause permanent tissue damage ,I'm so confused .do I need to get plastic surgery now to fix my face ? o should I wait ? I really scared to get something else done in my face but Im so self conscious about this that I really dont know what to do .
nuni6050
 
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Joined: Wed Dec 19, 2012 12:04 am
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Re: hyaluronidase

Postby dr. lam » Fri Dec 21, 2012 3:24 pm

honestly, i believe that hyaluronidase has a chance of causing permanent issues. that is why i go very low dosing. at times it is permanent and at times it is not. if it is under one year wait time i would go with a temporary filler with HA to make sure that if it comes back that you don't then have a lump. after one year i would consider using a permanent filler if it does not improve.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
Site Admin
 
Posts: 4996
Joined: Wed Oct 03, 2007 10:51 am
Location: Dallas Texas
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Re: hyaluronidase

Postby nuni6050 » Fri Dec 21, 2012 7:09 pm

wow ,I so mad at my doctor she never mention any of this , and so sad that my face may never be the same , thank u for your help
nuni6050
 
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Joined: Wed Dec 19, 2012 12:04 am
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Re: hyaluronidase

Postby dr. lam » Fri Dec 21, 2012 10:50 pm

most docs would disagree with me that it could cause long-term issues so don't be mad at your doc . my opinion goes against the grain.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
Site Admin
 
Posts: 4996
Joined: Wed Oct 03, 2007 10:51 am
Location: Dallas Texas
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