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  • It is currently Thu May 23, 2013 9:58 am

hyaluronidase

This section is dedicated to questions that don’t easily fit into any other category but that concern facial plastic surgery. For hair restoration, see Dr. Lam’s Hair Transplant Forum. http://www.drsamlamhairforum.com/
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hyaluronidase

Postby frangipani » Wed Sep 17, 2008 7:00 am

Dear Dr Lam (and anyone interested),

I asked Q-Med, who make Restylane, about the dissolving enzyme which was mentioned by someone in a post recently, here is a part of the reply...

Hyaluronidase has been clinically proven to reduce unwanted or incorrectly placed Restylane when absolutely needed
Hyaluronidase is an enzyme that breaks down Hyaluronic acid and as such will have an effect on both the injected product as well as the bodies own Hyaluronic acid.
It is correct that clinical recommendations indicate small metered doses into the unwanted material.
The good news is that the body replenishes its own Hyaluronic acid very rapidly on a daily basis.

I thought this was useful and wanted to share it.... still can't pronounce it though :?

Warm regards,

Fran
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Re: hyaluronidase

Postby dr. lam » Wed Sep 17, 2008 5:41 pm

I truly believe that vitrase does not significantly affect one's own hyaluronic acid appreciably...at least not at a clinical level. in any case, i appreciate the submission.
best,
sml
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Re: hyaluronidase

Postby frangipani » Thu Sep 18, 2008 2:59 am

Is vitrase another name for the same thing, or is it an alternative enzyme?

Kind regards,

Fran
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Re: hyaluronidase

Postby dr. lam » Thu Sep 18, 2008 4:29 pm

vitrase is a brand. like coke or pepsi.
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Vitrase

Postby frangipani » Thu Sep 18, 2008 7:47 pm

I'll have mine on the rocks thanks...with a slice of lemon. :P

I guess if it dissolves natural HA but that then replenishes, it amounts to the same thing as not dissolving it - unless one had some kind of impairment with one's natural HA production, no? Also, with needles and associated swelling any very minor drop in natural HA might be obscured? Just lay-thoughts. :D

Fran
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Re: hyaluronidase

Postby dr. lam » Fri Sep 19, 2008 4:48 pm

I really have no idea. I spoke with the regional Medicis rep last night and he has no idea whatsoever. I polled a few surgeons here in Chicago and they have no idea either. I have not seen any problems even when I poured the product in the area of question.
best,
sml
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Re: hyaluronidase

Postby frangipani » Fri Sep 19, 2008 10:08 pm

Yes, you would surely have heard by now, if there were a problem...and I understand the substance has been used for a long time by the medical profession.

Thanks for your response Dr Lam. Have a lovely weekend (hope the weather is calmer there now).

Fran
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Re: hyaluronidase

Postby dr. lam » Sun Sep 21, 2008 4:23 pm

yes, everything was fine for me in Dallas. I heard some of my colleagues in Houston were not so fortunate. I was in Chicago last week for the annual Academy of Facial Plastic & Reconstructive Surgery meeting and the weather there was spectacular!
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