Hyaluronidase dissolves hyaluronic acid filler that has migrated, overfilled an area, or simply is not sitting the way it should. Including work done somewhere else.
Hyaluronidase is an enzyme that breaks down hyaluronic acid. Because most modern fillers — Juvéderm, Restylane, RHA — are hyaluronic acid, a small injection can undo them. Hylenex is the recombinant human form, which is what we use.
People come to us for this more often than you would think, and usually for one of three reasons: filler has migrated beyond where it was placed, an area has been overfilled and looks heavy, or there is a lump or nodule that has not settled. It does not matter whether we placed it. Sheyda dissolves work done elsewhere regularly and without judgement.
It is also a safety drug. Hyaluronidase is the treatment for a vascular occlusion, and we keep it on hand for exactly that reason — any injector placing filler should.
A gel that holds water and volume in the place it was injected.
Hyaluronidase cleaves the gel apart so the body can clear it naturally.
Volume drops within a day or two. What you see at two weeks is the real result.
Step 01
Free. We work out what was injected, where, and roughly when. Bring records if you have them.
Step 02
Where there is any allergy concern, a small test dose first and a short wait.
Step 03
Numbing, then a few small injections into the area. Ten to twenty minutes.
Step 04
We look again before deciding whether to dissolve further or start rebuilding.
Usually most of it in one session. Older, firmer filler sometimes needs a second pass a couple of weeks later. We would rather go conservatively twice than strip an area in one sitting.
Temporarily, yes — it cannot tell the difference. The area can look a little flat or deflated for a week or two, then your own hyaluronic acid recovers on its own.
No. Those are not hyaluronic acid, so there is nothing for the enzyme to break down. They resolve on their own timeline instead. This is one of the real trade-offs of choosing a biostimulator.
About two weeks. The area needs to settle and your own hyaluronic acid needs to come back before we can judge what it actually needs.
Less than the filler did. We numb first, and the injections themselves are small and quick. Expect swelling for a day or two afterwards.
One patient at a time, by appointment. No packages, no pressure, and an honest answer even when it isn’t the one that books.
