Dear Dr. Rivkin,
I have read some of your answers and I apologize if I am asking a question that has been answered before. You have mentioned that both radiesse and juvederm can be dissolved (or dissipated)–radiesse with kenalog and juvederm with “an enzyme.” What are the side effects of this? Also, I had Radiesse injected about 6 months ago and the juvederm about a year ago. Is this too late to have them dissolved? Many dermatologists I have spoken to aren’t aware of this–is this an area that you specialize in? Do people come to you to fix others’ overfills?
How long does the kenalog take to work?
Thank you for your time.
Shikshik
hi shikshik,
the enzyme that dissolves juvederm or restylane is called hyaluronidase and it really dissolves them completely. it is very safe to use, i do it all the time. yes, my practice is exclusively non surgical aesthetics, so i specialize in this kind of stuff. the enzyme takes about a day or less to work
your juvederm should be mostly gone, but i’d be happy to take a look and see what we can dissolve.
radiesse can’t be dissolved, but the appearance of lumps can be reduced with some kenalog. its important not to put too much in – you can get an indentation in the skin. the kenalog takes a week or two to work.
hope that helps
hi i had lip fillers done a few weeks ago im sure they weir overfilled as my top lip covers my bottom lip i had 1.6ml of juvaderm injected. I was wondering what product will disolve this and if it will disolve all of the juvaderm injected. Also do you need to have a patch test before this injection? many thanks holly.
I had juvederm installed in my tear tough area and it has been a year and a half, that area was discolored with a greenish tent and still look like dried blood in the corner and HYALURONIDASE still be used to remove or desolve the Juvedear, PLEASE HELP!
Can HYALURONIDASE still desolve what is there in my tear tough area after a year and half? Because my eyes still look bad and I wanted to try Restylane to remove the lines under my eyes I was told that that would work good but I don’t want any more discoloration and I don’t want to have to sue any one I just need help?
yes, hyaluronidase will work, even 18 months out from the procedure. be sure to find someone who is experienced using the hyaluronidase.
hi
that is a sizable amount of juvederm. hyaluronidase is the enzyme that is used to dissolve juvederm and restylane. it works very well to fully or partially dissolve the filler. no patch test necessary.
absolutely. restylane can last for several years and hyaluronidase will dissolve it at any time. you should see results within 24 hrs.
I am totally confused by the dissolving enzyme. I had Juvederm injected a year ago and it was overfilled my marrionette lines so that I look like I have jowls. I decided to wait for it to dissolve naturally but it hasn’t. I went to another practitioner who tells me that the enzyme will leave my skin baggy so does not recommend I have it done. What is the truth?
Thanks, Carrie
hi carrie,
the truth is that your practitioner is wrong.
the enzyme dissolves injected huyaluronic acid without damage to your tissues.
get it done by someone who has experience injecting the enzyme so that they inject just enough to get the job done.
best wishes
azr