This is a product which may be injected into the skin to dissolve the most common type of dermal fillers
Problems after dermal filler which can be treated with Hyaluronidase / Hyalase:
Lumps/ bumps of dermal filler: Hyalase / hyaluronidase can be injected to dissolve the lump of dermal filler product
Unevenness of dermal filler: Hylase /hyaluronidase can be injected to even out and smooth the appearance of dermal filler
Infections: With an infection related to dermal filler injection, hyalase /hylauronidase may be used.
Blue appearance under the skin due to dermal filler (Tyndall Effect): This will resolve with treatment with hyaluronidase / hyalase
Asymmetry of dermal filler: This can be treated with hyalase / hyaluronidase being injected into the larger side to bring the size down to match the other side
Overtreatment with dermal filler: This can be treated with hyalase / hylauronidase.
Filler placed in the wrong area: This can be treated
Vascular events relating to dermal filler injection: If an artery / arteriole is blocked during a dermal filler treatment, causing blood supply to the skin to be compromised. Hyalase / hylauronidase should be injected immediately to attempt to prevent skin necrosis in the area
Procedure for injection of hyalase.
The patient will be assessed through history and examination and the treatment will be discussed. The risks side effects will be discussed.
Photos will be taken.
If it is possible to use a needle to remove dermal filler, then this option is preferable to hyalase / hyaluronidase treatment and this will be performed. Also with asymmetries, if the addition of product will give a better cosmetic result, then this will be discussed.
A test patch of an injection of hyalase / hyaluronidase into the skin of the forearm arm may be used if the practitioner is concerned about allergy.
The skin will be cleaned.
Pressure will be applied to the area after injection with a gauze.
The patient will notice a reduction of the dermal filler within 1-2 days.
The patient should be reviewed at 1-4 weeks (all swelling must have resolved from the previous hyalase injection)
Risks of Hyalase / Hyaluronidase
Side effects are uncommon
Allergy. Can be very severe, including risk of anaphylaxis, which is very rare. Also risk of allergy in the local area of injection including redness and swelling.
Removing too much dermal filler The result of the dermal filler may be completely reversed, when only a reduction in the amount of dermal filler was planned
Removing the patients own xxx (not allowed to say this due to TGA) This is a theoretic risk, but not one that is important in practice. When natural XXX is degraded it is reformed almost just as quickly. In fact, natural XXX is turned over on a daily basis so your body naturally degrades its own XXX and replaces it.
Infection: Always a possibility when introducing a needle into the skin
Common areas where hyaluronidase are used
The most common area for use of hyalase after dermal fillers is in the tear troughs, also the lips and cheeks and temples
Cost of Hyalase / Hylauronidase
PHOTOS OF TYPICAL PROBLEMS WITH DERMAL FILLER REQUIRING HYALASE / HYALURONIDASE