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Hyaluronidase to dissolve excess juvederm under one eye

All temporary and permanent injection/dermal fillers are discussed in this forum including Botox, Restylane, Juvederm, Hyalform, Collagen, and many more

Hyaluronidase to dissolve excess juvederm under one eye

Postby cateyes1960 » Fri Feb 13, 2009 4:27 pm

Has anyone here anyone had a hyaluronidase injection under the eye to dissolve juvederm or restylane?

I have been getting injections for more than two years now, with no problems, just the usual swelling and bruising, and then it was great.

However, this last time I went for a touch-up with a new plastic surgeon (I moved too far from previous injector). He used a whole syringe of juvederm, about 1/2 in each eye. One eye looks great, but the other has developed a noticeable bag. In the past, I have not had to use that much juvederm for a touch-up. My previous injector would do the retouch and would either save for what left for me or inject it into another area.

He has ordered the hyaluronidase but said he does not keep it at his office because he's never had a patient have that problem.

First, I am nervous about a doctor injecting it who apparently has not used it before, but I also have questions.

First, is it possible to dissolve just the excess and not all of it? I know I will need some filler there, but it's not in my budget to buy another vial of juvederm right now. Because he said he doesn't store unused product, I'd have to use the rest of it, and I really don't need it anywhere else right now.

Also, if anyone has had this done before, how did it turn out? My understanding is that it dissolves pretty quickly, but does it look bad?

Please, any advice would be appreciated. I should mention that this plastic surgeon has an excellent reputation and is board certified with the ASPS. I did my homework!

Thank you!
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Postby LitProfessorPhD1998 » Sat Feb 14, 2009 6:02 pm

I had something very similar happen. I had my tear trough area done, and almost immediately one side looked as though it had a very large blister under it. It looked as if you could take a pin and drain the whole area. Like an idiot I waited for almost two months before going back to my PS, who was horrified that I'd not called or come back sooner. I just thought it was swelling and would resolve with time . . . but of course it wasn't. For some reason, my body simply rejected the filler on that side and worked it all into a quite large blister. My PS said it looked as though my body was trying to force it out, and she was right. She zapped me with hyaluronidase and BOOM! No more horrible blister. She was able to inject the stuff in increments so as to not do away with all the filler. It took about an hour and a half, but she finally got it even. It looks wonderful now, and I couldn't be happier, so I would think that you could--and should--expect similar results. Still, my PS flat out told me that one has to be ecperienced with hyaluronidase to get the best results. That being, I would suggest you think seriously about changing MDs. Best of luck and let us know how it turns out.
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Postby cateyes1960 » Sun Feb 15, 2009 11:34 am

Thanks so much for your reply. You have given me much hope.

That's funny that you used the word "blister," because that's exactly what I was thinking this morning -- that it looks like a blister you could stick a pin in. Although I won't be trying that! LOL

You said it took her an hour and a half to get it right. Does that mean that the juvederm started to dissolve immediately so she could actually see the results right then?
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Postby MichelleP » Sun Feb 15, 2009 5:31 pm

Cateyes I had esthelis injected under the eyes, which is similar to juvey. I had bags under both eyes after, obviously too much injected. It didn't show up till a couple of hours later. Anyway I had hyalaise injected by the dr after a couple of weeks when we were sure it wasn't swelling. She injected the tiniest amount along the length of the bags. The HA didn't dissapear within the hour but by the end of the day. Well I ended up with a couple of hollowed spots and needed the tiniest amount of filler again. This was last August and I still have plenty of filler in there. I will only go back to her now as she knows exactly how tiny of an amount my undereyes needs. I hardly needed anything at all and I continue to bulk up for a couple of hours after the injections. I'm weird I know. :roll:
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Postby cateyes1960 » Sun Feb 15, 2009 6:06 pm

Thank you for your post.

I am hoping to have a good outcome too. I think I really only needed a touch of the filler, and the excess is what is forming the bag.

I'll post to let everyone know how it turns out.
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Postby LitProfessorPhD1998 » Sat Feb 21, 2009 7:34 pm

The shape of my "blister" was strange, too. It looked like a kidney bean or even a leather wine sack, like they used to carry around in fuedal times. But by nightfall on the day I was zapped, I was back to normal. Much luck.
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Postby cateyes1960 » Wed Feb 25, 2009 11:00 am

UPDATE: Well, believe it or not, I just went in yesterday to get the hyaluronidase injected by the PS who injected the juvederm.

Apparently, the company they order from put it on backorder. Finally, they borrowed some from another PS office. I had checked into another PS who was used to injecting the hyaluronidase, but he was booked through this week. Had I known I'd be waiting this long, I would have made the appointment with the other doctor.

Anyway, the PS injected it yesterday morning about 9 am. By about mid-afternoon, I could see the bag start to go down some. By this morning, it had gone down considerably, but there appears to be a bump even further down on my cheek. The PS told me to come back on Monday to see if he needed to inject more.

Although he apparently hasn't injected it before, I was pleased with the technique he used. I had no swelling or bruising, and I was glad he started out using a small amount because I know I need some filler, just not as much as he injected.

That said, I will not return to him for further juvederm injections. When I first went back to see him because of the bag that formed, this PS was very defensive. He said, "I didn't inject it there." Well, I certainly didn't inject anything! Then he said it could be allergies, except I don't have allergies; then he suggested that it was fat and that I might need a bleph. I nicely said that I doubted it was fat, since it wasn't there prior to the injection, that my problem was hollows, and he said, "Oh, you had it."

When I went in yesterday, he was not super friendly, although he did apologize for the length of time it took to get the dissolving enzyme. When the nurse came in, he told her to put the remainder of the bottle in the fridge with my name on it, that it was only for me. I jokingly said, yeah don't give it to someone else, as long as I've waited for it. The doctor replied tersely that none of his other patients had "this issue."

In other words, I feel as though the doc is somehow blaming me for the undesired turnout. I had been getting injections for more than two years prior to seeing him and never had such a problem with my former injector, who was an RN. She would err on the side of caution with her injections, saying I could always come back for more if needed. He obviously injected too much.

The lesson I've learned from this is that just because someone is ASPS-certified in PS this does not mean that doctor is the best person to do injectables. I will know in the future to find out how experienced the injector is in these particular procedures. The thing with my former RN injector is that injections are all she did all day long. It was her specialty. She also took a lot of time at each visit to ensure I had the desired results. This doc made me feel very rushed, as if I had been squeezed in between his surgical patients. I'm sure he's an excellent surgeon, but he has lost my business.

So anyone who is unhappy with their juvederm or restylane injections, there is hope!

Thanks to the folks who responded to me and gave me hope. I will update next week.
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby Cayolinda » Tue Oct 19, 2010 8:08 pm

Can anyone recommend someone in South Florida that has experience in dissolving Juve under the eyes. Too much was put in my undereyes, specifically my right eye and it looks horrible!! Thanks!
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby Dhman » Wed Jan 05, 2011 4:03 pm

I have a simular isse and I'm looking for a doctor who can add hyaluronidase to dissolve juvederm under eyes in the dallas/Fort Worth Metroplex
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby Cayolinda » Wed Jan 05, 2011 7:07 pm

I've heard great things about Dr. Lam in Dallas. Have you heard of him? I finally had mine dissolved. I had the same the same experience as the other lady that posted here in that the doc that injected my undereye didn't want to accept that he simply put too much in and somehow blamed the anatomy of my eye. Anyway, the doc I decided to use to dissolve did a good job. No bruising or weird side effects. Not every bit of it was dissolved though. There was no way he could predict how much would dissolve and said if I needed more hyaluronidase then he would do more later. I'm leaving well enough alone and letting the rest dissolve on its own. I can live with it the way it is for now. I hope you find a competent doc to help you out! Keep us posted.
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby Riley6908 » Sun Jan 16, 2011 5:27 pm

Can anyone let me know if they had pretty bad eyelid swelling after hyaluronidase injections for Juvederm overfill?

I've had 5 rounds of this stuff to dissolve the Juvederm (3 weeks apart). It's been going on for months. It's coming down so slowly. The eyelid & orbital plastic surgeon I see is very conservative, which I appreciate. So he doesn't want to load my eyelids up with 70 units of the enzyme. Although I sometimes wish he would just do that and wipe it out.
I'm getting so sad about my progress.

I've cancelled social events for 5 months now. I avoid cameras and have become a total recluse.

Last week I had both sides injected with more hyaluronidase, it has swelled up and I now have bigger bags that before. It is taking so long to resolve.

I hate Juvederm. I never had this issue with Restylane :(


I've read that hyaluronidase causes swelling as it breaks down a lot of product. But sometimes I haven't had this much swelling. I can usually see it working within 2 days. This time, i can't see beyond the water balloon look. I'm wondering if my eyelids are struggling with poor lymphatic drainage or something........

The crepey looks stays for 7 days then starts to go back to normal. I often bruise from the injections....so there is always downtime. But I just want these excessively full lower lids to be normal again. I will do or pay anything to make this better.

I even had an MRI scan and it shows the Juvederm still sitting there behind the muscle and in the orbit. Maybe it's taking ages to dissolve because it is hard to target Juvederm when it's deeper in the orbit.

Anyone gone through this? Please let me know if it settles down!!!!
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby candy1206 » Sun Apr 03, 2011 12:30 pm

Thank you all for sharing your stories! It has made me feel a lot better about my horror story aka juvederm injection. I absolutely hate the results!!! I have only had it in for 10 days now and I am sooo over it. I went into the surgery with the hopes of having the hollows of my under eyes filled and to take away some of the discoloration I also have however, it did the opposite. It made the dark circles darker and unable to be covered by even the heaviest concealer AND a huge bag under my right eye. oh, did I mention a bruise that had co workers questioning domestic violence?!?! The first thing tomorrow I am calling the surgeon to have all of it dissolved. Im praying that it all goes away!
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby sundialgirl » Sat Jul 16, 2011 5:19 pm

Juvaderm was injected under my eyes two years ago to fill in dark hollows. It was a bit more than I needed but I was told that it would slowly dissolve over 4-6 months. Today it looks the same as it did the day it was injected. I've tried to dissolve it using hyaluronidase but it's not working. I will try again to dissolve the Juvaderm, but my doctor says it's probably permanent. He says Juvaderm should never be injected in that area under the eyes for this reason.
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby Cayolinda » Sat Jul 16, 2011 6:43 pm

Sundialgirl, does your doctor think it's just Juvederm that shouldn't be used or that no filler at all should be used? I had Juvederm and it caused excessive swelling. I had it dissolved after 6 weeks. I can tell a little remained but I'm ok with the way it looks now with just the little that remains. IF I were to do it again, I would like to try Restylane. I wonder if this would create a better outcome.
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Re: Hyaluronidase to dissolve excess juvederm under one eye

Postby fillerking » Wed Jul 20, 2011 7:11 am

Hi I have had hyaluronidase injected on two different occasions for too much filler under the eye. Worked great both times, but in removing the filler, it did cause the hollowness to return again. Worked within 24 hours.

I have had better luck with restylane under the eyes and juvaderm in the folds. I may try a fat injection/placement next time just to see the outcome.

I used Dr. Brody in Atlanta to remove the filler, which was put in by a different doctor. Brody has since injected me with fillers. Soft touch, little bruising and a conservative approach. I would not use the Langsdon Clinic in Memphis as I came out looking like I had been punched in both eyes. But others have had good results with them.
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