I literally spent months doing a lot of research in scientific journals on my own to find out all these things and I could have just watched this video. Most drs are not aware of these studies and when I brought these findings up, they just dismissed me.
Wow. I just found the channel and you are the first doctor I see that explains things in detail and shows procedures the way they are, so there are no surprises. Thank you and congratulations on your ethics
Thank you Dr weiner more doctors need to see this, I too have noticed that fillers that have been in place for many months were hard to dissolve...do you inject more hyaluronidase to dissolve those old fillers or do you tell the patient to come for another visit? And another question how long is hyaluronidase valid for use after reconstitution because some colleagues inject it a few months after reconstitution and they report it working well dissolving fillers
Hello Doctor Weiner, thank you for the video. How would you place Saypha Volume and Saypha Volume Plus fillers in regard to susceptibility to hyaluronidase? Those are fillers frequently used in Europe, but there is not much research about.
Hi dr Steven. What do you think it’s the best approach to dissolve under eye acid filler (Tyndall effect, injected too superficially)? one 20-25 units per side, 1 single round or several microdosis of 5-10 units per eye. I’ve read that many people have had bad results after having their under eye filler dissolved, they report volume loss and hollowness. Also applying more units on one side could create asymmetry? Please your opinion would be very helpful
The amount of Hylenex is dependent on the amount of filler needing to be dissolved, the duration of the filler, and the amount of crosslinking of the filler. I don't believe there is any issue with permanent changes from hyaluronidase and there is nothing in the literature (that I know about) to support that. The filler sometimes forms a capsule which requires a needle to enter. Ultrasound is useful often for these cases to localize and characterize. Micro amounts of hyaluronidase makes no sense and not recommended. Multiple injections is related to inadequate dosing or not exact placement in addition to the crosslinking. Remember Juvederm and Vycross are hard to dissolve.
Dr Weiner, one more question if I may. Is it possible to remove some or all of the filler from the skin if it was injected there 1-2 weeks ago and didn't have much time to "fix" inside the tissue?
Doctor thank you so much for this explanation. I wish I had come across this one year ago. I have been trying to dissolve my volbella under my eye between hylenex sessions and months of waiting in between. I wish I could know what is a good dose of hylenex to work with . I have done 10 units three different sessions , then 30 units and then 8 units each session per eye. No change. Please help
Whats the best approach to late onset nodule? Voluma in cheeks and juvaderm in chin. Which antibiotics would you prescribe for the face in case of biofilm
It's too complicated to respond here. Antibiotics isn't necessarily the first mode of treatment. There are several papers on the net and there isn't agreement on treatment.
Hello Dr. Weiner. I had 1650 units of hyaluronidase but still have a filler in my chin which is calcium based for 3 years. How long does it take to completely dissolve? It is better to wait or to take more hyaluronidase? I also had a nerve injury from injection. Thank you.
@@StevenWeiner I had a Neauvia intense rose. They said it is HA based and hyaluronidase can be used to dissolve it but as I researched hyaluronidase just disperse HA. I hope it will go away as soon as possible, it’s been threes years since I got HA. Thank you kindly Dr. Weiner for your response.
@@StevenWeiner It is Swiss brand. Thank you for your honesty. Some dermatologists are not asking you what kind of HA do you have before they gave you hyaluronidase. It is getting better after 4 yrs but it stayed much more longer than it is predicted and now I have some redness at this place. Hope redness will go away soon as possible too.
![CAN SALINE REVERSE FILLER? Is saline an alternative to hyaluronidase? [Aesthetics Mastery Show]](http://i.ytimg.com/vi/bfOksGi1FLg/mqdefault.jpg)
![CAN SALINE REVERSE FILLER? Is saline an alternative to hyaluronidase? [Aesthetics Mastery Show]](/img/tr.png)
I literally spent months doing a lot of research in scientific journals on my own to find out all these things and I could have just watched this video. Most drs are not aware of these studies and when I brought these findings up, they just dismissed me.
Wow. I just found the channel and you are the first doctor I see that explains things in detail and shows procedures the way they are, so there are no surprises. Thank you and congratulations on your ethics
Thank you Dr weiner more doctors need to see this,
I too have noticed that fillers that have been in place for many months were hard to dissolve...do you inject more hyaluronidase to dissolve those old fillers or do you tell the patient to come for another visit?
And another question how long is hyaluronidase valid for use after reconstitution because some colleagues inject it a few months after reconstitution and they report it working well dissolving fillers
I use more hyaluronidase for older filler and do more repeated injections. We don’t have the hyaluronidase that needs mixing.
Excellent and well presented video. Extremely helpful. Thank you.
Hello Doctor Weiner, thank you for the video. How would you place Saypha Volume and Saypha Volume Plus fillers in regard to susceptibility to hyaluronidase? Those are fillers frequently used in Europe, but there is not much research about.
Hi dr Steven.
What do you think it’s the best approach to dissolve under eye acid filler (Tyndall effect, injected too superficially)? one 20-25 units per side, 1 single round or several microdosis of 5-10 units per eye. I’ve read that many people have had bad results after having their under eye filler dissolved, they report volume loss and hollowness.
Also applying more units on one side could create asymmetry?
Please your opinion would be very helpful
The amount of Hylenex is dependent on the amount of filler needing to be dissolved, the duration of the filler, and the amount of crosslinking of the filler. I don't believe there is any issue with permanent changes from hyaluronidase and there is nothing in the literature (that I know about) to support that. The filler sometimes forms a capsule which requires a needle to enter. Ultrasound is useful often for these cases to localize and characterize. Micro amounts of hyaluronidase makes no sense and not recommended. Multiple injections is related to inadequate dosing or not exact placement in addition to the crosslinking. Remember Juvederm and Vycross are hard to dissolve.
Great .. Dr. Weiner's videos are very informative and illustrative. Please continue. Best wishes
Many thanks Dr for these benifacial video, God bless you 💐
Thank you so much for all your informative posts🙏
Dr Weiner, one more question if I may. Is it possible to remove some or all of the filler from the skin if it was injected there 1-2 weeks ago and didn't have much time to "fix" inside the tissue?
yes
Doctor thank you so much for this explanation. I wish I had come across this one year ago. I have been trying to dissolve my volbella under my eye between hylenex sessions and months of waiting in between. I wish I could know what is a good dose of hylenex to work with . I have done 10 units three different sessions , then 30 units and then 8 units each session per eye. No change. Please help
How much hyaluronidase do i need to reverse small lumps in my cheeks caused by volite skin booster its been 2 weeks
Thank you so mych for such a valuable information. I love your video, very informative
Thank you.
Whats the best approach to late onset nodule? Voluma in cheeks and juvaderm in chin. Which antibiotics would you prescribe for the face in case of biofilm
It's too complicated to respond here. Antibiotics isn't necessarily the first mode of treatment. There are several papers on the net and there isn't agreement on treatment.
Hello Dr. Weiner. I had 1650 units of hyaluronidase but still have a filler in my chin which is calcium based for 3 years. How long does it take to completely dissolve? It is better to wait or to take more hyaluronidase? I also had a nerve injury from injection. Thank you.
Radiesse is not dissolved with hyaluronidase or any other substance such as STS. You can try mechanically breaking up with needle or cannula.
@@StevenWeiner I had a Neauvia intense rose. They said it is HA based and hyaluronidase can be used to dissolve it but as I researched hyaluronidase just disperse HA. I hope it will go away as soon as possible, it’s been threes years since I got HA. Thank you kindly Dr. Weiner for your response.
@@VV6385 I don't know the product. HA should dissolve but some are harder to dissolve.
@@StevenWeiner It is Swiss brand. Thank you for your honesty. Some dermatologists are not asking you what kind of HA do you have before they gave you hyaluronidase. It is getting better after 4 yrs but it stayed much more longer than it is predicted and now I have some redness at this place. Hope redness will go away soon as possible too.
How long before hyaluronidase do you stop taking benzos if you take very little as needed at times?
There is no restrictions
Is it possible for hyaluronidase to cause Juvéderm to spread when attempting to dissolve it?
No
@@StevenWeiner 😂
,Hi, doctor! Tou até Very precious! Thanks