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Hylenex Filler Reversal

Hylenex Filler Reversal

Hylenex is an enzyme that dissolves hyaluronic acid (HA) filler, reversing its effect without damaging the surface of the skin or the dermal structure. There are several filler reversal agents on the market, however, Hylenex is the least likely to cause an allergic/anaphylactic reaction.  Generally, one vial of Hylenex dissolves approximately 1 ml of filler, but there are variations depending on factors such as type of filler, time filler has been in the body, inflammatory granuloma/nodule, & the degree of urgency. If replacement of filler is desired, this can be performed in 3-7 days.

The Treatment

Hylenex Filler Reversal

30 minutes

Initial Session 1 vial – $300

Repeat Session 1 vial – $150 

Hyaluronic acid is a naturally occuring substance found in our skin & joints.  HA fillers can be reversed using an enzyme called Hylenex.  Some of the reasons to dissolve filler include undesirable aesthetic results, nodules/granulomas, infection, & vascular occlusion.   Treatment takes about 5 minutes, & can be done with a needle or cannula. Hylenex is often mixed with lidocaine to improve comfort.

*Some types of filler will require multiple vials/sessions of Hylenex due to cross-linking of molecules.

Faq's

Hylenex is injected into the areas where filler dissolving is desired.

 The HA dissolves within a few hours (sometimes minutes) depending on the type of HA filler used.  Some types of filler will require multiple vials/sessions of Hylenex due to cross-linking of molecules, nodules/granulomas, & time filler spent in the body.
Yes. Swelling, redness, & tenderness resolve within a couple of days.  Bruising may last up to a week. 
  • Avoid blood thinning medications such as Aspirin, Ibuprofen, Motrin, and Advil as well as supplements such as garlic, fish oil, vitamins A and E, ginseng, and Ginkgo for 1 week prior to treatment.
  • Do not drink alcohol for 24 hours prior to treatment.
  • You will likely have swelling, redness, and tenderness over the treated areas.
  • Bruising is expected and usually most obvious on days 2-7. Arnica as well as Alastin Post-Injection Serum (insert Alastin shopping link: https://www.alastin.com/collections/welcome?designate-location=12728) will speed up the healing.
  • You may apply ice over the next couple of days to keep the swelling down.
  • You will notice that your natural hyaluronic acid may be affected. Your body will replenish those stores within 3-4 days.
  • Do not apply make up over the injected area for at least 90 minutes to minimize the risk of infection
  • Only touch the injected area with clean hands and a clean towel.
  • Avoid alcohol, excessive heat, strenuous exercise and exposure to UV radiation for the rest of the day.
  • Wait until your injector advises you to replace the dissolved filler with a new one in the area if desired.

Before Your Appointment

  • Avoid blood thinning medications such as Aspirin, Ibuprofen, Motrin, and Advil as well as supplements such as garlic, fish oil, vitamins A and E, ginseng, and Ginkgo for 1 week prior to treatment.
  • Do not drink alcohol for 24 hours prior to treatment.

After Your Appointment

  • You will likely have swelling, redness, and tenderness over the treated areas.
  • Bruising is expected and usually most obvious on days 2-7. Arnica as well as Alastin Post-Injection Serum (insert Alastin shopping link: https://www.alastin.com/collections/welcome?designate-location=12728) will speed up the healing.
  • You may apply ice over the next couple of days to keep the swelling down.
  • You will notice that your natural hyaluronic acid may be affected. Your body will replenish those stores within 3-4 days.
  • Do not apply make up over the injected area for at least 90 minutes to minimize the risk of infection
  • Only touch the injected area with clean hands and a clean towel.
  • Avoid alcohol, excessive heat, strenuous exercise and exposure to UV radiation for the rest of the day.
  • Wait until your injector advises you to replace the dissolved filler with a new one in the area if desired.

Any Questions

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