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Does Hyaluronidase reverse filler? HyaloFix
It is amazing that the Hyaluronate based fillers (Restylane, Juvederm, Emervel and Belotero) can be reversed by injection of the enzyme Hyaluronidase. Many patients come to see me who have had their filler done elsewhere. They are not happy with either the amount of filler that they have, or the location of it, and they ask for a reverse filler.

What do we need to know before suggesting a reverse filler?

All our patients at Clinica London are assessed at a half an hour consultation for Hyalofix. Hyaluronidase is a treatment to reverse Hyaluronic filler. We particularly want to know five things about the fillers:

  1. What was the name of the filler that was used.
  2. How long ago was it?
  3. What was the quantity in either vials or millilitres that were injected?
  4. What were the locations of the injections?
  5. We also want to know what are the patient’s expectations. That way we can match those expectations with our counselling and advice.

Hyaluronidase is used ‘off-licence’. Thus all parties involved must be with fully informed and in agreement. Consent between the patient and the doctor has to include that the treatment may not meet their expectations. There is also the risk of bruising, swelling, discomfort of the injection and allergy to hyaluronidase enzyme.
At Clinica London, we always cover the 48 hours post treatment with anti-allergy treatment tablets; such as Piriton and a small dose of prednisolone (steroid).

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