Can I have only part of my hyaluronate filler reversed? (Partial HyaloFix)
Patients who have had hyaluronic acid gel filler often want me to reverse only part of their filler. Having hyaluronate filler reversed can be difficult, to say the least.
Reversing part of the filler is challenging because there are so many different types of Hyaluronic filler. Some are lightly cross-linked and some are more heavily cross-linked than others. Some locations have only small amounts injected. Some locations, such as the cheeks, have very large amounts, in comparison. If you have a large amount of filler into the cheeks, what we call a ‘heavy’ filler, which is more cross-linked and more difficult to dissolve with Hyaluronidase.
The amount of Hyaluronidase used is roughly proportional to the heaviness (cross-linking) and the amount of filler that is present, plus the location on the face, lips or around eyes.
In my experience, the easiest fillers to reverse are the tear trough fillers. These are relatively light Restylane, most commonly, or Belotero. Increasingly, we are seeing other new makes of hyaluronic acid gels introduced on the market.
If someone asks me to reduce just part of the tear trough filler, this can be exceedingly difficult. It is more of an art and not a science, so I cannot assure that part reduction is possible.
Hyaluronidase may completely reverse all the filler, for those patients who only want part of it reversed, or it may not completely reverse all the filler and they are going to have to have more Hyaluronidase.
If you want to know if you are able to have your hyaluronate filler reversed, contact us to set up an appointment.