Dissolution of hyaluronic acid - in what situations is it worth considering? |

In aesthetic medicine, there are many treatments that are designed to improve our appearance or turn back the clock a bit. In the case of hyaluronic acid, we are lucky that if we inject it incorrectly, we can dissolve. However, everything is not so simple. It requires knowledge and experience, because by introducing a special enzyme, the so-called. hyaluronidase, we dissolve not only this hyaluronic acid, but also the one that is naturally found in the human body.

We always emphasize how important it is to check the place where we want to go in order to increase the lips with hyaluronic acid or perform volumetrics. Only doctors who perform procedures in the field of aesthetic medicine can help in case of incorrect injection of hyaluronic acid. Unfortunately, few people know about it.

Hyaluronic acid - the effects of improper handling can be reversed

Cross-linked hyaluronic acid remains in the skin for 6-12 months because as a molecule it binds water in the skin, giving it a plumping effect. After unsuccessful injection of hyaluronic acid into a vein or artery, especially by people without a medical education, threatening skin necrosis may occur. This is when the time of administration of hyaluronidase is important to eliminate the effects of blockage of blood vessels, so you should pay attention to the SAFETY OF TREATMENT.

The hyaluronic acid dissolution procedure is a last resort and should be considered if the patient is at risk of skin necrosis.

Dissolution of hyaluronic acid - hyaluronidase and its action

Dissolution of hyaluronic acid is a procedure that can be carried out in case of improper administration of hyaluronic acid or displacement of acid and its migration to other tissues in the extracellular space (this can also happen).

We often see girls after lip augmentation, whose lips had the perfect size and shape on the same day, but no one told them that the preparation should absorb water and the lips would be much larger. Then the ideal solution after the swelling subsides is the introduction of a small amount of hyaluronidase. The solvent is injected directly into the place where we want to remove excess hyaluronic acid. This may cause some swelling, which will subside in about 24 hours.

Indications for operation

First of all, the indication is the inept introduction of hyaluronic acid to any part of the face in the form of a filler. In aesthetic medicine, hyaluronidase injection is a procedure often used to dissolve an acid that has migrated outside the injection site, has been injected too much, or has been injected into a vessel, i.e. a vein or artery, and necrosis is suspected (which initially looks like abscess formation). Here you must act quickly to reverse the effects of hyaluronic acid.

Absolute indications for surgery

A special case, when even the use of hyaluronidase is prescribed, is a suspicion of skin necrosis, the consequences of which may be irreversible. The decision to dissolve the acid using hyaluronidase is made by a doctor who knows exactly the anatomy and is able to inject the drug into a specific place with a thin needle.

Skin necrosis occurs very quickly after the introduction of foreign substances. Improper administration of hyaluronic acid may cause visual disturbances, for which you should contact a specialist very quickly. Often there are patients in whom the drug was applied too small and it shines through the mucous membrane, or the drug was of dubious quality and granulomas developed.

Treatment with hyaluronic acid should only be carried out by a qualified doctor, as the risk of side effects is very high. That's when reaction time matters.

Is it possible to give hyaluronidase immediately or should I wait?

If necrosis is suspected, hyaluronidase should be administered immediately. Hyaluronidase belongs to the group of enzymes that break down hyaluronic acid molecules. For people who are worried about their size immediately after lip augmentation, we recommend waiting about two weeks for the hyaluronic acid to settle. Only then can the final effect be assessed and, possibly, a decision about dissolution can be made. In aesthetic medicine, it takes time for everything to heal and the swelling to subside.

How to prepare for the procedure?

Treatment does not require special preparation. Before starting the procedure, the doctor performs an allergic test, since the introduction of hyaluronidase can cause an allergic reaction.

Treatment with hyaluronidase is minimally invasive, only slight swelling may occur at the site of the planned operation, which will disappear within 2-3 days.

What does the dissolution of hyaluronic acid look like? The course of the procedure

The fashion for dissolving hyaluronic acid came after changes in the methods used by doctors who perform procedures in the field of aesthetic medicine, and drugs that do not necessarily dissolve after about 6-12 months, but are a form of "implants" in the skin.

What does the procedure itself look like? It's pretty short. First, the doctor conducts an allergic test, which excludes a possible allergy to this enzyme, i.e. hyaluronidase. As a rule, the enzyme is applied to the forearm and any local (albeit systemic) reaction is observed. Generally, people who are allergic to hymenoptera venom are more likely to develop an allergic reaction. A sudden allergic reaction precludes the procedure by the patient. Active infections are also a contraindication to the procedure. Poorly controlled chronic diseases (such as hypertension) will also cause doctors to refuse to dissolve hyaluronic acid.

Effects of hyaluronidase administration

The effect of hyaluronidase is immediate, but it is often combined with quite a lot of swelling, which disappears after about 2-3 days. Depending on the hyaluronic acid used and whether we want to completely dissolve it, the doses of enzymes are selected. If only part of the drug dissolves, small doses of hyaluronidase are administered every 10-14 days. Often one escape is enough, but this is a very individual matter. After the introduction of hyaluronidase, the patient is in constant contact with the doctor, since pharmacotherapy is often required.

Lip augmentation or wrinkle filling must be done by a doctor

By filling lips, cheeks or wrinkles with hyaluronic acid, we are able to improve the appearance of our face, but by putting ourselves in the wrong hands, we can develop complications, the consequences of which can be serious.

At Velvet Clinic, we perform hyaluronic acid dissolution procedures. However, this is not our iconic procedure, so before you decide to enlarge your lips or fill in wrinkles, check the location and types of drugs that are used in the procedures. Remember that it should be first of all a doctor! These are procedures that make us beautiful, so you should trust specialists with many years of experience in the field of aesthetic medicine.