Help! Can dermal filler injections be reversed?

Yes, if the dermal filler is part of the hyaluronic acid filler family such as Juvederm, Restylane, Perlane, Prevelle, Hylaform, etc.

Hyaluronidase is a product used to correct, or reverse, the effects of a hyaluronic acid dermal filler should it be necessary. Hyaluronidase is FDA approved and made up of enzymes that will rapidly break down and decompose hyaluronic acid. It is important to note that it does not correct or have any effect on semi-permanent or permanent fillers, which are generally not recommended.

In The News: Dermal Filler Warning

Serious warnings have been issued regarding complications and adverse reactions as a result of dermal filler injections containing synthetic forms of hyaluronic acid (HA). Hyaluronic fillers are the most popular form of injectable dermal fillers on the market, and to date the safest. These reports included Restylane, Juvederm, Perlane, Elevess, Revanesse, and Teosyal. The reported adverse reactions include pain, swelling, nodules, abscesses, pus/infections, skin discoloration, difficulty talking, swallowing or breathing. There was a disturbing report of gangrene and necrosis (death of tissue) of the lip after an injection of Restylane and another unsettling claim that reports a partial loss of vision after a treatment of Juvederm to the lower eyelid and cheek.

Allergan, the manufacturer of Juvederm, states that with its approval in 50 countries, and more than two million syringes distributed to doctors in North America since 2006, less than 0.27% of all treatments have resulted in adverse events. After reading all of the reports and responses from the companies in question we can offer one very solid piece of advice. Facial fillers, or any other injectables, should only be administered by doctors, or propertly trained medical specialists. Oh, yes, and one more thing . . . say no to botox and dermal filler home parties!

Dysport - The New Botox?

Dysport (Medicis) is the new alternative to Botox (Allergan). In fact, Dysport is made from the same botulinum toxin as Botox. FDA clearance was recently granted to Medicis, famous for their two great dermal fillers, Restylane and Perlane. Dysport is said to be "faster acting" with a greater "spread" giving a more natural appearance and requiring fewer injections. Dysport has the ability to last up to a few months longer than Botox since it contains less protein which is more difficult for the body to break down. Botox, on the other hand, is recommended for a smaller, more specific localized area.

The downside? A big one. A human one. As always it is terribly important to select the right professionals with the proper credentials. Since the injections go deeper and the botulinum has a paralytic effect, there is a critical need for precision to avoid the potential that the drug may spread to nearby muscles and cause unwanted side effects in neighboring areas. The professionals who administer these injections really need to know their stuff. Make no mistake . . . there is no room for error.

Dysport (Medicis) vs Botox (Allergan) is going to be an interesting boxing match to watch. It is aptly being described as," the biggest feud since the Hatfields and the McCoys." Well said.

Dermal Fillers - Perlane

Perlane is made from hyaluronic acid and is similar in nature to Restylane and Juvederm. It is a thicker product with larger molecules and works better for deeper wrinkles and lines. Many physicians prefer to use Perlane to give the face a visual lift by adding volume, outlining the cheek bones, and filling in the nasolabial folds. The costs are noted at $275 - $650 per syringe and has the potential to offer results that will last for six to twelve months. Since Perlane is a thicker product and is injected deeper than other fillers, bruising and swelling can be expected afterward. While the swelling should subside quickly, bruising is different with everyone and generally takes a few days to a few weeks to heal. Icing the area, sleeping with an elevated head, and a visit to a naturopathic/wellness store to pick up some Arnica or Bromelain Pineapple Extract will most definitely help speed things up.

Note: If there are any unpleasant results from a treatment of Perlane, it can be counteracted with Hyaluronidase.