Injection contouring is one of the most popular and sought after procedures in modern aesthetic medicine. This method is especially often used to correct the shape of the lips. For this purpose, specialists use various fillers, most often based on hyaluronic acid.
Fillers give the patient the opportunity to give the patient plump, bright and attractive lips. However, sometimes situations arise when it is necessary to remove hyaluronic acid from the lips as soon as possible. Today estet-portal.com talks about why such a problem may arise and which method most effectively helps solve it.
Hyaluronidase will help remove hyaluronic acid from lips
How to remove hyaluronic acid from lips is one of the most common questions that patients who are dissatisfied with the result of lip correction ask specialists.
The fact is that girls today, most often, want to perform correction of this particular part of the face, and the result is not always exactly what both the patient and even the specialist expect.
In this case, it is necessary to correct the situation as soon as possible, because ugly lips significantly spoil a person’s appearance. Today, the enzyme hyaluronidase is used for these purposes, and you will learn the details of this procedure right now.
Remove hyaluronic acid from lips:
- in what cases is it necessary to remove hyaluronic acid from the lips;
- how the enzyme hyaluronidase helps remove hyaluronic acid;
- In what cases is it not recommended to use the enzyme hyaluronidase?
Indications for the use of hyaluronic acid
- The appearance of the first facial and deep wrinkles;
- Dry, flaky skin;
- Flabbiness, sagging skin, creases;
- Keloid scars, acne, post-acne, pimples;
- Wrong lifestyle, poor environment;
- Tired skin, painful, uneven complexion.
The procedure for increasing the volume of the lips or giving them a more regular shape is considered very effective. With the help of hyaluronic acid, you can get rid of asymmetry, give the lips the same shape, and lift drooping corners.
Patients often ask what happens to the lips when hyaluronic acid dissolves. This substance is biodegradable, that is, after hyaluronic acid, the achieved effect will gradually disappear and within 6 to 12 months the substance will resolve and be completely eliminated from the body. However, the final result may not always meet expectations.
There are many reasons for this, including all sorts of complications, non-compliance with specialist recommendations, side effects and much more. And if in the event of side effects you can be sure that this is a reversible process, then complications can give you a lot of unpleasant experiences.
In what cases is it necessary to remove hyaluronic acid from the lips?
There are several main reasons or situations that force the patient to consult a specialist to remove hyaluronic acid from the lips: hypercorrection of the lips, migration of the drug or inflammatory processes. Among the reasons for such conditions, first of all, the inexperience of the doctor who injected the filler based on hyaluronic acid, as a result of which mistakes were made and the lips after the procedure do not look aesthetically pleasing.
Sometimes the cause may be incorrect selection of the drug or non-compliance with pre- and post-procedure recommendations by the patient. It also happens that all the conditions for high-quality execution of the procedure are met, but the patient’s body gives an individual reaction to the drug, which also provokes complications.
That is why it is quite difficult to always guarantee an excellent result of lip contouring, and even in the practice of the most experienced specialist, situations may sometimes arise when it is necessary to remove hyaluronic acid from the lips.
Who is to blame if hypercorrection appears?
Most of the blame lies with the doctor. This may be due to inexperience. When injecting the drug under the skin, he may not calculate the required dose. And in this area, compaction may occur, which will subsequently lead to undesirable results. Complications can arise either as a result of too much injection or as a result of insufficient injection. With overcorrection of the nasolacrimal groove, even swelling may occur.
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Therefore, some drugs have dosed packaging (basically a syringe with the required volume of filler), or the instructions indicate how much gel is needed to correct certain areas of the skin. There are also cases when hyaluronic acid is introduced superficially and after the cosmetologist tried to smooth it out, and the gel took it and provoked hypercorrection.
In this case, fillers need to be selected in such a way that they smooth out on their own. Even experienced specialists can make this kind of mistake. But, unlike a beginner, an experienced doctor can determine the amount of injected gel (if the hypercorrection was done by another doctor). This is also noticeable when the same amount of gel is introduced into different places. For example, swelling is more visible on the lips than on other areas of the skin.
What to do if there is a complication
Many patients, after experiencing all the “delights” of complications after the injection of fillers, begin to refuse such operations. For example, nodules and lumps can be a real disaster for models and movie stars. The doctor did not calculate the volume of filler, and because of this, complications arose.
But there is no need to panic. Professional massage therapists recommend massages that help restore the tone of connective tissues. But the most effective remedy for combating growths and nodules is hyaluronidase. This enzyme breaks down hyaluronic acid, thereby correcting complications after surgery.
But this approach is effective if symptoms appear immediately after surgery. Then you can introduce the required amount of the substance and the excess amount of gel will simply dissolve. But there are cases when complications occur several years later, and this also happens with plastic surgery.
It is important to remember that the breakdown of excess hyaluronic acid can be carried out both in the early and late stages. But if at the same time a small amount of gel migration occurs under the skin. But if such symptoms appear after a year or more, these are most likely hormonal problems. And the patient is prescribed either hormonal treatment or surgery.
How the enzyme hyaluronidase helps remove hyaluronic acid
The specific enzyme hyaluronidase helps quickly and effectively remove hyaluronic acid from the lips. It is this substance that is produced in our body as a natural regulator of the balance of our own hyaluronic acid in tissues. To eliminate the negative consequences of lip contouring, testicular hyaluronidase is used, which is obtained from the testes of cattle.
By injection or using phonophoresis, the enzyme hyaluronidase dissolved in physiological solution is injected into the lips in the required amount, and the result is assessed just 48 hours after the procedure. Lip contouring with fillers can be repeated no earlier than 3 weeks after the injection of hyaluronidase into the lips.
How to get rid of excess filler using hyaluronidase. Watch the video, Svetlana #1
In this article we will talk about one very specific clinical case and an illustration of this case will be one of my friends - Svetlana. We've known each other for about a year, we go to fitness classes together, and as a cosmetologist, I couldn't help but notice some hypercorrection in the area of the nasolacrimal groove. Now I’ll explain what it is. The nasolacrimal groove, a natural anatomical formation, is a groove running from the inner corner of the eye obliquely down to the cheek.
Due to individual anatomical features of the structure and/or with age, this groove may become deeper; there is almost no subcutaneous fatty tissue in this area, and what is there is prone to resorption with age; The orbicularis oculi muscle at the inner corner of the eye has a purple tint and can be seen through thin skin.
These nuances, coupled with the obstructed venous and lymphatic drainage in this area, can form so-called dark circles under the eyes and aggravate the severity of the nasolacrimal groove.
One of the methods for correcting these problems is filling the nasolacrimal groove with hyaluronic filler. Technically, everything is very logical - the furrow is filled, the soft tissues and skin in the furrow area are lifted, the transition from the lower eyelid to the cheek is smoothed - this area becomes smoother, and dark circles become less pronounced, since the light begins to fall into this area evenly, without creating a shadow in the area of the furrow.
But this zone is nevertheless very difficult, and if you introduce a little more filler than necessary, if you use a denser filler than necessary, and/or introduce it at the wrong level, you can get swelling, overcorrection (excessive injection and there will be an elevation in the place of the groove) and the Tyndall effect is when a completely transparent filler, when injected superficially under the skin, shines through in a gray-blue color.
This is all I observed with my friend. Moreover, swelling could appear spontaneously, without any provocation in the form of a large amount of water drunk at night, alcohol, salty food, etc. I found out that this has been bothering her for some time; The doctor who injected her with filler now lives in another country and has no way to improve the situation, so we decided to act on our own.
How the procedure went - watch the video
It was necessary to dissolve the filler that was introduced earlier and after some time, introduce the filler again, in a smaller quantity and deeply, exactly on the periosteum. To eliminate the filler, hyaluronidase was used, an enzyme preparation that can dissolve hyaluronic acid, that is, break its long polysaccharide molecule into short fragments and completely remove them from the body. The result after the introduction of hyaluronidase is usually visible the next day.
In addition to administering hyaluronidase at the same appointment, we were scheduled to evaluate the result of a botulinum toxin (Botox) injection performed a month earlier. The result partially satisfied me - the area between the eyebrows was well captured, there was no facial expression in this area and, as a result, there were no wrinkles. But the forehead retained some mobility, more so on the right side.
Based on this, a correction was carried out, that is, I injected a few more units of Botox into the forehead. Now we just have to wait for the result and schedule an appointment in another week or two in order to assess whether the filler is sufficiently dissolved in the nasolacrimal groove area and to see the condition of the forehead after the Botox injection.
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In what cases is it not recommended to use the enzyme hyaluronidase?
In some cases, it is not recommended to use hyaluronidase to remove hyaluronic acid from the lips. Contraindications include:
- individual intolerance to the drug;
- the presence of recent hemorrhages in the correction area;
- oncological pathologies of the body;
- acute inflammatory and infectious processes;
- chronic diseases in the acute phase;
- pregnancy and lactation.
One should also take into account the fact that there is a fairly high risk of developing hypersensitivity to hyaluronidase, which is why the procedure can be repeated only after a preliminary allergy test.
Estet-portal.com thanks you for your attention. Leave your feedback, questions and suggestions in the comments to this article.
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