Eyelid Swelling/Migrated Fillers & Hyaluronidase Dissolving– by Dr. Sabrina Shah-Desai, Leading Oculoplastic Surgeon

What is Hyaluronidase?

Hyalase™ is an enzyme which breaks down hyaluronic acid and is commonly called a dissolving enzyme for Hyaluronic acid (a component of dermal fillers, but is also naturally occurring in the skin and soft tissues).

Hyalase™ (hyaluronidase 1500 units) is licensed and commonly used to boost absorption or dispersal of drugs injected into the skin. However, dissolving dermal fillers is not a licensed indication. Powder for Solution for Injection / Infusion. There is also no direct scientific equation indicating the exact quantity of Hyaluronidase to use – it is a matter of judgment and experience. Occasionally dermal fillers need to be dissolved when the treatment outcome is unacceptable, they have migrated, caused swelling or when an adverse reaction to the implant has occurred, or there is a possibility of vascular occlusion and/or impending necrosis (tissue death) which could lead to the compromise of healthy tissues

How does the procedure work?

Dr Sabrina will often use an ultrasound to scan the area prior to dissolving injection to ensure a targeted technique is used to dissolve the filler. Often a numbing cream is applied for 15 mins prior to the procedure. The hyaluronidase is then injected into the filler pocket using a needle/cannula. Immediately after a vigorous massage is performed to help breakdown the filler. The whole procedure takes around 15 minutes.

  • Immediate result – perfect for those seeking an instant improvement
  • Minimal downtime – can return to work straight away
  • Unrivaled expertise – performed by leading oculoplastic surgeon and a team trained by her

Before & After Hyaluronidase Gallery

Disclaimer: Your results may vary. Any specific claims or length of results vary for each patient and are not guaranteed.

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Patient Questions

Commonly Asked Questions About Hyaluronidase

When will I see results?

Following the dissolving agent you can expect to see results immediately, but it can take 24-48 hrs for the final result.

What is the downtime?

There is minimal downtime with dissolving injections, however you might experience some bruising, redness or swelling in the treated area. If this happens, it usually subsides within a matter of days, and can be easily covered by makeup.

Is treatment painful?

No as a numbing cream is usually applied beforehand.

How many dissolving injections will I need?

Most often 1-2 dissolving injections are required. Rarely for dissolving large volumes of certain types of dermal fillers, more than 2 injections may be required.

What are the risks of Dissolving injections?

Following treatment, an irregularity in skin contour, incomplete improvement, or an “overcorrection” with a hollow may occur. This can be improved with further treatments like skin tightening with Morpheu8, or dermal fillers or eyelid surgery. Rare risks include an anaphylaxis, which is why Dr. Sabrina and her team recommend a patch test pre procedure & also monitor you for an hour post procedure.

About Dr Sabrina Shah-Desai MS, FRCS

Dr Sabrina Shah-Desai is a distinguished oculoplastic surgeon and one of London’s leading eye specialists. She has over two decades of surgical experience and is renowned for her ability to create a natural look.

Dr Sabrina has a deep anatomical knowledge of the periorbital area and an appreciation for the differences in treating both men and women. When raising the brows and eyelids in a male Upper-Lid Blepharoplasty, it is important to preserve the T-shaped brow – in order not to feminise their appearance.

Tixel Treatment Cost

Prices are a guide; your doctor will calculate total costs during consultation.

Full face & Neck Tixel from £750/ session
Full face, Neck and lower Eyelid Tixel from £950/session
Upper & lower eyelids with brow lift Tixel from £550/session
Lower eyelid & peri-oral lines Tixel from £550/session
Tixel Glow (skin pigmentation) from £550/session

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