If overfill occurs or lumpiness that cannot be
molded out, Hyaluronic Acid Fillers can be
degraded or broken down with Hyaluronidase. Commercially available: Vitrase contains 200 units/ml. (STATDDS $119.95), Hylenex contains 150 units/ml ($80.75 x 6) (Henry Shein)
Compounding Pharmacies: 4 licensed in US. $21 for 150 units/ml
Ideally, allergy test at least 15 minutes before administering
Inject 10-50 units at a time. More is not indicated.
After 2-5 days, re-evaluate and re-inject if needed.
If new filler is needed to fill the void, wait 2 weeks before the injection to avoid breakdown
