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I had Vitrase injections in the tear troughs to correct a Perlane injection with no change, is there another option?

I had a Perlane injection under the tear troughs with very unfavorable results with lumps and bumps. My doctor was reluctant to inject Vitrase but did so superficially. There were no changes. What else can be done?

The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice, diagnosis or treatment by a qualified health care provider.

Answers


Replied on 1/25/2010

By: Celibre Medical Corporation  |  Laser Dermatology & Injections
Orange, CA


It depends on how long after the injections you are. Sometimes messaging the area can work to spread out the lumps and bumps. Warm compresses can help make the product move more easily if you want to try this. If you are past several days, message is probably not going to be a good option for you. If you are past several days, then the best
option is the Vitrase. Is it possible that he/she is injecting this incorrectly as it should help to break down the product? If this is a possibility, then we would suggest a second opinion.

Perlane should not be used in this area because of the possibility of bumps - Restylane is a better choice in the future.


Replied on 1/25/2010

By: About Face Aesthetic Centers, LLC  |  Dr. Leslie Pickens
Alexandria, VA


You can ask your doctor to try more Vitrase initially. Then if that is unsuccessful, you may try a light-based treatment in that area and the heat may break down the product.


Replied on 1/25/2010

By: Renew Medi Spa  |  Dr. Lisa Hatzos, MD
Windham, NH


As far as I know all you can do is wait for the filler to be metabolized which will take many months in this region. It will likely get better month by month though.


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