REVERSING DERMAL FILLERS WITH DR. SCHWARZBURG IN NYC

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HYLENEX AND THE WORLD OF HYALURONIC ACID FILLERS

The cosmetic industry has witnessed a significant surge in the popularity of hyaluronic acid fillers. Lauded for their ability to provide instant, non-invasive rejuvenation, these fillers including Juvederm, Restylane, RHA and others have become the go-to for many seeking a more youthful appearance, especially with the added push from celebrity endorsements.

While hyaluronic acid fillers offer transformative effects, there are instances when the results might not align with patient expectations or complications arise. This is where Hylenex, a trusted brand of hyaluronidase, comes into play. As a crucial solution, Hylenex effectively dissolves unwanted dermal fillers, allowing doctors to correct or completely reverse the procedure. Its role has become indispensable, ensuring patients have the option to revert or modify their filler outcomes when necessary.

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THE SCIENCE BEHIND REVERSING FILLERS: A DEEP DIVE INTO HYALURONIC ACID AND ITS REVERSAL

When we talk about the modern magic of instantly turning back the hands of time, diminishing fine lines, or augmenting facial features, hyaluronic acid fillers are often the star of the show. But what makes them work, and how can their effects be safely reversed?

How Hyaluronic Acid Fillers Work

At its essence, hyaluronic acid (HA) is a naturally occurring sugar molecule found abundantly in our skin, connective tissues, and eyes. Its remarkable ability to retain moisture – up to 1,000 times its weight in water – gives it a unique capacity to hydrate and plump the skin from within. When introduced as a filler, HA draws moisture to the injection site, creating volume and smoothness that refreshes and rejuvenates the appearance.

The Beauty of Temporary Volume and Smoothness

One of the attractions of HA fillers is their temporary nature. Unlike permanent fillers, HA fillers offer a non-permanent solution, granting the flexibility of change and adjustments over time. Depending on the specific product and individual factors like metabolism, the effects of these fillers typically last between 6 to 18 months. During this period, the skin enjoys increased volume and a smoother appearance, making it a favored choice for those seeking a freshened look without the dangers and recovery time associated with surgery.

APPLYING HYALURONIDASE: COMMON AREAS OF CORRECTION

In the expansive world of cosmetic enhancements, there’s an art to achieving that perfect, natural look. However, missteps can happen, leading to a pressing need for corrections. Here are some of the most commonly corrected areas:

Ducky Lips: One of the most frequent grievances comes from patients with “ducky-looking lips,” where an overzealous approach to lip fillers results in an exaggerated pout that overshadows the natural beauty of the mouth. Fish mouth or ducky look results secondary to overfilling the vermillion border of the lips with Juvederm fillers, a common mistake among less experienced practitioners.
Botched Eyes: The delicate undereye region can easily fall victim to misplaced injections, resulting in a puffy, rather than rejuvenated, appearance. It’s an area where precision is paramount, and any deviations often require prompt corrections. Puffy and swollen look commonly stems from under eye injections done too superficially above the orbicularic ocule muscle.
Pillow Face: When cheeks are overfilled, they can lose their natural contour and definition. This results in a ‘pillow face’ effect, where the face looks inflated and lacks its characteristic angles. Often described as chipmunk look, improperly placed cheek fillers create an exaggerated volume in the malar and zygomatic regions.
Overdone Nasolabial Folds: Aimed at reducing the appearance of laugh lines, some treatments can overfill the nasolabial folds, making them appear artificially smooth and drawing unwanted attention.
Non-surgical Rhinoplasty Missteps: Using fillers to reshape the nose is a delicate procedure. When liquid rhinoplasty is not done with precision, it can lead to asymmetries, an unnatural-looking nose bridge, as well as persistent swelling and redness of the skin prompting many to seek reversal or adjustments.

Each of these areas, when corrected with expertise, can restore the face’s natural harmony, proving the invaluable role of hyaluronidase in the world of aesthetic medicine.

COMMON REASONS TO REVERSE FILLERS

The realm of cosmetic enhancements has witnessed an unprecedented rise in the popularity of dermal fillers. These quick fixes promise to roll back the years, plump lips, and redefine facial contours. Yet, not every filler journey has a fairy tale ending. Sometimes, the mirror reflects a result that’s far from what was dreamt of.

The Quest for the Perfect Aesthetic – Unsatisfactory Results
While most anticipate a rejuvenated version of themselves post-procedure, the reality can sometimes fall short. Perhaps it’s a case of overfilling, resulting in an exaggerated look, or maybe subtle asymmetries disrupt the harmony of the face. These unsatisfactory outcomes can lead many to consider reversal options to regain their authentic self or simply fine-tune the results.
Health Implications and The Body’s Unforeseen Reactions
Every individual’s body is unique, and its response to hyaluronic acid can vary. Standard post-procedure symptoms might include a bit of swelling or redness. However, prolonged reactions, the formation of nodules, or other skin irregularities can raise alarms. More pressing are allergic reactions, albeit rare, which mandate an immediate dissolution of the fillers to ensure the individual’s safety.
Changing Personal Preferences in Aesthetics
Beauty is not static. It’s a journey marked by growth, influences, and personal revelations. Over time, what once seemed like a desirable enhancement might no longer align with evolving beauty standards or personal preferences. It could be a shift in personal aesthetic values or even the occasional regret from a hasty decision influenced by fleeting trends.

TRUSTED EXPERTISE IN DERMAL FILLER REVERSALS WITH DR. SCHWARZBURG

In the landscape of New York City’s aesthetic medicine, Dr. Schwarzburg’s clinic, Skinly Aesthetics, stands apart as the ultimate destination for those seeking to dissolve or reverse their hyaluronic acid based fillers using Hylenex. Dr. Schwarzburg’s unparalleled expertise is rooted in years of hands-on experience and a deep understanding of the nuances of filler corrections. His precision-driven approach to reversing fillers ensures optimal results, prioritizing patient safety and satisfaction.

Before and After results after dissolving lip filler with hyaluronidase — 25 year old woman 3 days after dissolving “Duck Lips” with Hylenex

FREQUENTLY ASKED QUESTIONS

WHO IS THE RIGHT CANDIDATE FOR HYALURONIDASE TREATMENT?

The ideal candidates are often those not entirely pleased with their filler outcomes, perhaps due to overfilling, asymmetry, or a gap between expectation and reality. At times, rare medical complications from fillers, such as prolonged swelling, vascular occlusion, or even allergic reactions, necessitate the intervention of hyaluronidase. Beyond the medical and aesthetic reasons, some individuals, driven by evolving personal preferences, simply choose to revert to their natural state after having experienced fillers.

HOW TO GET READY FOR DISSOLVING YOUR FILLER?

If you’re considering dissolving fillers, preparation is key, especially when entrusting your care to Dr. Schwarzburg at Skinly Aesthetics. Start with a consultation with Dr. Schwarzburg to discuss your concerns, desired outcomes, procedural history and medical allergies. Prior to the actual treatment, it’s wise to avoid alcohol, smoking, and blood-thinning medications that could increase bruising risks. On the treatment day, the area should be clean and free from makeup or lotions. Though the procedure with Dr. Schwarzburg is efficient, setting aside some time afterwards for relaxation is a good idea.

NAVIGATING THE HYALURONIDASE PROCEDURE AT SKINLY AESTHETICS

While the decision to dissolve fillers might stem from various reasons, the procedural steps remain consistent and are meticulously performed at Skinly Aesthetics. Dr. Schwarzburg and his team have refined the process, ensuring both efficacy and comfort for their patients. Here’s a step-by-step breakdown:

Topical Anesthetic Application: Every procedure begins with the application of a topical anesthetic to the designated treatment area. This minimizes any discomfort and preps the skin for the upcoming injections.
Option for Injectable Lidocaine: For those who may be more sensitive, or for certain treatment areas, an injectable lidocaine can be offered as an added layer of anesthesia, ensuring a virtually painless experience.
Hyaluronidase Injection: Once the area is adequately numbed, Dr. Schwarzburg meticulously injects the hyaluronidase solution. Using a fine needle, he targets the regions where the hyaluronic acid fillers need reversal. The enzyme gets to work almost immediately, breaking down the fillers.
Observation and Adjustments: After the initial injection, there’s a brief period of observation. This allows Dr. Schwarzburg to assess the initial effects and make any necessary adjustments, ensuring optimal results.
Post-Treatment Guidance: Before concluding the session, patients are provided with aftercare instructions to ensure smooth recovery and best outcomes.

IS THE HYALURONIDASE INJECTION PAINFUL?

At Skinly Aesthetics, patient comfort is paramount, especially when it comes to injections like hyaluronidase. Dr. Schwarzburg ensures this by initially applying a topical anesthetic to numb the treatment area. For added comfort, there’s also the option of injectable lidocaine or Pro-Nox anesthetic gas. With these measures in place, most patients report only a mild pinch or pressure during the injection, far from acute pain.

Any post-procedure sensation is usually temporary and mild. In summary, while some sensation is inevitable, the hyaluronidase filler dissolving treatment at Skinly Aesthetics is crafted to be as pain-free as possible.

POST-CARE AND DOWNTIME: WHAT TO EXPECT AFTER HYLENEX TREATMENT AT SKINLY AESTHETICS

After undergoing a Hylenex treatment with Dr. Schwarzburg at Skinly Aesthetics, many patients are pleasantly surprised by the simplicity of the post-procedure care and the lack of downtime. Here’s what you can anticipate:

Minimal Bruising: While the Hylenex procedure is generally well-tolerated, there’s a chance of slight bruising at the injection site. Fortunately, this is rare and tends to be very mild when it does occur.
Use of Ice Packs: To alleviate any potential swelling or to address minor bruising, patients are advised to apply ice packs. This not only soothes the treated area but also reduces any minor discomfort that might arise.
No Downtime: One of the standout features of the Hylenex treatment at Skinly Aesthetics is the lack of downtime. Patients can resume their regular activities immediately after the procedure, making it a convenient option for those with busy schedules.
No Restrictions: Post filler dissolving treatment, there are no stringent activity restrictions. Whether you’re heading back to work, planning a workout, or meeting friends, you’re free to go about your day as usual.

HOW LONG DOES IT TAKE TO SEE THE FILLER DISSOLVE WITH HYLENEX?

At Skinly Aesthetics, the hyaluronidase injection, administered by Dr. Schwarzburg, begins dissolving fillers instantly. However, post-treatment swelling might temporarily mask the results for some. This swelling typically subsides within 24 hours, unveiling the desired outcome. Importantly, not all patients experience this – many see immediate results without any wait. In short, while a few might need a day for full clarity due to brief swelling, many can immediately appreciate the effects post-treatment.

HOW LONG IS THE PROCEDURE?

Administering a Hylenex injection is generally swift, taking around 5 to 15 minutes. The duration primarily hinges on the volume of product required and the specific treatment area. While most find the process straightforward, those with a lower pain threshold might occasionally pause for a brief respite or a sip of water.

WHAT ARE THE RISKS AND SIDE EFFECTS OF HYALURONIDASE TREATMENT?

Every medical procedure, even non-surgical ones like hyaluronidase injections, comes with its set of potential risks and side effects. At Skinly Aesthetics, Dr. Schwarzburg ensures that patients are well-informed and prepared. Here’s what you should be aware of:

Swelling and Redness: Post-treatment, some patients may experience temporary swelling or redness at the injection site. While this is a common reaction, it usually subsides within 24 hours.
Bruising: There’s a chance of slight bruising where the injection was administered. However, with Dr. Schwarzburg’s expertise, this is minimized, and any bruising that does occur tends to be mild.
Allergic Reactions: Although rare, some individuals might be allergic to hyaluronidase or components of the injection and this most commonly happens when Vitrase, Amphadase or Hydrase are used. Symptoms might include itching, rash, or more severe reactions. Hypersensitivity related swelling and inflammation, do infrequently occur due to impurities present in hyaluronidase or if it was manufactured from organic sources. Dr. Schwarzburg warns his NYC patients that the adverse effects can be so severe the entire face can swell up like a pumpkin. If you have a strong reaction resembling anaphylaxis it must be immediately treated with an intramuscular dose of steroids or IV Benadryl. Using Hylenex essentially eliminates any risk of an allergic reaction.
Uneven Dissolution: In rare cases, the filler might dissolve unevenly, leading to an asymmetrical appearance. This can be corrected with a follow-up session.
Infection: As with any injection, there’s a minimal risk of infection. Sterile techniques employed at Skinly Aesthetics eliminate this risk.

DOES HYALURONIDASE DISSOLVE YOUR OWN FAT AND HYALURONIC ACID?

A frequently asked question relates to the specificity of hyaluronidase and its influence on the body’s natural hyaluronic acid and facial fat. Dr. Schwarzburg clarifies that hyaluronidase exclusively breaks down injected synthetic hyaluronic acid fillers and doesn’t affect your own fat or hyaluronic acid housed within cells. Conversely, injected fillers are free-floating, making them hyaluronidase’s main target. So, when introduced, it dissolves these synthetic particles, sparing the natural hyaluronic acid inside our cells.

UNDERSTANDING THE COST OF HYALURONIDASE TREATMENT AT SKINLY AESTHETICS

Deciding to reverse or adjust filler results is a significant choice, and understanding the associated costs is crucial. At Skinly Aesthetics, the pricing for hyaluronidase filler dissolving treatment ranges between $500 to $2000 and depends on the following factors:

Volume of Filler to Dissolve: The more filler that needs dissolution, the more Hylenex required, affecting the overall cost.
Treatment Area: Some areas require more product and expertise, impacting the price.
Number of Sessions: Depending on the amount, location and type of the filler, multiple sessions might be needed, adding to the total cost.
Provider’s Experience: The expertise of the person administering the treatment plays a role in determining the price. For instance, treatments by MDs might come at a premium compared to RNs due to their extensive training and experience.
Materials Used: The specific amount and type of hyaluronidase used will influence the price.

It’s important to note that the overarching goal at Skinly Aesthetics, under the guidance of Dr. Schwarzburg, is to offer premium, effective treatments that prioritize patient safety and satisfaction. To get an accurate quote tailored to your needs, it’s best to book a consultation and discuss your specific situation and desired outcomes.

DECODING HYALURONIDASE: THE TRUSTED FILLER REVERSAL AGENT

Aesthetic medicine often revolves around augmenting and enhancing features. Yet, there are moments when a reversal is essential. Enter Hyaluronidase, the unsung hero of corrective procedures. But what’s behind its effectiveness?

Origins of Hylenex

Hyaluronidase is a naturally occurring substance in our bodies. In the past it was sourced from animals like cows or pigs, or synthetically produced in labs using bovine or human albumin. When derived from bovine or sheep testicles, meticulous purification was crucial to ward off severe immune reactions.

Currently, the only safest methods for procuring microbial hyaluronidase involves cultivating the streptococcus agalactiae bacteria, essentially eliminating adverse allergic reactions.

The Science Behind Hyaluronidase’s Efficacy

The actual mechanism of action involves the enzyme creating microchannels in the hyaluronic acid molecule chains, enabling fluids to effectively disintegrate the misplaced filler.

EXPLORING DIFFERENT BRANDS OF HYALURONIDASE

Hyaluronidase, as a critical enzyme in aesthetic medicine, comes under various brand names. Each brand has unique properties and subtle differences, although all aim to break down hyaluronic acid. Let’s delve into the notable brands available:

Hylenex: The most popular and most commonly used, Hylenex is FDA-approved and known for its consistent results in dissolving unwanted hyaluronic acid fillers with no risks of allergic reactions.
Vitrase: While known for its reliable efficacy, Vitrase is associated with moderate to severe allergic reactions.
Amphadase: Amphadase is also FDA-approved, however it is known for not having predictable outcomes often requiring multiple dissolving sessions.
Hydase: A relatively newer entrant, Hydase is steadily gaining traction for its efficacy in breaking down hyaluronic acid fillers. However it is also associated with being not very consistent and causing allergic reactions.

Dr. Schwarzburg and the team at Skinly Aesthetics prioritize the use of Hylenex – trusted and effective brand, ensuring that the specific choice aligns with individual patient needs and desired outcomes.

HOW MUCH HYLENEX WILL I NEED TO REVERSE THE FILLER?

Typically, a 1 mL vial of hyaluronidase is used to counteract 1 mL of dermal filler. However, the exact amount and sessions required vary based on individual circumstances. For minor adjustments, such as addressing asymmetry or dissolving a tiny lip lump, as little as 0.5 mL of Hylenex might suffice. In contrast, undoing extensive cheek fillers accumulated over years could necessitate multiple vials. Furthermore, the specific filler’s composition plays a role; denser, highly cross-linked HA fillers might demand more hyaluronidase for effective breakdown.

WHAT IS THE TIMELINE FOR REINJECTING FILLERS AFTER USING HYLENEX

Before considering a fresh set of dermal fillers, it’s crucial to ensure the previous filler has completely dissolved, a process that might span up to 48 hours. Introducing new fillers right after a Hylenex treatment will lead to their dissolution. Dr. Schwarzburg, renowned across New York and beyond, often steps in for those dissatisfied with prior treatments. He adeptly dissolves existing lip and cheek fillers, then expertly reinjects, employing the right technique to rectify previous filler complications.

DOES HYLENEX TARGET ALL FILLERS?

Hyaluronidase, the active ingredient in Hylenex, is specifically formulated to dissolve hyaluronic acid (HA) fillers. Therefore, its efficacy is most prominent on HA-based fillers such as Juvederm, Restylane, and RHA. However, it’s important to note that Hylenex won’t work on non-HA fillers like Radiesse, Sculptra, or Bellafill.

Dr. Schwarzburg emphasizes the importance of understanding the type of filler one has received. In cases where patients are uncertain about the kind of filler previously injected, a detailed consultation can help ascertain its composition and determine the most suitable corrective measures.

EXPLORING ALTERNATIVES TO HYALURONIDASE

In the world of aesthetic corrections, while hyaluronidase is the go-to solution for reversing hyaluronic acid-based dermal fillers, there are several methods and treatments that practitioners might consider under specific situations.

Wait it Out: For those who prefer a natural approach, remember that hyaluronic acid fillers are biodegradable. Over time, the body will naturally break them down, with the duration ranging from six months up to two years based on the specific filler and treated area.
Massage: For minor irregularities or lumps post-filler injection, gentle massage can sometimes help redistribute the filler, smoothing out the treated area. This approach is usually suggested soon after the injection, before the filler has settled.
Heat: Some practitioners believe that applying heat can speed up the breakdown of fillers. Though it’s not a universally accepted method, it’s seen some usage in the field.
Steroid Injections: When post-filler injection issues like nodules or granulomas appear, a practitioner might use corticosteroid injections. These can reduce inflammation and help dissolve the filler more rapidly.
Aspiration with a Large Bore Needle: If an immediate issue is detected after a filler injection, a method called aspiration might be employed. Here, a large bore needle is inserted to extract or “suck out” the freshly injected filler, providing a near-immediate reversal of the treatment.
Laser Treatments: Some lasers, especially those generating heat, might help in breaking down fillers faster. While still under research, lasers are sometimes used alongside fillers to enhance results rather than dissolve them.

It’s always recommended to consult with a seasoned professional, such as Dr. Schwarzburg, to ensure safety and effectiveness in any chosen method.

SEEKING HYALURONIDASE TREATMENT IN NYC?

If your hyaluronic acid filler results have left you less than satisfied, Dr. Schwarzburg of Skinly Aesthetics has got your back. Located in Manhattan’s upscale Upper East Side, Dr. Schwarzburg is a board-certified expert with over ten years in cosmetic treatments and injectables. Whether it’s correcting ducky lips or other filler concerns, he ensures a comprehensive consultation, tailoring each treatment to your unique needs. Patient safety and satisfaction are his prime focus. To discuss your concerns and start afresh, book a personal consultation with Dr. Schwarzburg. Contact us at (212) 774-4264 or drop an email at info@skinlyaesthetics.com.

Explore treatment options tailored just for you. Schedule your consultation right now.

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Clients testimonials

Went to Skinly Aesthetics on the upper east side for my Botox treatment and loved my results. Friendly and professional staff, clean facility, and Dr. Schwarzburg is truly an artist!… read more

Steph F

Great place! Nice salon and friendly staff. It’s my first time getting Botox and she was really helpful and honest about how many units and where is needed. Will definitely… read more come back!

dutchess
Came to Skinly aesthetics for my Botox treatment on the upper East side and couldn’t be happier! The staff was professional, facility clean, and Dr. Schwarzburg was very knowledgeable and… read more

Mireille Deetjen

Skinly Aesthetics was amazing. The Facility is beautiful, reception was ON top of things, and the medi- spa Dr made things quick and painless. Loved my results, will definitely be… read more going back and you should too!! 10/10

Jenny Oehlwein
i had such a pleasant experience at Skinlh Aesthetics. The office itself was so stylish and the staff were super friendly and helpful. The doctor was very knowledgeable and patient… read more

Lucy Glendinning

I had a great experience and great results. With only one section my eyes bag problem are gone, I tried a few different treatments before and nothing worked. I scheduled… read more

Maggie Reyes
My experience getting my lips done was amazing. The staff were very welcome and very professional. I love the way my lips turned out. I would definitely recommend Skinly Aesthetics… read more

Zee Portugal

I’ve been Dr. Schwarzburg’s returning patient for over a year! I love how he has improved my body, he is committed and perfectionist! The facility is sparkling clean and modern!! I… read more

LEYDIANA FERNANDEZ
Dr. Schwarzburg is a very polite and knowledgeable doctor. He had done my tear trough and check filler. He also does my sisters as well. She swears by him, and… read more

Anna Bella

Cheers from CATALINA – Great spa and great services; As well as awesome treatments they offer! Dr Schwartzburg is a really funny guy and has a great sense of humor! -CATALINA

Catalina Burma DR
I’m new to medical aesthetics, and it was long overdue. I was always scared of needles and any change to my face, but the time has finally arrived, when I… read more

Miranda Boyle

This place is the best! The staff is super nice and my lips look amazing! Will definitely be back!

Sarah Kagasoff
Incredibly pleasant office and staff. Cannot recommend the doctor enough. He is super knowledgeable, honest, kind and most importantly, talented!

taylor segal

This is one and only place I would ever go to for any injectables. Dr. Schwarzburg was very thorough with his assessment and had fully explained to me what I… read more

Anna Berry
Unparalleled experience with lip fillers at Skinly. Dr. Schwarzburg used his custom technique to create a beautiful upper, which nobody was able to do before that. It looks 100% natural… read more

Theresa James

I was very impressed with my filler experience at Skinly. I just turned 40 and noticed how my face sank overnight. All of my friends have been doing this for… read more

Tracey Peters
Highly recommend if you’re considering Kybella! The facility is very modern and clean; and kudos to the doctor for putting at ease throughout all of the injections. Would happily return… read more for future services.

Devon Ivie

Such a great experience! I highly recommend this place. Everyone is so friendly, and listened to my needs/gave me exactly what I asked for. I’ll be returning! Excellent, 5/5.

Grace Kellogg
I loved my visit. Everyone was so friendly and made me feel very comfortable. The office is beautifully decorated and my results were amazing. My forehead wrinkles have disappeared!

Murphy McVey

My thin lips always made me feel insecure, but I was scared of injections as I thought they were painful and would look unnatural. I came along MiracleFace as I… read more

Yana Zalukin