Alexander Rivkin, MD
Expert Profile

User Photo For: AlexanderRivkinM.D.
Alexander Rivkin, MD
Plastic surgeon | Views: 244038

Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English

Post a reply Ask Alexander Rivkin a question Return to Alexander Rivkin's homepage

Ask An Expert > Alexander Rivkin Message Board > What are the risks of hyaluronidase? Surely it dissolves natural hyaluronic acid too? Can find little info online..
Default User Photo
London, United Kingdom
What are the risks of hyaluronidase? Surely it dissolves natural hyaluronic acid too? Can find little info online..
I had cheek injections with Restylane 3 weeks ago and now hate it as it has caused significant water retention in my cheeks. Hyaluronidase is bandied around as a 'quick easy' fix to unwanted restylane, but it seems to my mind a dangerous thing to be injecting something which is not FDA approved for the purpose and surely dissolves your own hyaluronic acid too - potentially causing long term damage? I would be grateful for any advice in this regard, as there is a strange lack of info/review on hyaluronidase online. Many thanks

Plastic surgeon
los angeles, CA
United States
View My Professional Profile
safe in my experience  July 23, 2009 4:20 PM

i have been using hyaluronidase for several years now. i have used it on several hundred patients and have seen no problems that i could directly relate to the enzyme. i am quite conservative with it, injecting very small amounts and bringing the patient back after a couple of weeks to consider putting in more.
i think the enzyme is the right way to go with your issue.
i have not heard of docs having side effects with hyaluronidase, but i would make sure that whoever does the injection is conservative.

Facial plastic surgeon
Bellevue, WA
United States
View My Professional Profile
hyaluronidase and restylane injections  November 17, 2011 5:25 PM

Hyaluronidase will degrade the unwanted restylane and it can degrade your own hyaluronic acid. But your body is programmed to make your natural hyaluronic acid again. So the long term effects of hyaluronic acid will only affect the restylane and not your natural hyaluronic acid.

Attached Media


hyaluronidase and restylane injections

Plastic surgeon
Miami, FL
United States
View My Professional Profile
  November 18, 2011 3:44 AM

I ALWAYS do very small droplets amounts in weekly sessions to avoid any excess resolution.

hyaluronidase  September 17, 2017 7:51 AM

Hello, my daughter had belotero filler which dont work out she got very distressed and had it reversed by another cosmectic doctor. After her face seemed to go quite thin he put in 800IU,do you think this as too much as she only had a very small amount of filler and can the hyaluronidase destroyed your natural HA is she now permanently damaged? will the body make it back, help!

  January 20, 2018 5:37 AM

I had it in my nose and lip and chin 0.5 ml and it had spreaded all over my face and couldn?t go out for four days, now my face and my skin have been ruined because of it I believe that it has removed a lot from the natural HA in my face actually even my eyelids are different I used to be pretty and now I don?t know what is the solution , I tried to put filler in my lips but it doesn?t look as good as before having the Hyaluoridase



Welcome to the Ask An Expert section of our website! Our network of board certified physicians can answer any questions that you may have regarding plastic surgery, skin care, dermatology and other conditions. Popular topics include tummy tuck, liposuction, rhinoplasty, acne scars, facelift, breast augmentation and more. This frequently asked questions section is opened to everyone and you need to set up an account with Makemeheal before you can ask your own question. This service is absolutely free and is available to those who are interested in learning more about a particular cosmetic procedure, treatment or product.

Before asking a question, we recommend you to browse through our existing collection of questions and answers to ensure that the question you want to ask have not already been answered by our highly experienced experts. This will help you save time and get an answer more quickly. When asking a new question, we recommend you to be very detailed so that our experts could formulate a more precise & professional answer.

Of course, this service is not a substitute for a doctor visit or a consultation with a plastic surgeon or cosmetic dermatologist. The answer you will find here only serve as initial directions of thoughts and not as specific instructions. You should remember that it is utterly important to consult a skilled specialist prior to scheduling any type of treatment in order to get acquainted with possible contraindications. Only a one-on-one meeting will enable your cosmetic surgeon to properly evaluate your condition, conduct examinations and explain their results.