Thank you Bella, glad you enjoyed it :-)

I'm only 22 and it's been 2 weeks since I had my filler dissolved. It aged me. I experienced facial fat loss and sagging. I look different.

It's possible it could reduce the risk if it's thinner than blood if all other factors were the same, but I think that's unlikely. One issue is that short change HA molecules which are known to be inflammatory cause trigger clotting cascade and a vascular occlusion that way. The biggest flaw is that it's arguably riskier for SEVERE VO to use products which flow very easily as they can flow into smaller vessels and deeper into the vascular tree- so you are more likely with certain injecting styles to cause a deep injury with a thin filler. Obviously longevity of the product and the aesthetic result will be affected. I would suspect this is financially driven to a degree too... as you are making your most expensive commodity go a lot further (at least initially).

@@DrTimPearce How many units would you use to dissolve 1ml of rha4 25mg/ml & rha1 15mg/ml? I’ve had 0.5 in each nasolabial fold, as far as I understand the rha 4 was injected into the higher part of the fold, and the rha1 in the lower part. I am just not loving it & I’m only 4 days out. Is there also a time frame to wait before dissolving?

Your body reabsorbs them ( it’s more of a watery sugary solution by then) and processed by the body and peed out along with normal waste.

How soon after the initial filler did you get it dissolved with saline?

So, did you get rid of the filler?? Omg if that works I could finally get my botched filler removed without risking my face

@@WickedRxqueen Did you try injecting saline yet? It doesnt hurt to try and i would much rather "flatten" my filler out with sodium chloride than try hyaluronidase (even a very diluted version) and have my natural ha affected. I just ordered a 10ml of sodium chloride and once it arrives i will be inject about .10ml in my cheek area.

V P hi! Not yet, but it seems like a safer option. I hope everything turns out well for you🙏🏻. Please keep us posted! 🤞🏼 Good luck!

@@VP-kr2vd how did it go? Any updates?

I can definitely invisage it facilitating some dispersal with the massage

maybe this also works for the same reason it is easier to mix powder into water when the water bottle is only 1/3rd full: the air provides space to create more turbulence by shaking the water against the sides of the bottle. When the bottle is completely full of water, it is not possible to get such vigorous turbulence by shaking, the water merely swirls. So in vivo, perhaps the saline opens extra space in the tissue cavity (acting like air in the water bottle.) When you vigorously massage, the gel is able to squish around more actively in that extra space the saline creates. And the extra squishing heightens the 'vigor' of the vigorous massage. (🤷)

@@adrianparker6996 love this idea, and great analogy!

@@adrianparker6996 hmmm...interesting idea

I never dismiss these experiences. I always ask patients who contact me on social media to send photographs- I use these products in people I care deeply about, and I always gather information before concluding every case. So far I have never seen a case where the appearance in the before and after photo matched the degree of emotional distress- I am confident that anyone with body dysmorphia who has hyaluronidase is at high risk of concluding that they have a new issue. I do not treat dysmorphic people if I identify them, and so personally in 15 years I have never had one of my patients who I have injected make this complaint, and I have never seen a good quality before and after photo in similar lighting which shows anything I can make a medical conclusion with. However, I am still looking. please feel free to share your experience. I am open to the idea that there are a small subset of people who have real physical changes, I just haven't seen this yet. support@drtimpearce.com. If I have a bias, it is in teaching complications, so it would not be a bad thing for me personally to discover there is a problem with hyaluronidase- I just haven't seen anything that persuades me of this. I have no reason to pretend there isn't. My primary line of work is NOT selling procedures or treatments, it's in teaching complications. I am NOT popular with the drug companies who make these products and I have NO affiliation with any pharmaceutical company.

First of all, you're NOT Courtney Cox nor are you her physician. You dont know anything about what has happen to Courtney's face, known allergies, etc. So stop speaking as if you have first hand knowledge about Courtney having a "bad" reaction to filler dissolver. Further more, Courtney Cox is t,ransg3nder and looks horrible due to TS universally aging badly, because of the hormones & botched feminization surgeries.

Although I am unhappy with the results after using hyaluronidase, I want to be objective about the doctor. You touch on a very important topic and explain everything in some detail. That's great. Maybe it will provide psychological support to some of the people. Would you like to research fillers? There are many of them, but I think among patients dissatisfied with hyaluronidase there is a chain that is associated more with a specific filler, and not with the solvent itself.

It is possible that fillers adversely affect the production of native hyaluronic acid, after its dissolution, the body of some of the patients simply cannot produce the prescribed amount of hyaluronic acid. For example, I had a Zishel filler and it gave me a reaction. Crap filler in my case. If you ever do a filler review, take note.

I agree. I don't follow their medical data as a lot of it is biased and the majority of it is funded by companies. In this case, companies who produce hyaluronidase. I follow individual experiences and collect my own data this way. I analyze it and look for patterns before I come to a hypothesis. This is a far more accurate way, in my opinion. It's the same as a certain jab. The medical data was biased and funded by the companies. The "real people" experiences are what matter. Pharma is a HUGE business.

Which is better?

Hi Do you believe that It can dissolve Ellansé ? I am struggling with this filler in my temple 🙏

Hi using hyaluronidase caused skin damage and skin aged faster

@@vocalofqueen5707 you asking a question or making a statement lol

Amylase hydrolyses the alpha 1, 4 glycosidic bonds randomly in the starch, but hyaluronidase is bonded differently- the polymer is linked by β-1,4 and β-1,3 glycosidic bonds. Amylase therefore would not work- though I like your thinking. Enzymes are very specific- one of the reasons I don't believe hyaluronidase is likely to affect collagen.

@@DrTimPearce thank you for the great explanation, Doctor :) it's really more complex and complicat then I thought. Thanks for sharing some of your knowledge :)

I believe you’d dilute it with more saline. Sucks he’s ignoring questions like these.

but what about v.occlusion?

Hi Mary. Thanks for the question. The hyaluronidase comes in powdered form, so it needs to be mixed up with saline so that it's in a form that can be administered. However, it's the hyaluronidase drug itself that's mainly causing the reversal to take place, not the saline.

What I am thinking is, isn't there anything to end the binding chemical so that the body can metabolise the hyaluronic acid

@@helengtz8165 ya that would be great 😔

11 mo ago - Q. Did your bump ever go down with the saline?? It sounded like it was just a bit bigger from the extra volume.

I don’t think fillers would work how they are designed to if mixed with saline. Watch what happens when filler is mixed with saline on a mirror outside of the skin

Meso therapy products do this without the same risk as fillers .

@@ebeb516 But don't meso products usually get absorbed by the body quickly?

@@ebeb516 meso doesn’t work

@@SofwarriorsHi. Can you elaborate? I’m interested in your statement. TIA

which brand(s) of dissolver are you allergic to? have you tried hyalase?

Heat helps dissolve Ellanse. Saline won’t do anything. I have used Radiofrequency and it really makes a difference. You can do it at home with Tripollar VX, It did work for me

@@julienFrenchDude can you please send me the picture of this machine in my Instagram DM on Instagram? And how much heat should I use ?

@@julienFrenchDude did you do it on your own? And how much heat?

Hi Do you believe that this can dissolve ELLANSÉ ? I am struggling with this material on my temple 😣🙏

@Creative Renewal I discovered that just heat ( time and a lot of patience ) to be free from Ellanse . This material is a toxic garbage

@@RenataLocutora I also need to get rid of the filler. But filler is sterilised with heat so I think it's heat resistant

@@helengtz8165 Hi ! I found a way to reverse ! Heat is the key !

@@RenataLocutora that's good news! please help me. Heat in which way, what did you use?

Yes Kind regards Mary. Clinical advisor for Dr Tim

Experience is not a great guide. We need objective data, which is completely missing.

I hope you were able to see an asthetic doctor who is educated in filler and had education like Dr. Pierce who was able to assist you. Please share if you did have an occlusion or if it was just a bruise and share how your face has healed and what process was used to assist your recovery. Thank you for sharing.

I recently had a positive aspiration in the corner of my mouth (lower lip)..i am diy too.....dear, buy it Liporase Hyaluronidase + Saline ,ok...and you have peace of mind if something goes wrong...how did your filling in the vein turn out in the end?

Unfortunately not Mara. Time will help as your body metabolises it or an enzyme called Hylauronidase with break it down. Kind regards Mary. Clinical advisor for Dr Tim

@@DrTimPearce thank you

I am allergic to hyalase. So you think using saline isn't safe or what do you mean?

might help it disperse a little, so it may be less visible.

It is replenished but in diminishing amounts as we age. At about 30 years of age, we do not make HA as fast as we use it and over time the classic signs of aging begin to appear

Filler is used for volume loss. Ur own HA can’t give you cheeks or a jawline

I think it is complemented to the extent that it is genetically given to you... but you want par excelance/ lips bigger than your nature...

@@ryflint6104 not only for loss of volume,..but also to change the shape of certain parts of the body, natural volume, etc

maybe never

How have you been? Are the results getting back to how they used to be before the hylase? I know it must have been a stressful time period for you. I'm going to inject saline to see if it helps disburse my overfilled cheeks. They look awful.

@@VP-kr2vd it permanently changed my face in a way it never was before. Now I have a dent in my face. I didn’t know what that meant before. Yes it got rid of volume but unnatural . It was a huge lesson for me . I really depended on filler and Botox and would never stop but I think it’s breaking me of that. It still is stressful for me. I go to therapy about it . less is more. I wish I could go back and tell myself not to mess with it ever again but I would have never listened. The dissolver aged me. It is used in mesotherapy. Some drs told me as a dispersant . U won’t look how u did pre filler. It gave me saggy skin in the spot and changed my skin there. You want to protect your skin as you age. I even get facials, take vitamins and drink water. I’m sorry you have to experience that but probably best advice is leave it alone or understand that if u will be at a new normal

Lady, you are saying everything ruined your face lmao trollin, you said hyaluronidase ruined your face on someones other post lol

@@Sofwarriors because it did and I was sharing on posts about it because it did impact my face in a negative way

@@Sofwarriors hylase is same as Hyaluronidase