Should my injector have hyaluronidase on hand for tear troughs?
With tear trough filler, it makes sense to ask what happens if something goes wrong. One of those questions is whether your injector keeps hyaluronidase available.
What the sources say about hyaluronidase
A paper from the National Library of Medicine (PMC) describes a problem that occurs when particulate HA fillers are inappropriately implanted into the superficial dermis or epidermis, and says hyaluronidase should be the initial approach to treatment.
A second paper from the National Library of Medicine (PMC) notes that HA fillers integrate into soft tissue without being permanent, and can be quickly dissolved by hyaluronidase in the case of serious adverse events or undesirable cosmetic outcomes.
What that means for you
Both papers point to hyaluronidase when a hyaluronic acid filler has to be reversed or corrected. So it is a reasonable thing to expect in the room, and a reasonable thing to ask about. If an injector hesitates or cannot answer, that is information about the practice.
Questions to ask your injector
- Do you keep hyaluronidase on hand during my appointment?
- Who decides when to use it, and how quickly could that happen?
- Which filler will you place under my eyes, and is it one hyaluronidase can dissolve?
- What should I do, and who should I call, if something looks wrong afterward?
Reference pages to read before your visit
The American Society of Plastic Surgeons has an overview of dermal fillers, and the FDA publishes a page on soft tissue fillers. Read both before a consultation in West Sacramento, so the answers you hear have something to be checked against.