I had fillers injected 4 years ago at dr Tim's clinic in Manchester. The result was awful and some of it migrated. I had some disolved and a few months after I started to have very severe symptoms that continue to this day. My body feels and looks like is melting, is scary and my whole life has been affected. I still have fillers on my face that has migrated and it looks bad. I got in touch with the clinic and they invalidated my symptoms. The also deleted my reviews on Google Maps and Trustpilot. Is absolutely disgusting, I don't know how they are able to sleep at night knowing their medical practice is causing so much pain.

@heidifranks2395

8 ай бұрын

I have this too!!! after fat dissolving injections in a famous clinic in Sydney, also feels like my skin is melting all over my body, flashing lights, weight loss, depression anxiety, life has been ruined for 3 years. They also said I was DYSMORPHIC and dismissed me! Disgusting

@marialindt249

8 ай бұрын

@@heidifranks2395 I am so sorry, I know how hard it is. I don't know what to suggest as I am looking for healing still, I spent so much money on doctors. Is not in you head, lots of women have the same issue. The injectors will never admit as is their business. Sending love and healing 🙏

@marialindt249

8 ай бұрын

@@heidifranks2395 There should be a treatment out there, our bodies have the power to heal and regenerate. But these doctors will have to live with the guilt for the rest of their lives

I'm giving you the nickname "Dr.Peace" because you just soothed my 12h state of panic after I scoured the internet for ANY clear/definitive answers I could get on whether or not it's actually a danger to dissolve filler. Thank you for this.

@allygazzola1636

8 ай бұрын

I have to rewatch this every time I get dissolved haha

Always impressed Dr. Tim. You are the GOAT. You once again brought things to the table with so much knowledge, Openness, and peace! Thank you!

@DrTimPearce

2 жыл бұрын

Thank you so much!

THANK YOU DR TIM. I watched your video nearly a year ago after I had my filler dissolved in my mid face over 5 times - a little at a time. I thought my smas got destroyed and I was so depressed. Having to read on many forums about the negativity side effects of dissolving - scared me daily. This video of yours kept me going. Now I feel my volume has returned back and I never look better than myself now - with no filler (or almost no filler) in my midcheek. I am here to thank you! ❤

@r.a4177

3 ай бұрын

How long did it take for your cheek volume to return back ?

Once again, Dr. Pearce, a truly outstanding video executed most eloquently. Thank you very much for providing this information on a mass scale to us all. Now if only we had world leaders with your integrity that think as calmly & logically as you do! As always, all the very, very best!

@DrTimPearce

2 жыл бұрын

Hi there. Miranda here. Tim has seen your comment and it meant a lot to him. Thank you so much

@AuditClerk

2 жыл бұрын

@@DrTimPearce 🥰

Thank you for sharing your expertise and for your commitment to evidence based practice.

@DrTimPearce

2 жыл бұрын

Pleasure, thank you.

I find that having professional before and after photos by the doctor's office would be beneficial for all parties.

@emallace447

5 ай бұрын

But they edit them and use favorable lighting. Not sure I trust before and afters.

What a phenomenal, well-rounded video.

Fantastic..thank you as always for your incredibly unbiased and informative videos

@DrTimPearce

2 жыл бұрын

That's very kind of you, thank you

I just had hyaluronidase injected into my philtrum lines. A doctor suggested a little filler there, and it just looked like two big projecting tubes going down from my nose to my mouth. It also created a blood flow problem I think, because I could feel pulsing in the area and in my nose. I absolutely hated it. So far, it's been almost 6 hours since the dissolve. The lines are much less plump, and no more pulsing in my face, thank God. No visible swelling or dehydrating. So far I am very happy with the results. The filler I had was Juvederm.

@nimpfaelyn

Жыл бұрын

hey Summergirl, how are you doing 2 months after your dissolving? hope everything is well for you ❤️ thank you for sharing your experience

Thanks a lot for the precious information And clarification on this specific and challenging issue Dr. Pearce ♥️

@DrTimPearce

2 жыл бұрын

Thank you so much for this comment

As always a thorough and well balanced, informative discussion, thanks Dr Tim, you are amazing 😊

@DrTimPearce

2 жыл бұрын

Thank you

A well-argued case and a very eloquent presenter.

I have to say this was a excellent video, not only is it by default a thorough look on how you critically analysed this argument, and how you formed a well articulated alternative hypotheses, but you did it in such a way the novice viewer could understand and possibly in the further themselves critically analyse pieces of research without bias.

@DrTimPearce

2 жыл бұрын

Hi. Miranda here. Tim has seen your comment and it meant a lot to him. Thank you so much

@sumathyreddy4902

Жыл бұрын

Thank pppppppq Pl a

Dr Tim you are a brilliant beautiful medical professional mind who is grounded in science. Your Complications Courses were the best and challenged us to not just come close but to be 100%. Thank you! I am proud to be associated with you!

@russelleldridge3726

Жыл бұрын

i lost all faith in science and doctors when covid exposed them as either liars willing to say anything to get ahead OR as having zero common sense and no ability to think critically. Combine that with them telling me that some women have a penis and its just a joke at this point. Doctors are like used car salesman at this point

Thank you for the video, Dr. ❤

Brilliant - Absolutely BRILLIANT !

@DrTimPearce

2 жыл бұрын

Thank you, glad it helped!

God bless you doctor!!

Another head on objective balanced discussion thanks for the video and content

@DrTimPearce

2 жыл бұрын

Thank you my friend ❤️

With 30+ years in the medical field before switching to working in investments and spending more time golfing I have an opinion that applies to cosmetic procedures, investments, and many other things. That is the fact that most disappointments and complaints come back to either unrealistic expectations or just not knowing what to expect. Dissatisfaction is usually more the fault of the practitioner not taking the time to make sure that what lies ahead is clearly understood. If a patient does not understand and expect that there will be a brief period of dramatic change that seems excessive but will naturally balance back out as the body rehydrates they will be anxious and unhappy.

Testing hyaluronidase on the skin of the abdomen is incorrect, it seems to me. There, the skin is much thicker than, for example, in the lips or face.

@MissStrawberryGun

8 ай бұрын

that's a great point. the skin is different in that area, therefore won't respond the same as the facial tissues.

@roweni2501

4 ай бұрын

Hyaluronidase damaged my skin

@roweni2501

4 ай бұрын

I look old. Im only 22

Always relevant. Thank you

@DrTimPearce

2 жыл бұрын

Thank you for watching

Thank you for this video, I had derma fillers injected about two weeks ago , in which I had a vascular compresión due to high quantity of derma filler infected in one area of the cheek bone,also I developed an infection. In which I was prescribed two weeks of antibiotics with hyaluronidase , thanks to hyalouranidase I had improved the vascular compresión and I had notice a change of appearance that is normal after the dissolving . I had pictures before the derma fillers, after derma fillers and after the hyalouradinase treatment and notices the difference before derma fillers and now is very slightly . I do believe there are many people that suffer of dysmorphia and can’t accept their real self .

I really want to know if a injector could potentially be ultra conservative with micro drops of Hylenex to the tear trough to see if it partially dissolves what looks over filled ever so slightly and gives a smoother appearance, therefore avoiding full dissolving and refilling which seems like more trauma to the area then necessary

Wow this was an excellent video! You really went in depth on this issue and I really appreciate it. I couldn’t agree more. The last conference I went to (VCS) openly asked the audience of cosmetic providers if they have ever seen HA NOT. return back to normal after hyaluronidase and everyone in the audience agreed that they had never seen someone’s native HA not return back to normal after around 48-72 hours. Really appreciate your philosophy on evidence based medicine! 👍 👏 👏

@DrTimPearce

2 жыл бұрын

Hi. Miranda here. I showed Tim your comment and he was touched. Thank you so much

@NaturalInjector

2 жыл бұрын

@@DrTimPearce also loved the fact that he mentioned he’s not endorsed by any pharmaceutical company 👍

@leslies.9262

Жыл бұрын

theres quite a large community of people who have been systemically affected by hyaluronidase. i myself have only dissolved once, had a very small amount, went to a reputable place and experienced and am currently still experiencing volume loss, saggy/mushy skin and crepey skin all over my face AND body. the reaction has destroyed my muscle on my legs, arms, stomach and back along with my face. im 24 years old and no one has been able to help me figure out why my body is reacting to the dissolver this way. again, theres a large community online of women and men experiencing this.

@Nolacarsillo

Жыл бұрын

Well it’s been a month and I’m still saggy and crepey. 48-72 hours is BS

@Nolacarsillo

Жыл бұрын

@@leslies.9262 exactly. Same exact symptoms. 7k women in the Facebook group, several have killed themselves

I live in South Korea and suffer from hyaluronidase. Please understand even if the writing is awkward using a translator. Korean doctors don't acknowledge the side effects. It's just that the patient is the problem. The hospital doesn't even tell me how many shots I used or what drugs I used. It's been 2 years and I've been getting better and worse The problem is, my muscles are constantly losing And the fat on my fingers, palms, and back of my hands disappeared My palms are ragged and my skin is thin, so I can see my veins If your hands are crinkled and recessed, they won't come out. My whole body is soft and I don't have any muscles I'm even losing weight. What's amazing is that I've been working out for two years. No one believes that I'm exercising. Does this work for the rest of your life? As far as I know, the drug itself is released within 48 hours. Does this work after discharge cause problems with my DNA? And my body always hurts because of frequent inflammatory reactions that I don't know why. Where the body stings, there is a dent in the flesh. The hospital doesn't know why. The filler still hasn't melted properly, so it's still on my forehead. Hyaluronic acid makes your skin worse and more painful Does this mean you still attack hyaluronic acid? Do I have to live like this for the rest of my life Is there really no cure? If there's a DNA problem, it's so frustrating. Everyone says I'm a fake disease. The company asks me if I have a serious illness. There are a lot of victims in Korea, but this situation is not even on the news Korean doctor cartels are blocking it They're treating the patient like a lab doll and they're not interested in money or anything Of course, my face is not in good condition. But now, pain comes first, so I didn't write it down in detail. My face doesn't look my age at all. If you're suffering from something like what to do Please leave a comment for me

@estelled389

22 күн бұрын

Yes I believe you I am so sorry I had hyaluronidase under my eyes it has damaged my eyes and I look 15 years older. 💔

Ok well i met a couple people who had horrible experiences with Talei. I guess all surgeons have some off days. All I know Is i paid him 500 for a consult to ask him what to do about my eyes and he told me he doesn’t do Eye revisions then sent me to someone else Who did a horrible job on my eyes. I personally don’t respect his opinion at all anymore and was surprised he kept my $500 for a consult only to tell me he doesn’t do eyes. Low class doctor imo He only cares about money. 👎

I think a slim face without filler is the best look. I had half a syringe of Voluma on each cheek and I already had intense high cheekbones so I looked bad like Cruela. The left side was dissolved faster easier but the nurse put a lot of hylenex on the front of the cheek and so my left undereye is not smooth anymore and never got back to how it was. The cheek itself though felt deflated at first but recovered its volume after 5 months. My right side was tough, voluma wouldn't dissolve, I had 2 and a half units of hylenex. Waited 18 months and my right cheek was swelling periodically, looked expanded and weird to me,though it was subtle but I could notice it so I had 3 tiny amounts of hylenex on the side of the cheekbone and at the temple and sadly this tiny amount dissolved my own volume on the front part of the cheek. I regretted it but will wait and see if volume gets restored. Cheek feels bony and on the temple it's swollen maybe as a reaction. I would say voluma is the worst thing someone young can get, it feels like a thick gel and does not go away on its own even after 2 years. When I pressed my right cheek even after having so much hylenex to dissolve it, I would see a small imprint of my finger on my cheek. The worst part is I don't listen cuz a doctor had told me not to get voluma. Also in Nashville TN it's nurses doing all the injections and that's the root cause of the whole problem. I wish I was seen by a surgeon. Even cosmetologists do the doctor's job here.

@candicethecat9819

Жыл бұрын

Come over to Mexico, I bet it’s cheaper and a certified plastic surgeon will be doing the injections not a nurse.

Dr. Pierce, please help. What should I do? If doctors deny and say hyaluronidase is safe, then what happens to me? It can't seem to me. I can send you my video and photo, I want to be useful to people who have the same problems. My lip filler only lasted ten days Since I had a reaction, the lymph nodes were numb. In this regard, I had three sessions of hyaluronidase with a total volume of 150 units. I was waiting for improvement, but it only got worse. I had cramps on my face. I can't paint my lips, because when I swing my upper lip from my lower lip to blend my lipstick, my face is in pain. I believe hyaluronidase can have a strong effect on native hyaluronic acid.

Hi where do you practice I’d like to schedule an appointment. Can it be virtual at first and then in person. I need help with filler dissolving.

Hi Tim, do you think 1ml filler @ the posterior mandible / gonions is sufficient to see any meaningful change in definition for somebody with an already well-projected jaw? That is, an individual who lacks posterior mandible bone mass.

@DrTimPearce

2 жыл бұрын

Mandible work can really suck up filler. Before injecting lift the skin at the back of gonial angle to visually see what difference it can make. Jawlines can take an average of 3 ml depending the degree of laxity in the skin. Kind regards Mary. Clinical advisor for Dr Tim

Wow. U are very good and knowledgeable. I need to subscribe

Thank you I think this makes perfect sense

@DrTimPearce

Жыл бұрын

Thank you Holly!

I think the general consensus seems to be that we do not know what is going on but something is definitely going on and it seems to be multilevelled. There is also a complete lack of evidence and unfortunately patients are the Guinea pigs here potentially unwittingly too. The lack of quality studies for hyaluronidase AND fillers just aren’t there and opinions are being shared under the guise of fact. We simply do not know what is going on and we can only deduce and suggest and guess from observation and prior knowledge etc. for example Casabona’s study is almost entirely useless. Nobody has filler in their abdomen and very few are reversing it so quickly after so it can not be extrapolated to facial fillers. I have often seen quite a few logical fallacies thrown around by medical practitioners and patients alike again under the guise of fact and this is doing injustice to the scientific method and to patients who put their trust in the injectors. The nature of the problem is also incredibly distressing to the people who are experiencing these problems so it’s hard for rational talk as they are experiencing something devastating and quite scary and a lot of the patients are women who are notoriously dismissed and ignored in the medical world second to ethnic minorities. We must tread carefully and push for proper studies and listen to patients. A lot of injectors are far too quick to bypass a proper psychological assessment as well as far too quick to downplay the risks of these treatments through their own bias.

@DrTimPearce

2 жыл бұрын

It's not my impression that this is the consensus among clinicians.

@rachelpidduck549

Жыл бұрын

@@DrTimPearce That would an example of an anecdote. I thought you were discouraging anecdotes? They are only valid if they are yours?

@DrTimPearce

Жыл бұрын

@@rachelpidduck549 no this isn't technically an anecdote, but none the less I've got nothing against anecdotes, they just can't be used to conclude cause and effect.

hello! I would love if you could help me understand this, I believed all of the Drs saying hyaluronidase only breaks down HA (a little of your own temporarily) but then I read about how it was used in people with Scleroderma, to break down the excess HA and collagen! Which makes me think it actually could be very damaging to the face... how could it break down collagen in ppl with scleroderma but not break down the collagen in our faces? x

what about if you get jaw filler /nose filler once and then get jaw & nose surgery later, can the filler be removed surgically without side effects? or should you get it dissolved first

Urgent Question re: hyaluronidase reaction: Thank you for a wonderful video! I have a question which I feel may help many people here if you would be ever so kind to respond with your understanding. After lip filler treatment which lasted well for it for a couple of years, it began to migrate therefore I decided to dissolve. The usual patch test was carried out and time left to review the outcome was 30 mins and then 24hrs. The result was negative therefore safe to proceed. Elective dissolving was carried out using the usual guided dose (which is what you also advise) and we used a conservative approach to not over flood the area. However, even after the aforementioned points my lips began to swell to the point that my top lip could touch my nose and my bottom lip my chin! They looked as though they could burst. My breathing was fine, no difficulty in any other area to cause alarm other than the obvious massively swollen lips which looked exactly like an allergic reaction would. After a lot of ice packs and antihistamines the swelling went down gradually within 24hrs. It also felt like the hyaluronidase injected into my lips had spread/migrated from my lips to my cheeks and chin as those areas also started to look swollen, which took a number of days to go back to normal and when they did, the filler in that area also looked as though it had broken down. The hyaluronidase used is what is usually used in the UK therefore of animal enzyme and the recommended elective dissolving protocol followed. Could you advise what your thoughts are on my patch tests being negative on every occasion however the swelling being so extreme it looks like an allergy? My background is I am a Registered Nurse and an advanced aesthetic practitioner of a number of years and I have never come across this, other than on myself! I am also unable to find Hylenex or any human synthetic hyaluronidase in the UK to use as an alternative. Any advice would be greatly appreciated for myself and for anyone else reading this comment!

@DrTimPearce

Жыл бұрын

We are so sorry that this question got missed. Thank you for such a great question. Most allergic reaction to hyaluronidase involve a type 1 allergic reaction - the most severe type. And these are picked up in the sensitivity test. However a type 4 reaction can also occur. These are a delayed response and those with this reaction won’t be picked up at patch test - resulting in a negative response. Delayed responses can occur 45minutes to a couple of hours post injection and even longer according to some studies. Sometimes the patch test of the hyalase can also be too low to evoke a response in some patients. As regards to swelling due to the oedema and pressure of your swelling the hyaluronidase would have migrated that’s correct. I hope this helps answer your question. Kindest regards Mary. Clinical advisor for Dr Tim.

@Jungaloowi333

5 ай бұрын

did you experience sunken cheeks or any noticeable volume loss around the face?

Hi doctor, I got my lip filler done on last Friday just to remove little facial assymmetry which wasn't prominent in fact, I just got lip filler done for my own satisfaction but my lips are asymmetrical now and it's visible. I'd discussed my pro with the dr. as well but she suggested me to wait for 15 days and It's been a week but my lips didn't get even yet. Should I dissolve it to get back my natural lips since I'm scared because of side effects. Please reply to this asap it's really needed.Looking forward to your response

Thank you so much for this video. I had really bad chin filler and I have to wait 4 weeks to get it disolved until it heals. I’ve been scared of getting it disolved because of real self but I am now encouraged. I just want my old chin back. Thank you

@vocalofqueen5707

Жыл бұрын

Did u reverse it

@xxo5294

Жыл бұрын

@@vocalofqueen5707 I did, I’ve had 2 sessions so far and am having a third and hopefully final session next week.

@vocalofqueen5707

Жыл бұрын

@@xxo5294 did it cause any skin sagging

@xxo5294

Жыл бұрын

@@vocalofqueen5707 I don’t think so honestly, I felt comfortable enough to get a second session and next week a third. The extreme stress and depression that the fillers themselves caused I think did more harm to my face. Am I excited to have to get another session? No, I’d rather never have had to go through any of this. But since I did have the fillers, I am happy that there is a solution that exists to get them disolved and hopefully get my original chin back. I did not go back to the place I got the fillers to get it disolved though. I did not feel safe with them. I went to a trusted clinic that I had gone to many times before for other things, and the nurse made me feel comfortable and at ease. If you need fillers disolved I recommend finding a clinic that you feel comfortable with that makes you feel safe :)

@xxo5294

Жыл бұрын

An update for anyone interested. I had my third session. I did see more improvement however my chin is still not how it was before. I have to make peace with the fact that my face is changed forever from fillers. They may be dissolvable but my chin isn’t the same. I’m giving it a month before I decide to have another round of disolver or not. I wish I never got fillers. Worst decision ever.

Is there any treatment please for malar bags?

hello how can we do to know how much hyaluronic acid last and where ?

@DrTimPearce

Жыл бұрын

Unfortunately there is no set rule. Every human is different and how fast we metabolise product Varies including where it’s been injected. The more mobile the area the quicker it’s broken down. Kind regards Mary. Clinical advisor for Dr Tim

Urgent question - i just got rhinoplasty 1 month ago and I need to dissolve my lip fillers can I get them dissolved ? Or should I wait a lil longer ? (Bcs of the ingredients of the HD and that they massage the upper lip while dissolving and hence moving the tip of the nose)

@DrTimPearce

Жыл бұрын

It's really hard to say without knowing how much is being dissolved and where the filler is in your nose- if it is at the base of the columella and you have lip filler in this area or a very short philtrum then there could be some overlap.

@user-nh4sr7ch9t

Жыл бұрын

@@DrTimPearce another question : could lip filler harm my newly done nose ? Such as by adding more lift to the lips and thus pulling the tip of the nose and altering the shape of the nose ?

What is the SMAS?

I recently went in to have a little lip fill (after having them done 2 years ago), & injector suggested to fill NLF...only 1 ML of Juvederm Ultra Plus was split between lips and NLF and it's been 3-4 weeks. I have swelling in NLF that comes and goes and I do not like the puffy look there at all. She also went very superficial in NLF area & one side didn't take well and the skin kept sloughing off for over 2 weeks. The other side looks really puffy more so and that is the side I want dissolved. I went in and she prescribed Keflex for a skin infection during the first week and then said the swelling was from my sinuses, but I didn't have that issue before. I'm very unhappy with it and really don't even want to go back there to see that injector. I do not have dysmorphia, but I am a little pissed as I went in to look better and now all lopsided and puffy looking more on one side. I'm 45, so I'm also worried if I have that one side dissolved it will leave me looking all dried up. Is it possible to treat small areas with dissolver or does it spread?

@DrTimPearce

2 жыл бұрын

If you have swelling that is coming and going it could be something that your immune system is causing. If looking at dissolving your better dissolving both sides. Especially if your filler is swelling regularly. The enzyme does spread so it won’t be possible to get just a specific part dissolved. Your body will regenerate your natural HA over a couple of weeks so you won’t look dried up. I would certainly recommend revisiting your practitioner again for another review. Kind regards Mary. Clinical advisor for Dr Tim

@Jen-M.

2 жыл бұрын

@@DrTimPearce Thank you so much for your response.

My first session having filler removed today I feel better with out i suggest people have it removed every 2 years because filler can sit for years especially a build up is no good hence migration

I can say by my own experience, I had 1700 units of hyaluronidase but did not help remove the filler, because it was HA with calcium (in company say it is removable with hyaluronidase). Now I have a superficial hollows in that area of hyaluronidase and the colour of skin is red. I did microneedling and hope it will get better after time. I am just curious how much time is needed for natural HA to renew?

@ryflint6104

Жыл бұрын

Did you get under your eyes dissolved?

@VV6385

Жыл бұрын

@@ryflint6104 No, in chin .. this filler which I have had is not with calcium but Hyaluronic Acid Polyethylene Glycols-Cross-Linked. I wrote to the company again to asked them how long will I have it but they are not answer me yet. Probably I won’t ever again in my life decide to have filler.

@alislolo82

Жыл бұрын

@@VV6385 is that dissolved now? hope u get better now🙏

@VV6385

Жыл бұрын

@@alislolo82 yes everything is ok, I just can say this quote: Don’t mess with something that is already ok.

@alislolo82

Жыл бұрын

@@VV6385 u mean it is better to keep the filler? I hope I don't get it 😭 , do you have bad reactions with dissolver?

Have you changed you thoughts on this yet? I had filler one time for 6 days before being asked to come in have it dissolved.. so all the theories about it being perception don’t apply to me. My face has changed considerably since dissolver. I went to a plastic surgeons office who said that they could fix it with bio stimulators. Those didn’t work. I’m now almost a year out from the dissolver, and I look worse. So now, from this video, it sounds like I’m falling into the category of someone who would walk into an office, talk about my dissatisfaction with previous treatments and now I’m a red flag rather than being helped. To me, it sounds like I’m being blamed for someone’s negligence.

@DrTimPearce

3 ай бұрын

Sometimes it's the unique anatomy that is the red flag- many people should not be treated for physical reasons.

@txhomebuyingpros

2 ай бұрын

@@DrTimPearce Id like to pose this question: hyaluronidase originates from the testicles - it's an enzyme that assists sperm in penetrating the egg. So why would we assume that hyaluronidase targets synthetic fillers before natural tissue? It seems counterintuitive. I'm genuinely trying to understand this because my appearance drastically changed within days. I haven't undergone many treatments before this. I've had Botox maybe five times in the past 10 years. I went in for what I thought was a simple treatment, akin to getting my nails done, and now I've been thrust into a situation I never wanted to be in. Not only that, but now I'm being labeled as a red flag or, as you described it, 'dysmorphic.' I can assure you that's not the case. I am always thoughtful and thorough; I'm not impulsive. To find myself in a position where, in some cases, I'm considered 'crazy' for asserting that hyaluronidase ruined my face feels confounding. Although I'm not an expert, one day my face looked one way, and the next, it was different. It's been almost a year, and I still haven't recovered. I recently watched a video where, for the longest time, plastic surgeons believed that filler didn't migrate... and we now know that's false. Many other beliefs have shifted in a short period. While I do acknowledge that some individuals who excessively fill their faces and then dissolve it may be upset for the wrong reasons, we must seriously consider and validate this issue. Hyaluronidase ruined my face, and I don't fit into any categories where it could be mistaken for something else.

Hi doctor do you do online consultation please i am from india

@DrTimPearce

Жыл бұрын

Good evening. Sorry this isn’t something we offer. Kind regards Mary. Clinical advisor for Dr Tim

So what can someone take or eat for a hyaluronic acid boost to fight the enzyme? Hearing some of people’s stories is awful and there is a lot of them.. I didn’t see any of this until the day after getting my lips dissolved. I am very stressed and scared

@DrTimPearce

Жыл бұрын

Do not take those stories as science- I looked into various cases and it is not consistent in the least. This is a very old medical product, used in high doses in medicine- only in aesthetics is it ruining lives- this could easily be explained by the incidence of body dysmorphia which is 10 to 15%

@MissStrawberryGun

8 ай бұрын

@@DrTimPearce that's a great point. there's also the possibility of mass hysteria being at play, possibly exacerbating any sensitivities occurring in people who are already higher on the body dysmorphia spectrum.

If your sister already got fillers in your under eyes and it looks very uglier and she is depressed, will you suggest her to inject Hyaluronidase or not?? I am suffering cuz of HA fillers 😢

@DrTimPearce

3 ай бұрын

Try to massage it away first, but if not the hyalase is low risk in trained hands.

@user-jb2gl5wt5c

3 ай бұрын

@@DrTimPearcethanks for the comment:) does massage help it dissolve fillers? Also is there any recommended brand that has shown that is effective and less side effect of Hyaluronidase ?? or does it not matter if the active ingredient the same? Wonder the impurities of Hyaluronidase matters..

I have had this dissolver many times, cheeks and under eye, mostly because I am very picky and if I do not like the look it needs to come out. To clarify, I have used sculptra once in the midcheek which was great and most natural looking but this last time I decided to do a filler since it is an immediate result. An HA filler. Never use one that is not an HA unless sculptra etc... I let 6 months go by and I just tired of the look, felt it did not look like me even though it was only one vial.. So I wanted it out.. It took three visits to dissolve with hyaluronidase because you do not want to fill your face all at once with that stuff. My face definitely deflated a bit so I will say in my experience it will take your own HA as well but the good news is three days later I was back to my normal self. So give it time after dissolving. Believe me I hated what I looked like right after but it will be ok in a short amount of time. I am a 45 year old male.

@nicci2534

Жыл бұрын

Thank you for this, I had HA lip filler about 6 months ago & my body hasn't taken to great to it ( bumps, uneven, dry lips all the time & I NEVER had chapped lips my whole life & it's a foreign substance& my body knows it) but I've been terrified to dissolve it & make things worse. My self esteem was already at an all time low (hence getting the stupid lip filler smh) & I just couldn't handle it getting any worse . I did go to the best plastic sugeron in my city but I didn't research it enough prior &the docs definitely mislead me & also didn't give full disclosure about the real negative side effects of fillers eiher. There's so much conflicting evidence/personal testimonies it's hard to decifer the truth. Question, did you get the "deflated" side effect every time you went in to dissolve? Did your face return 100% back to normal every time after each of these sessions? & with in 3 days or so? Did you have any other side effects? I also heard it burns really bad while it's being injected in & dissolving. Did they massage the hyaluronidase around /in your lips after injecting? I saw this in some videos. Was the healing time& the pain about the same as getting filler injected? Thanks & sorry for all the ?s lol

@amarino5179

Жыл бұрын

@@nicci2534 Hi Nicci.. Well, I would suggest doing a little at a time, meaning maybe after the first treatment you will like the result a bit better and leave what is still there in.. I am a man so I only did the cheek and not the lip lol. Was hollow they said because I am low body fat and body build so they see that a lot in my type of face. For me, it did not hurt or burn but I have heard the same info. Not sure why that would be the case. As far as deflating, that happened on my third and last visit. It was my call to pretty much blast it lol since I was tired of going back so many times. Otherwise I feel it would not have looked too bad if it was still a little at a time. To me it was worth it to deal with a little uglier of a face for a few days and know it is all out of my face. It took about 3 days to improve and one week until I was myself again. But my recommendation to you would be if you do not like it, get rid of it. Little by little

@blossomdawnaguirre3715

8 ай бұрын

​@@nicci2534hi Nicci did you end up doing it? I want to dissolve mine as well. It's giving me swelling, pain, lumps and my lips are hard as well. I terrified to dissolve. What did you end up doing ?

@MissStrawberryGun

8 ай бұрын

​@@nicci2534 my injector is a board certified plastic surgeon in beverly hills... he said that the reason it burns is due to a pH difference in the skin vs the hyaluronidase. He changes the pH level so that it doesn't burn by mixing it with some other solution. I think it's saline, if I remember correctly but I could be wrong on that specific metric.

I really need your help. I unconsciously fell off my bed this morning and hurt the left side of face just beneath my eyes it’s purple/grey and lower to the bottom not exactly the bottom of my face there’s a red line and above slightly to the right red marks and that whole area my eyebags to just above the bottom of the left side of my face it’s all swollen even from that fall my neck hurts in certain positions when I move my head I really need help on how to make the swelling, the marks, the bruises to go asap and how to calm my whole face down and get rid of it all quickly I can’t go to a doctor it’s been a couple of hours I did put Vaseline over it I put ice on my cheek for a while I started to feel some tightness when I took it off and my ENTIRE eyebags are completely swollen and purple i want to get rid of it :(

@DrTimPearce

2 жыл бұрын

I’m sorry I have only just see your message. Please accept my apologies. Sounds like you have really bruised yourself. Now you are past the Acute phase of the bruise a warm compress to the area regularly through the day should speed up the healing time. Some topical solutions such as arnica are said to improve healing times but I doubt itl do much for your case. Warm compresses will do more. Usually healing time for a bruise / bruises could take weeks to a month maybe even longer in some cases. I hope you heal up soon. Clinical advisor for Dr Tim

@rr9r9

2 жыл бұрын

@@DrTimPearce oh okay, what type of warm compresses do you mean? Til now I’ve only used an ice pack

@DrTimPearce

2 жыл бұрын

@@rr9r9 Ice packs constrict the blood flow and stem bleeding in the acute phase which has not passed. Now we want the body to wick away any of the leaked out blood sat in the tissues. Warm compresses (not hot) regularly through the day will speed this up. Maybe a warm shower am and pm on your face or a microwaveable warm beanie toy the kids have? As long as it’s not hot. Gently warm the tissues. Hope this helps. Clinical advisor for Dr Tim

@rr9r9

2 жыл бұрын

@@DrTimPearce Oh okay thank you

@rr9r9

2 жыл бұрын

@@DrTimPearce oh okay thank you also I heard people saying massaging it and putting teabags on it makes it better is that true?

If hyaluronidase does not destroy connective tissue, then why is it also used for resorption of scars?

@DrTimPearce

Жыл бұрын

In scars it's still used to hydrolyse physiological HA and aid the spread of the really active ingredient which is the steroid - it's really just helps a bit by allowing deeper spread of steroid- it's not breaking down collagen. jddonline.com/articles/hyaluronidase-in-dermatology-uses-beyond-hyaluronic-acid-fillers-S1545961620P0993X

@amayaknock6657

Жыл бұрын

@@DrTimPearce, Can hyaluronidase somehow affect nerve or muscle fibers? The fact is that after injections of this enzyme, my lip began to go down at times. It's like a muscle spasm I had a 0.6 ml filler that migrated due to being quite mild and injected with 150 units of hyaluronidase. It's more than I thought. Perhaps the dose was too high? I just wouldn't want to walk around with a crooked mouth. While the MRI scan did not find a vascular conflict with the nerves

@asyaasya5732

Жыл бұрын

@@DrTimPearce Well, this article says that one of the patients had a decrease in skin thickness over two years. My friend's skin became thinner above the lip itself. The shape of the lips has changed. I may be wrong, but doctor, what if hyaluronidase dissolves adipocytes?

@amayaknock6657

Жыл бұрын

​@@DrTimPearce It is important to note some related in vitro studies, such as those of Marazzi and colleagues, evaluated the role of hyaluronidase in skin and soft tissue vitality [53]. High concentrations of this enzyme have been reported to inhibit skin vitality. It has also been mentioned that concentration-dependent hyaluronidase toxicity is the cause of postoperative periorbital inflammation after cataract surgery after regional anesthesia.

do you think dissolving can trigger a sort of autoimmune response? meaning now the dissolver is out of the system but the body is over-producing its own hyaluronidase and attacking natural hyaluronic acid in the skin? not just the face but everywhere?

@marcangelo3718

Жыл бұрын

Hello, my girlfriend is experiencing the same thing. Can I get an update or tips on anything please, it makes me so sad seeing her depressed over this

@leslies.9262

Жыл бұрын

@@marcangelo3718 unfortunately im in the same boat right now. been almost 3 months for me and have experienced skin looseness, crepiness and loss of muscle all over my body and face. im a lot more calm now though i dont look like myself. i’d recommend she start eating really healthy to try and detox her body. lots of water. avoid alcohol for a while. i had a burning sensation at first all over my body but that has since gone. took about a month. like i said, i dont look exactly like myself but i feel mentally calmer and i think that can help heal our body too. im hoping my body bounces back in a few months. i’d like to add that im 24 so in no way should this be normal for my age, for any injectors thinking its related to age. my skin was tight and smooth prior to this.

@nimpfaelyn

Жыл бұрын

@@leslies.9262 hey Leslie. Thank you for your comment ! I'm so sorry for you... have you seen some doctors to help with your health? I'm 24 as well and would like to dissolve my under eye filler bc of complications, but the risk seems just not to be worth it. I really hope you're doing way better, very soon... I felt like I've ruind my life but you have it so much worse and I wish I could do anything to make you feel better. Sending virtual hugs ♡

@leslies.9262

Жыл бұрын

@@nimpfaelyn Hey. I’m doing slightly better. I have seen doctors and none have been able to help. I’m hoping my body heals naturally with time. Im at almost 6 months since all that and i can say i feel stronger and skin fluctuates with how strong it is as well. I have hope. Thats all I can say. I definitely don’t recommend but it also depends how you feel with the filler and if its causing lots of discomfort. Not everyone has such adverse side effects from dissolving but i would avoid it

@nimpfaelyn

Жыл бұрын

@@leslies.9262 thank you for your answer ♡ I'm glad your're doing a lil better now.. but still so so sorry.. ya, at our age our bodies should be able to heal themselves, but ofc not in a supernatural way. Taking hyaluronic acid/ collagen supplements and a lots of vitamin c should help a lil bit. You already spoke about the mental factor and this is just so right, ur so strong ♡ idk if you're the person for it, but maybe (and if it's for the placebo) try silent subliminals? placebo (& noncebo, sadly) work really well at least for me. Can't thank you enough for your advices and for sharing your story. You deserve the best ♡

Hallelujah to the voice of reason. Thank you for your measured, intelligence and unbiased response to the growing concern relating to hyaluronidase use in cosmetic practice. We need to maintain our commitment to evidence based practice and avoid promoting or fueling the public’s growing fear of hyaluronidase complications. As health care professionals we need to avoid anecdotal evidence and emotive responses that fuel fear. The consequences of this may lead to filler recipients not disclosing adverse events requiring hyaluronidase intervention or refusing hyaluronidase intervention in emergency situations such retinal artery occlusion or stroke.

@rachelpidduck549

Жыл бұрын

Um, that all makes sense, however, medical aesthetics are fueled by unresearched, unregulated, off-label, non science backed uses. Hyluronidase use in dissolving dermal filler has not be well researched and is an off-label, unregulated, unstudied, and non-FDA approved use of the product. This field does not respect evidence based anything. It relies wholly on biased anecdotal experience, especially when it comes to hyaluronidase. Stop discrediting and gaslighting women and men out of their experience with dissolving filler. Instead, practice informing patients of possible outcomes based on an overwhelming amount of anecdotal experiences that have been (and should be) documented.

@lukuma79

10 ай бұрын

@@rachelpidduck549so true. I am outraged that we have been lied to that Hyaluronic acid fillers last 6-12 months..

Holy smokes, im never getting filler even tho its tempting

Does hyaluronidase dissolve our natural HA? I mean injected HA and also our HA?

@DrTimPearce

2 жыл бұрын

Yes hyalase with dissolve your natural HA as well as your injected HA but your body will replace your natural stores over 3 days or so. drtimpearce.com/2018/10/09/what-are-the-risks-of-using-hyalase-to-reverse-dermal-fillers/ Hope this helps. Clinical advisor for Dr Tim.

@extravale

2 жыл бұрын

yes, it does. and when you will see with your eyes it doesn't replenish and you will look gaunt, deflated, with indents where you didn't have any filler, you will be the one with dysmorphia.

@juliajamrozowicz5206

2 жыл бұрын

@@DrTimPearce Thank you. What do yoy think about PB Serum? It's plant hyaluronidase that does not cause an allergic reaction as much as animal one?

@DrTimPearce

2 жыл бұрын

@@juliajamrozowicz5206 sorry Julia I’m not sure what that is therefore I couldn’t comment. Clinical advisor for Dr Tim

@SophieV777

2 жыл бұрын

@@extravale I think it’s quite obvious hyaluronidase causes some damage, but I also think filler does. I think that adding on the potential damage from hyaluronidase the dents can also be caused by filler that expanded the tissue and is now gone.

Great video, I am having a problem with under eye filler and I am not sure if I should have it dissolved, now and again I get puffy lumps in my troughs but when I massage them they disappear. I worry that if I have them dissolved I will be left with deflated balloons under my eyes as I probably would not want to have a filler again. I actually did a video about this after watching dr Chan (here is my video studio.kzread.infosHIlINOSSiQ/edit )Any advice? Also, could you do a video on Prophilo, please?

@DrTimPearce

2 жыл бұрын

Good evening. So it does sound like issue you are having is caused by the old dermal filler that you have in your tear trough area. You are correct, it can last longer than what the box states and over time as the old filler breaks down it causes more puffiness or lumps in the skin due to migration and it’s hydrophilic action. Having the filler dissolved should be the end to your lumpiness. You will return to how you were prior to the filler regarding the hollowness or volume loss. Your skin may appear a little more wrinkled initially as you don’t have the filler plumping the skin out anymore. Good skincare / eye retinol can aid with this. The other option is to leave it as it is if you are comfortable with light massage that improves your lymphatic drainage every morning. But that’s a personal choice of course.

@SugarPuffAndFluff

2 жыл бұрын

@@DrTimPearce Thank you for your reply, I have been massaging this area every day and the lumps are gone so I will probably leave it for now

@genamastrogianakismd6390

2 жыл бұрын

I had a similar problem to you and I had my eyelids operated on and the filler dissolved by Dr. Gupta in NYC. Results are wonderful. She is amazing and you should consider a consultation with her.

I’m sorry, you’re denying peoples suffering and as well blaming it on ‘dysmorphia’ when we have literal proof that it is damaging our bodies

@obmitty1

2 жыл бұрын

That's not what the video says?

@truth-alwayswins

Жыл бұрын

I think the doctor acknowledges that there is a percentage of patients who do experience the very real side effects of hyaluronidase. The problem is, there is no way to identify who will be negatively affected and how to help those who have been.

@robertnewton5343

Жыл бұрын

people. He is right that dissolver dissolves filler AND our natural hyaluronic acid. What they dont acknowledge is the permanent damage to the extraceullar matrix and SMAS layer. But of course, by all means, lets just blame this dysmorphia.........

great video! A very famous occuplastic surgeon who has been in practice for 40 years told me Ben Talei is "crazy." He just makes videos that are nonsense to get views.

@truth-alwayswins

Жыл бұрын

Hmm. Have to disagree. There is nothing nonsensical about Ben Talei’s videos-he is a straight shooter and considered one of the best cosmetic surgeons in Beverly Hills. Agree or disagree with Talei’s hypotheses, there is a lot of nipping at his heels that goes on by other, less renowned, physicians. They do the same with another big name in NYC. It’s petty.

This video is the ultimate gaslighting for victims of hyaluronidase.

@Elvenboadicea

Жыл бұрын

Not really. I guess you didn't watch it!

@rachelpidduck549

Жыл бұрын

Thats what I said! Literal definition of gaslighting. They act like this is a science backed procedure. Most of the medical aesthetics isn't well researched or studied. Hyluronidase use in dissolving filler has no independent, peer reviewed research. Using it is an off-label, unregulated and isn't FDA approved. Just like with PRP or PRF injections into the face. No studies on efficacy or best practice or standard procedures exist. They take products used in the medical field and apply, assert hypothesis and apply them to their own uses. Implement that into their practice and then lie to patients and take their money. Be honest, tell your patients this isnt well studied, here are some possible risks or outcomes based on anecdotal patient experience, and say there is no evidence in the literature that says these experienced are a proven side effect, however that may be representative of the gap of information in the literature itself.

anyone should know this stuff is bad for you

Go vegan

none of this stuff belongs in the human body? what are you people missing ?

@obmitty1

2 жыл бұрын

The video explains your body already makes 4 versions of it!

@gregoryb682

2 жыл бұрын

Yeah... It's actually a necessary and naturally occurring substance. As are the enzymes, natch.

vanity is a sin

@DrTimPearce

2 жыл бұрын

Perhaps, but controlling appearance does not always mean you are vain. Most patients do it for themselves, how they feel, not how others perceive them.

@gregoryb682

2 жыл бұрын

Which is why you're watching this video Julian? Repent! Lol

I have dissolved my lips after getting them done for roughly 12 years, they were so uneven and had a lot of filler in, probably about 1.5ml… what I have realised is, My own natural lips are so nice! I dont know why I ever wanted them doing! I was clearly very young and insecure, Loving my new natural lips but they are a little wrinkly and look dehydrated 🥲 I am going to do some CIT in 2 weeks time to induce collagen to them naturally

@itziebitz

Жыл бұрын

How did the CIT work?