Dr. Mandal offers photos for your viewing and encourages you to make an appointment for a consultation so she can learn your aesthetic surgical goals.

view more »

"For the first time in my life, I do not have bags under my eyes. I am thrilled I am thrilled with the results..."

-LH, West Palm Beach

read more »

Click here to like us on Facebook

Visit our Facebook Page for more information from Dr. Anita Mandal.

Click Here »

Correction of filler injections

Posted:10:16 a.m. Friday, Aug. 22, 2014

By Anita Mandal, M.D.

Question: My surgeon injected hyaluronic acid filler for my under-eye hollows to improve the eyelid bags. I’m not sure if I had Restylane™ or Juvederm™ but I’m overfilled. I’ve heard of a product that dissolves fillers, but can’t I just wait until it goes away on its own?

Answer: Hyaluronidase (HA’ase) is what your referring to and it speeds up the breakdown of hyaluronic acid (HA) in our body. It is commercially available as Vitrase™ or Hyelenex™ and is an accepted off-label to inject into tissues to dissolve certain fillers consisting of hyaluronic acid.
HA’ase won’t necessarily dissolve filler that is not an HA filler. Also, a monophasic filler like Restylane responds to HA’ase better than Juvederm which is biphasic.
The lower eyelid/upper cheeks are common areas of accidental overfilling. Good results are highly technique-sensitive and depends on injector skill. Additionally, swelling tends to pool in this area and any filler, especially if injected improperly, may not go away on its own in the expected time frame.
Additionally, fibrosis or scar tissue can form around fillers over time, further preventing filler resorption within the normal time frame. The lower eyelid area tends to retain HA fillers longer than other facial areas. For these reasons, early intervention with HA’ase to dissolve filler may be beneficial.
Proper injection the first time around by a Facial Plastic Surgeon who is skilled injector and knowledged on facial volumization and anatomy as well as can reduce complications that would require additional treatment.

Original Source:

Date of Birth

Enter the characters below:
captcha
*required
Find A Plastic Surgeon
We offer 0% financing to our patients. Visit our financing page to learn more.

click here »

Dr. Mandal's practice is located in the heart of Palm Beach Gardens. Take a tour!

click here »

Click here to ask Dr. Mandal a question and she will personally get back to you (no fees given via e-mail).

click here »

Bella Diamond Award