What is “hylase”?

Hylase, hyaluronidase, is an enzyme that can dissolve hyaluronic acid. It is supplied in powder form in various concentrations. Subsequently, it is dissolved with a saline solution. Hylase is a very important product that should always be available for an emergency, as it is the “insurance policy” for many treatments.

When is Hylase applied?

As mentioned earlier, hylase can dissolve hyaluronic acid, reversing an incorrect treatment. Very often Hylase finds application after a failed Lippenaufspritzung. Unsuccessful lip spraying is when the material is injected into the wrong layer or placed too close to the mucous membrane or the leading edge of the lip. Problems can also arise when thick hyaluronic acid fillers are used. The increasingly common Bio-Polymer Filler DO NOT react to hylase and therefore can not be dissolved anymore.

How is a hylase treatment done?

A hylase treatment is carried out with a very thin needle, which is injected directly into the hyaluronic acid product – the enzyme. Within a few hours, hyaluronic acid dissolves. Depending on the treatment region, the puncture may be more or less painful.

How much does a hylase treatment cost?

Hylase is sold in ampules in powder form. Different concentrations – eg. 150mg, 300mg or 1,500mg – have to be diluted differently. 150-300mg can be used per treatment. The cost of a treatment is € 290. The experience is particularly important in the treatment, since hylase dissolves any hyaluronic acid, including the body’s own. Therefore, the dosage and accurate application is particularly important.

What should be paid special attention?

One problem that is occurring more and more frequently is that lipopolymers use biopolymers. The term “biopolymers” may be somewhat misleading in that it sounds “healthy” or “biological” and therefore inquired of by the patient. This is not the case. It’s just another lip-spreading material, a material that’s made from a substance different from hyaluronic acid. This raises the problem that the biopolymers can not be dissolved by hylase and as a result, the treatment can not be reversed. From the point of view of our doctors, it is therefore essential that an under-injection on the face indicates whether it is a hyaluronic acid product that can or may not be redissolved with hylase.

In addition, it is important to note that hylase is an enzyme that can not distinguish whether it is the body’s own naturally occurring hyaluronic acid or hyaluronic acid that has been injected. For this reason, the injection of hylase into skilled hands, since with too high a concentration or too high a quantity of the product, a negative effect, for example in the form of a hole, can be achieved.

Here is a patient example that has been treated with hylase: