Hyaluronidases, a family of enzymes that are able to degrade hyaluronic acid (HA), are employed in medicine to increase drug diffusion and reverse the effects of HA filler injections. Hyaluronidases are able to dissolve subcutaneous nodules or to correct excessive quantities of injected filler. Knowledge of the use, methods of application, and adverse effects of hyaluronidases is essential for the aesthetic practitioner. Therefore, we performed an extensive review of the available literature from 1928 to 2011 and compared the different enzymes available, recording each author's indications regarding usage and side effects.
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Univ Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USAUniv Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USA
Smith, Jesse M.
Davies, Brett W.
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Univ Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USAUniv Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USA
Davies, Brett W.
Hink, Eric M.
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Univ Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USAUniv Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USA
Hink, Eric M.
Durairaj, Vikram D.
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Univ Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USAUniv Colorado Hosp, Oculoplast & Orbital Surg, Dept Ophthalmol, Aurora, CO USA
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Univ Calif Los Angeles, Jules Stein Eye Inst, Div Orbital & Oculoplast Surg, Los Angeles, CA 90024 USAUniv Cambridge, Dept Clin Neurosci, Cambridge, England
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Univ Mississippi, Med Ctr, Dept Otolaryngol Head & Neck Surg, Jackson, MS USA
Univ Mississippi, Dept Otolaryngol Head & Neck Surg, Med Ctr, 2500 North State St, Jackson, MS 39216 USAUniv Mississippi, Med Ctr, Dept Otolaryngol Head & Neck Surg, Jackson, MS USA
Beatrous, Britton P.
Liddell, Peter H.
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Univ Mississippi, Med Ctr, Sch Med, Jackson, MS USAUniv Mississippi, Med Ctr, Dept Otolaryngol Head & Neck Surg, Jackson, MS USA
Liddell, Peter H.
Turner, Lindsay M.
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Univ Mississippi, Med Ctr, Dept Cell & Mol Biol, Jackson, MS USAUniv Mississippi, Med Ctr, Dept Otolaryngol Head & Neck Surg, Jackson, MS USA
Turner, Lindsay M.
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Raucher, Drazen
Jordan, J. Randall
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Univ Mississippi, Med Ctr, Dept Otolaryngol Head & Neck Surg, Jackson, MS USAUniv Mississippi, Med Ctr, Dept Otolaryngol Head & Neck Surg, Jackson, MS USA
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Duke Univ, Med Ctr, Dept Ophthalmol, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Ophthalmol, Durham, NC 27710 USA
Rao, Veena
Chi, Sulene
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Duke Univ, Med Ctr, Dept Ophthalmol, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Ophthalmol, Durham, NC 27710 USA
Chi, Sulene
Woodward, Julie
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Duke Univ, Med Ctr, Dept Ophthalmol, Durham, NC 27710 USA
Duke Univ, Med Ctr, Div Dermatol, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Ophthalmol, Durham, NC 27710 USA