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Ryan C. Kelm, MD on Instagram: "💉 The Double-Edged Sword of Hyaluronidase 💉 Hyaluronidase (HYAL) is an essential tool for addressing vascular emergencies and elective filler dissolution. But have you ever wondered about its potential long-term effects on the skin? While HYAL effectively dissolves HA-based fillers, high doses, and repetitive use may have unintended consequences. In some patients, we are seeing this clinically, especially in the tear trough area — textual changes, red hue, and d
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