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Filler lumps start softening in minutes and shrink by more than 80 % within a day, with full clearance in a week. For cellulite or scar work, ultrasound shows a 25 % drop in tissue stiffness at four weeks, and smoother skin lasts at least nine months. Because the enzyme breaks down in 48–72 hours, repeat sessions won’t pile up systemic activity, but most clinicians leave a two-week gap to judge progress and dodge overcorrection. In urgent vascular cases, a high-pulse plan—75 IU/cm² every hour for three hours—restores blood flow in over 95 % of reported incidents.