Filler Dissolving (Hyaluronidase)

What Is Filler Dissolving?

Hyaluronidase is a naturally occurring enzyme in the body that breaks down hyaluronic acid. When injected into an area with HA filler, it:

• Rapidly dissolves the filler

• Allows the body to absorb and eliminate it naturally

• Helps correct overfilling, lumps, migration, or uneven results

⚠️ Important: Filler dissolving works only on hyaluronic acid fillers, not on permanent or semi-permanent fillers.

Why Filler Dissolving Is Done

• Overfilled or unnatural results

• Lumps, bumps, or uneven texture

• Filler migration (e.g., above lips or under eyes)

• Asymmetry

• Vascular complications (emergency use)

• Patient preference (wanting reversal)

How Filler Dissolving Works

• Hyaluronidase is injected directly into the filler

• The enzyme breaks down the HA structure

• Visible reduction often occurs within hours

• Full effect may take 24–72 hours

Time Duration of the Treatment

• Procedure time: 15–30 minutes

• Results visible: Within minutes to hours

• Full effect: 24–72 hours

• Repeat sessions: Sometimes required (depending on filler amount and depth)

Benefits of Filler Dissolving

✔ Corrects overfilling and poor results
✔ Improves facial balance and symmetry
✔ Quick and effective solution
✔ Minimally invasive
✔ Can be partial or complete reversal
✔ Safe when performed by trained professionals

Side Effects

Common Side Effects

• Swelling

• Redness

• Tenderness

• Bruising

Rare Side Effects

• Allergic reaction (patch testing may be required)

• Over-dissolving (can affect natural HA temporarily)

• Infection

⚠️ Serious complications are rare but should always be managed by a qualified medical professional.

Aftercare Instructions

• Avoid touching or massaging the area for 24 hours

• Avoid heat and strenuous exercise for 24–48 hours

• Avoid makeup for 24 hours

• Follow practitioner-specific advice

Who Is a Good Candidate?

• Individuals unhappy with previous HA filler results

• People with migrated or lumpy filler

• Patients requiring urgent filler reversal

Not Suitable For

• Non–hyaluronic acid fillers

• Individuals with known hyaluronidase allergy

• Pregnant or breastfeeding women (unless medically necessary)

Important Factors to Know Before Filler Dissolving

• Dissolving can remove both injected filler and some natural HA (temporary)

• Skin may appear deflated initially but recovers naturally

• Re-filling should usually wait 2–4 weeks after dissolving

• Multiple dissolving sessions may be needed

• Expertise is crucial—incorrect dosing can cause uneven results

Filler Dissolving vs Filler Removal

• Dissolving: Enzyme-based, works only on HA fillers

• Surgical removal: Rarely used, reserved for permanent fillers or complications

Final Note

Filler dissolving is a safe, effective, and often necessary corrective treatment when performed correctly. It allows patients to reset, refine, or completely reverse previous filler treatments, ensuring facial harmony and safety.