Dissolving Fillers: How Hyaluronidase Works | What to Know About Dissolving Dermal Fillers + Lip FIllers

Dissolving Lip Filler with Hyaluronidase (Hyaluronic Acid Fillers)

Lip fillers, particularly those based on hyaluronic acid (HA), can indeed be reduced or reversed if the outcome isn’t as expected or if a patient wishes to lessen overfilled results. Hyaluronic Acid fillers are commonly used in this area to mimic the natural hyaluronic acid we have in our bodies, providing safe, temporary improvements that can be adjusted over time. The process involves injecting an enzyme called hyaluronidase into the treated areas. Hyaluronidase injections work by breaking down hyaluronic acid fillers, effectively dissolving some or all of the added volume. 

The correction can be partial or complete removal , depending on the amount of hyaluronidase used and the specific areas treated. This flexibility allows for adjustments to achieve the desired result. The dissolving process is quick, with results becoming noticeable immediately or soon after that. What is nice is that an area that is overcorrected or an area of a bump can be reduced. 

It’s important to note that hyaluronidase dissolves hyaluronic acid injections only, and the ability to reverse non-HA fillers, such as those made from calcium hydroxylapatite or poly-L-lactic acid, is limited. 

Correcting Botox Cosmetic Procedure 

Botox and other botulinum toxin-based treatments, used for aesthetic purposes like a lip flip or reducing wrinkles, work by temporarily relaxing muscle pull. Unlike HA fillers, however  there isn’t a direct antidote to immediately reverse the effects of Botox. However, if the results of a Botox treatment are unsatisfactory, there are ways to correct or mitigate the outcomes. 

In cases where Botox causes unwanted effects, such as asymmetry or an over-relaxed muscle, patients may have to wait for the effects to naturally diminish over time, typically up to a few months. In some situations, additional Botox injections may be administered to adjacent areas to balance the appearance or counteract the initial results. For instance, if a lip flip procedure results in an undesired effect, slight adjustments with more Botox can help achieve a more balanced look until the toxin’s effects wear off.

What Will Happen After I Get My Under Eye Filler Dissolved?

Under-eye fillers, particularly those based on hyaluronic acid, are widely used to enhance the tear trough area by adding volume and reducing hollows. However, these filler treatments can often lead to puffiness if an excessive amount of filler is used, due to the under-eye area’s sensitivity and its complex lymphatic drainage system. The most common reason for dissolving fillers in my practice stems from the overcorrection or miss application of hyaluronic acid fillers under the eyes previously applied from a different center. This overcorrection can cause unevenness, a darker appearance known as the Tyndall effect, or general dissatisfaction with the results. To correct these issues, hyaluronidase, an enzyme that breaks down hyaluronic acid-based fillers, is used as a safe and effective remedy. 

Patients undergoing this procedure should be prepared for potential side effects like swelling and bruising, particularly because of the under-eye area’s dense microvascular structure. Visible improvements are typically observed shortly after the procedure. However, for safety and optimal results, a professional assessment by a qualified, full-time dermal filler expert is highly recommended. Often, the reduction or elimination of previous hyaluronic acid fillers can occur in the same visit as the Eyerise filler cosmetic procedure. In expert hands, the removal or reduction of problematic fillers and the subsequent application of a less puffy alternative, such as Belotero—especially after problematic fillers like certain types of Juvederm and Restylane have been addressed—can be effectively managed in a single session.

Dissolve Filler in Your Face (Cheek Dermal Fillers)

Cheek filler injections, particularly those based on hyaluronic acid, are designed to enhance facial aesthetics by adding volume and cheek fullness. However, these fillers can cause issues such as puffiness due to their water-retaining properties, which is especially problematic in the sensitive mid-face area. Again, I often see this in patients who are coming from other centers.

This puffiness can worsen over time, often exacerbated by the practice of “stacking” fillers, where multiple treatments lead to an overfilled appearance. Dissolving these fillers involves hyaluronidase, an enzyme adept at breaking down hyaluronic acid, yet this process is complex due to the varying depths at which fillers are placed. — all too often fillers in the cheek are placed in various layers from superficial layers to deep within muscle or on bone. Such a procedure requires precise technique and deep anatomical knowledge to ensure the filler is effectively and efficiently targeted. 

Patients undergoing this treatment can expect some immediate relief from puffiness, though side effects like swelling and bruising are common. Ultimately, achieving optimal results and avoiding complications depend on the expertise of the practitioner and a thorough initial consultation to tailor the approach to each individual’s unique facial structure and filler history.

What to Expect After Dissolving Your Fillers 

The best strategy to minimize the need for reversals or corrections is choosing an experienced and skilled injector. Practitioners who specialize in cosmetic injectables and have a deep understanding and experience with injections are more likely to achieve desired results with minimal risk of complications. During the initial consultation, it’s crucial to communicate your goals and concerns clearly and to discuss the possibility of reversal or correction if the outcomes don’t meet your expectations.

Additionally, patients need to have realistic expectations about what lip fillers and Botox can achieve. Understanding that corrections and reversals are possible but may not always be instant can help set a foundation for a satisfying cosmetic enhancement experience. 

How Much Does it Cost to Dissolve Filler with Hyaluronidase? 

The cost of dissolving fillers typically ranges from about $199 for minor corrections to around $350 or more for extensive work. This cost variation is due to the amount of product needed and the complexity of the areas being treated. Multiple sessions may be necessary to fully correct the filler issue, which could increase the total expense. However, it is standard practice in most centers that specialize in fillers to include the cost of dissolving fillers in the initial procedure price if adjustments are needed, provided the fillers were originally administered at their office. This policy helps ensure patient satisfaction and safety without additional costs.

While lip fillers , cheek fillers  from hyaluronic acid type are generally safe and effective treatments for enhancing facial aesthetics, knowing that they can be reversed or corrected provides an additional layer of confidence for patients. Hyaluronic acid-based fillers offer the convenience of being reducible with hyaluronidase, allowing for adjustments post-treatment. Although Botox doesn’t have a direct reversal agent, adjustments and time can correct or mitigate undesired effects. Ultimately, the key to a successful outcome lies in selecting a qualified injector, clear communication, and having realistic expectations about the procedures and their reversibility.

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