What is Filler Dissolving?
Filler dissolving is a cosmetic procedure used to break down and remove previously injected dermal filler from the skin. It is commonly performed when a filler has been incorrectly placed, has migrated, created asymmetry, or led to undesirable aesthetic outcomes. The treatment involves injecting an enzyme called hyaluronidase into the area where the filler was applied, allowing the body to reabsorb the broken-down substance. This procedure is particularly useful for correcting complications or refining facial contours when the results of dermal fillers are no longer satisfactory. It offers a safe, effective, and often immediate solution for individuals seeking to reverse filler-related concerns.
How Does Hyaluronidase Work?
Hyaluronidase is an enzyme that naturally exists in the body and is used in medical aesthetics to break down hyaluronic acid-based fillers. When injected into the area where the filler is located, hyaluronidase catalyzes the degradation of hyaluronic acid molecules, turning them into smaller particles that are easily absorbed and removed by the body’s lymphatic system. The enzyme works quickly, with visible changes often occurring within minutes to a few hours. While highly effective, hyaluronidase is specific to hyaluronic acid fillers and does not affect fillers made from other substances. The dose and number of sessions required depend on the volume and density of the filler being dissolved.
When Should You Consider Dissolving Filler?
Filler dissolving should be considered in several situations. The most common reason is dissatisfaction with the aesthetic outcome—such as overfilling, asymmetry, or unnatural appearance. In some cases, filler may migrate from its original placement, creating puffiness or irregular contours. Medical complications, such as vascular occlusion, lumps, or persistent swelling, also warrant immediate intervention with hyaluronidase. Additionally, patients preparing for new filler treatments may choose to dissolve old product to reset the treatment area. Dissolving is also a safe option for those who wish to return to their natural appearance or who experience anxiety about the longevity of their results.
What Types of Fillers Can Be Dissolved?
Hyaluronidase is effective only on dermal fillers composed of hyaluronic acid, which includes popular brands like Juvederm, Restylane, Belotero, and Teosyal. These fillers are widely used due to their reversibility and biocompatibility. Non-hyaluronic acid fillers—such as those containing calcium hydroxylapatite (e.g., Radiesse), poly-L-lactic acid (e.g., Sculptra), or polymethyl methacrylate (PMMA)—cannot be dissolved with hyaluronidase. In such cases, patients must wait for the product to naturally degrade over time or consider surgical removal if complications occur. It is crucial to identify the filler type before proceeding with treatment, as incorrect use of hyaluronidase can lead to unintended effects.
Who is a Good Candidate for Filler Dissolving?
Good candidates for filler dissolving are individuals who have received hyaluronic acid-based fillers and are unhappy with the outcome or experiencing complications. This includes those with visible overfilling, asymmetry, migration, or prolonged swelling. It also applies to patients preparing for revision treatments or who simply wish to reverse their enhancements. Candidates should be in generally good health and free of infections in the treatment area. It is important for the practitioner to conduct a thorough evaluation to ensure the patient’s concerns are valid and that dissolving the filler is the most appropriate course of action.
What to Expect During and After the Procedure
The filler dissolving procedure is relatively quick and straightforward. The area is first cleansed, and a topical numbing cream may be applied for comfort. Hyaluronidase is then injected directly into the site of the filler using a fine needle or cannula. The enzyme begins to break down the filler almost immediately, with results often noticeable within minutes to a few hours. Some patients may require more than one session depending on the amount of filler and its placement. After treatment, mild swelling, redness, or bruising may occur but typically resolves within a few days. It is essential to follow aftercare instructions, including avoiding pressure or massage on the treated area for the first 24 hours.
Is Filler Dissolving Safe?
Filler dissolving with hyaluronidase is considered safe when performed by a qualified and experienced medical professional. The enzyme is well-tolerated by most individuals, though allergic reactions can occur in rare cases. A patch test may be recommended before treatment to minimize this risk. Minor side effects such as temporary swelling, redness, and bruising are common but typically short-lived. The most significant risk involves over-dissolving, where natural tissue may lose volume temporarily if too much enzyme is used. This underscores the importance of precise dosing and professional technique. Overall, when done correctly, the procedure offers a reliable and safe solution for managing filler-related concerns.
Filler Dissolving for Overfilled or Migrated Filler
Overfilled or migrated filler can result in an unnatural or distorted appearance, often drawing attention to areas like the lips, cheeks, or under-eyes. Filler migration may occur gradually over time, especially with repeated treatments or improper placement. Dissolving with hyaluronidase offers a targeted and effective way to correct these issues, restoring a more natural look. In many cases, patients choose to refine rather than completely remove all filler, which requires a precise and conservative approach. A skilled practitioner can assess the volume and position of the migrated product and tailor the treatment to achieve subtle correction while preserving desirable effects.
Filler Dissolving vs. Waiting It Out: Pros and Cons
Choosing between dissolving filler and waiting for it to naturally degrade depends on the situation and personal preference. Dissolving offers immediate correction, which is particularly useful in cases of aesthetic dissatisfaction or medical complications. It allows patients to regain control over their appearance without enduring months of waiting. However, there are risks, such as overcorrection or temporary tissue volume loss, which may not occur with natural degradation. On the other hand, waiting allows the body to break down the filler slowly and safely, especially if the issue is minor or likely to improve with time. While this requires patience, it avoids the need for additional procedures. Ultimately, the choice depends on the urgency of the concern, the type of filler, and the recommendation of a trusted professional.
Things to Know Before Getting Filler Dissolved
Before deciding to have dermal filler dissolved, it’s important to understand what the procedure involves and what outcomes to expect. Filler dissolving is only effective on hyaluronic acid-based fillers, not on permanent or semi-permanent fillers. A consultation with an experienced practitioner is essential to confirm the type of filler used and determine the appropriate treatment plan. It’s also worth noting that some natural volume loss may occur if too much enzyme is used, especially in areas where filler has been present for a long time. While results are often visible quickly, more than one session may be required in cases of dense or deep filler. Allergic reactions to hyaluronidase are rare but possible, so a patch test may be suggested. Understanding these factors helps set realistic expectations and ensures a smooth and safe treatment experience.
Filler Dissolving Reviews and Real Experiences
Real experiences with filler dissolving are generally positive, especially for individuals correcting overfilled, migrated, or uneven results. Many patients report immediate relief after long-standing dissatisfaction with facial contours or filler-related complications. The procedure is often described as quick and surprisingly gentle, with only minor stinging or pressure during injection. Users frequently express a sense of “returning to normal” as the facial balance is restored. However, some note temporary swelling or bruising, and a few mention that more than one session was needed to fully remove the filler. Overall, satisfaction is high when the procedure is performed by a skilled injector and tailored to the individual’s needs.
Filler Dissolving Prices 2025
Filler dissolving prices in 2025 vary depending on the clinic’s location, the experience of the practitioner, and the number of areas being treated. The cost is typically based on the amount of hyaluronidase used, which is measured in units or vials. One session may be sufficient for mild corrections, while larger or multiple filler areas may require additional product or follow-up sessions. Prices may also include consultation and aftercare. Since each case is unique, personalized pricing can only be determined after a thorough evaluation. For up-to-date information on filler dissolving prices in 2025, please contact us directly.
Does filler dissolving hurt?
Most patients find filler dissolving to be only mildly uncomfortable. A numbing cream is often applied before the procedure, and the enzyme is injected using a fine needle. Some people describe a temporary stinging, burning, or tight sensation during injection, but the discomfort is usually brief and manageable.
How long does it take for filler to dissolve completely?
Hyaluronidase begins working almost immediately, and noticeable results are often seen within a few hours. In many cases, most of the filler is dissolved within 24 to 48 hours. However, depending on the amount and type of filler, as well as the area treated, full results may take a few days to finalize. Occasionally, a second session may be needed for complete correction.
Can I get filler again after dissolving?
Yes, it is entirely safe to receive filler again after having it dissolved. Most practitioners recommend waiting at least one to two weeks after the dissolving procedure to allow swelling to subside and tissues to settle. This ensures that any new filler is placed accurately and yields the most natural-looking results.
Will it affect my natural tissues?
Hyaluronidase is designed to target hyaluronic acid in filler products, but it can also break down the body’s natural hyaluronic acid to a small degree. This effect is temporary, and the body naturally replenishes its own hyaluronic acid over time. When administered properly, filler dissolving does not cause permanent damage to natural tissues.
How fast does hyaluronidase work?
The enzyme starts acting within minutes of injection, and many patients notice visible changes in volume and contour within the first few hours. Most of the dissolving process is completed within 24 to 48 hours, with minor adjustments continuing over several days. The speed of action may vary slightly based on individual factors and the amount of filler present.
Are there any side effects?
Common side effects include mild swelling, redness, bruising, and tenderness at the injection site. These effects are typically short-lived and resolve within a few days. In rare cases, allergic reactions or over-dissolution can occur, which is why a patch test and conservative dosing are recommended. Choosing a skilled provider helps minimize risks and ensures a safer experience.
Can all types of filler be dissolved?
No, only hyaluronic acid-based fillers can be dissolved with hyaluronidase. Popular brands like Juvederm, Restylane, and Belotero fall into this category. Fillers made from other substances—such as Radiesse (calcium hydroxylapatite), Sculptra (poly-L-lactic acid), or permanent fillers—cannot be broken down with hyaluronidase and must naturally degrade over time or be removed surgically if necessary.
