Filler Dissolving Treatment
Dermal filler dissolving treatment is a non-surgical procedure designed to reverse or correct the effects of previously administered dermal filler injections.
This innovative treatment consists of a dissolving agent, typically hyaluronidase, which is injected into the areas where the filler needs to be broken down and dissolved.
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Filler dissolving treatment can be elective which allows restoring a more natural appearance or addressing any concerns related to overcorrection or unevenness. But it is also a reversal treatment to overcome complications which confers a safe approach to medical emergencies.
The treatment is minimally invasive, with results often visible within hours, making it a versatile and effective tool in the realm of cosmetic enhancements.
What is Filler Dissolving Treatment?
Filler dissolving treatment, also known as filler reversal or filler removal, is a cosmetic procedure used to dissolve or remove dermal fillers that have been previously injected. Dermal fillers are substances, such as hyaluronic acid, that are injected into the skin to add volume, smooth wrinkles, and enhance facial features.
There are several reasons why someone might want to have their dermal fillers dissolved or removed:
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Dissatisfaction with results: If a person is unhappy with the results of their filler treatment or if the filler has been injected unevenly or excessively, they may opt for an elective filler dissolving to reverse or adjust the effects.
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Complications: In some cases, individuals may experience adverse reactions or complications from filler injections, such as lumps, bumps, or asymmetry. Filler dissolving can help correct these issues.
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Natural aging: Over time, the effects of dermal fillers will naturally wear off, and some people may choose to have the filler dissolved as part of their ongoing skincare and aesthetic maintenance.
The most commonly used substance for filler dissolving is hyaluronidase, which is an enzyme that breaks down hyaluronic acid fillers. Hyaluronidase is a prescription only medication so a qualified prescriber should assess you first. Hyaluronidase is injected into the treatment area, where it works to break down the filler material, allowing the body to gradually absorb and eliminate it. The procedure is relatively quick and minimally invasive, and results can often be seen within a few days, although multiple sessions may be needed to achieve the desired outcome.
It's essential to have filler dissolving performed by a qualified and experienced medical professional as there can be risks and potential side effects associated with the procedure.
Additionally, not all dermal fillers are hyaluronic acid-based, so the approach to dissolving other types of fillers may differ. Patients considering filler dissolving should consult with the aesthetic practitioner that administered the treatment. Should their practitioner is not available or qualified to proceed with the dermal filler reversal treatment contact a healthcare professional to discuss their specific needs and expectations.
How Does Filler Dissolving
Treatment Work?
Hyaluronidase is an enzyme that plays a crucial role in breaking down hyaluronic acid, which is the primary component of many dermal fillers. When used to dissolve dermal fillers, hyaluronidase works by breaking the hyaluronic acid molecules into smaller fragments, which are more easily absorbed and metabolised by the body. Here's how the process works:
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Injection of hyaluronidase: A qualified medical professional prescribes and administers hyaluronidase by injecting it directly into the area where the dermal filler was previously injected. Elective treatments require an allergic test first.
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Enzymatic breakdown: Hyaluronidase starts to break down the hyaluronic acid filler within minutes of injection. The enzyme works by breaking the chemical bonds between the hyaluronic acid molecules, reducing them into smaller components.
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Accelerated absorption: Once the hyaluronic acid filler has been broken down, the body's natural metabolic processes take over. The smaller hyaluronic acid fragments are more easily absorbed and eliminated by the body through the lymphatic system and bloodstream.
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Gradual reversal: Over the course of several hours to a few days, the effects of the dermal filler start to diminish as the hyaluronic acid is broken down and absorbed. The treated area gradually returns to its pre-filler state.
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It's important to note that hyaluronidase is specific to hyaluronic acid fillers and will not work on other types of fillers like those based on calcium hydroxylapatite (e.g., Radiesse) or poly-L-lactic acid (e.g., Sculptra). In cases where non-hyaluronic acid fillers need to be dissolved or removed, different approaches or treatments may be necessary.
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The effectiveness and duration of hyaluronidase in dissolving fillers can vary from person to person and depend on factors such as the type and amount of filler used, the individual's metabolism, and the location of the filler injection. Multiple sessions may be required to achieve the desired result, and the procedure should be performed by a qualified and experienced medical professional to minimise the risk of side effects or complications.
How Should
I Prepare Before Treatment?
If you’re planning to come in for a dermal filler treatment, we advise our patients to avoid alcohol, smoking, Ibuprofen and fish oils for at least two days prior to the treatment. This helps minimise bruising and swelling. We believe that a healthy body increases the chance of a successful outcome.
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It is important to highlight other blood-thinning medications such as warfarin, DOACs and heparin can also increase the likelihood of side effect. ​​
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Hydration can help minimise the risk of bruising and promote a smoother recovery. Drink adequate water in the days leading up to the treatment.​
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It would also be recommended to arrange for transportation. After the treatment you may experience some swelling or discomfort after the procedure, it's a good idea to arrange for someone to drive you home.
In Bella Aesthetic Clinic we offer a consultation to ALL our patients to assist with pre-treatment advice. Contact us today to schedule your appointment.
What Happens During
Filler Dissolving Treatment?
During a dermal filler dissolving treatment, a medical professional will use a hyaluronidase enzyme to break down and remove previously injected hyaluronic acid dermal filler. Here is an overview of what happens during a typical dermal filler dissolving treatment:
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Consultation: The process usually begins with a consultation with a qualified medical professional. During this consultation, you can discuss your reasons for wanting the treatment, any concerns you have with your existing dermal filler, and your desired outcomes. The practitioner will assess your facial anatomy and the specific areas where you want the filler dissolved.
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Pre-treatment assessment: Before the procedure, the practitioner will assess the current condition of your treated areas, including checking for any lumps, bumps, or asymmetries caused by the existing filler. They will also evaluate your skin's health.
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Allergies test: While allergic reactions to hyaluronidase are rare, they can occur. When performing elective dermal filler dissolving your practitioner will do an allergy test on the arm. It is recommended to wait at least 1 hour before treating the area of concern to avoid undesirable preventable reactions.
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Numbing: Depending on your preferences and the treatment area, your aesthetic practitioner may apply a topical numbing cream to minimise discomfort during the procedure. The need for numbing will vary from person to person.
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Injection of hyaluronidase: The practitioner will inject hyaluronidase directly into the areas where the hyaluronic acid filler is located. The enzyme works to break down the hyaluronic acid molecules within the filler.
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Monitoring: The practitioner may apply heat and massage the treated area gently to help evenly distribute the hyaluronidase and break down the filler. They will monitor the progress throughout the procedure.
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Gradual reversal: Hyaluronidase starts to work immediately, but it may take several hours to a few days for the effects of the dermal filler to diminish. As the hyaluronic acid is broken down into smaller fragments, your body's natural metabolic processes will gradually absorb and eliminate the filler material.
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Assessment and follow-up: After the initial treatment, you and your practitioner will assess the results. Depending on the initial evaluation and the amount of filler that needs to be dissolved, additional treatment sessions may be necessary to achieve your desired outcome.
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Post-treatment care: Your aesthetic practitioner will provide you with post-treatment care instructions, which may include avoiding certain activities, products, or sun exposure for a specified period following the procedure. It's essential to follow these instructions to ensure a smooth recovery and minimise the risk of complications.
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The exact duration of a dermal filler dissolving treatment can vary based on the amount of filler being dissolved and the specific areas being treated. The procedure is typically minimally invasive and can often be completed in one visit.
It's important to have the procedure performed by a qualified and experienced medical professional to ensure safety and optimal results. Individual experiences with dermal filler dissolving may vary, and the effectiveness of the treatment depends on various factors, including the type of filler used and the individual's metabolism.
Filler Dissolving Treatment
After Care
Aftercare following a dermal filler dissolving treatment is important to promote healing, minimise side effects, and ensure the best possible results. Here are some general aftercare guidelines to follow:
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Follow practitioner instructions: Always adhere to the specific post-treatment care instructions provided by your medical professional. Their guidance may vary depending on the individual, the areas treated, and the amount of filler dissolved.
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Avoid vigorous activity: For the first 24-48 hours following the procedure, it's advisable to refrain from vigorous physical activities, such as exercise, as this can increase the risk of swelling and bruising.
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Avoid alcohol: It's a good idea to avoid alcohol for at least a day or two before and after the treatment, as alcohol can also increase the likelihood of bruising.
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Use cold compresses: Applying cold compresses to the treated areas can help reduce swelling and discomfort. Use a clean, soft cloth or an ice pack wrapped in a cloth. Apply it for short intervals, about 15 minutes at a time, with breaks in between to prevent frostbite.
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Over-the-counter pain relief: If you experience discomfort or swelling, you can consult with your practitioner about the use of over-the-counter pain relief medications such as paracetamol. Avoid NSAIDs (non-steroidal anti-inflammatory drugs), such as ibuprofen, as they can increase the risk of bleeding and bruising.
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Gentle cleansing: Avoid vigorous rubbing or scrubbing of the treated areas. Use a gentle cleanser to clean your skin, and pat it dry with a soft towel.
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Makeup and sunscreen: You can usually apply makeup over the treated area once any post-treatment swelling or redness has subsided. Don't forget to use sunscreen to protect your skin from UV damage.
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Massage (if recommended): In some cases, your practitioner may recommend gentle massage of the treated areas to help disperse the dissolved filler. Follow their guidance if this is part of your aftercare.
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Maintain good skincare: Continue with your regular skincare routine, but avoid using products with active ingredients (e.g., retinoids or strong acids) in the treated areas for a few days.
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Follow-up appointments: Depending on the results of the initial treatment, additional sessions may be required to achieve your desired outcome. Follow up with your practitioner as recommended to monitor your progress and make any necessary adjustments.
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Report any concerns: If you experience unusual or severe side effects, such as persistent swelling, excessive bruising, or infection, contact your aesthetic practitioner promptly.
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It's essential to be patient and allow time for your body to naturally eliminate the dissolved filler. Results may take several days to become fully visible. If you have any questions or concerns during your recovery, don't hesitate to reach out to your aesthetic practitioner for guidance and reassurance.
What Are The Side Effects and Risks
of Having
Filler Dissolving Treatment?
Filler dissolving treatment, when performed by a qualified healthcare professional, is generally safe and well-tolerated. However, as with any medical procedure, there can be potential side effects and risks associated with hyaluronidase or other dissolving agents. It's important to be aware of these risks and discuss them with your healthcare provider before undergoing the treatment. Common side effects and risks of filler dissolving treatment may include:
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Swelling: Swelling is a common side effect and usually subsides within a few days after the procedure. Applying cold compresses and following aftercare instructions can help alleviate swelling.
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Bruising: Some degree of bruising at the injection site is also common. It can vary in severity and typically resolves within a week or two. Avoiding medications and substances that can increase the risk of bleeding, as advised by your practitioner, can help reduce bruising.
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Redness: Temporary redness or skin irritation may occur at the injection sites, but it typically fades within a few days.
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Pain or discomfort: Mild discomfort or pain at the treatment area is possible but is usually temporary and can be managed with over-the-counter pain killers such as paracetamol if recommended by your practitioner.
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Allergic reactions: While allergic reactions to hyaluronidase are rare, they can occur. Inform your practitioner of any known allergies or previous allergic reactions to enzyme-based products.
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Over-correction or under-correction: Achieving the desired results with filler dissolving can sometimes be a gradual process. Your practitioner may need to perform multiple sessions to achieve the ideal outcome, and it's possible to over-dissolve or under-dissolve the filler material.
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Infection: Though rare, there is a risk of infection associated with any injection procedure. Make sure that the treatment is performed in a sterile environment by a qualified healthcare professional to minimise this risk.
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Skin texture changes: In some cases, the texture of the skin may be affected after filler dissolving. This can include lumpiness or unevenness, which may require additional correction or time to resolve.
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Scarring: While extremely rare, the possibility of scarring exists, particularly if the skin is damaged during the injection.
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Hyaluronidase overdose: In very rare instances, an excessive amount of hyaluronidase can be injected, leading to over-correction and unwanted changes in the treated area.
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It's crucial to choose a reputable, experienced, and qualified healthcare professional to perform your filler dissolving treatment. They can assess your unique situation, discuss the potential risks and benefits, and provide proper aftercare instructions to minimise complications. If you experience any unusual or severe side effects after the procedure, contact your practitioner promptly for guidance and evaluation.
When To Avoid Filler Dissolving
Treatment?
While dermal filler dissolving treatments can be effective and safe in many situations, there are certain circumstances when it is advisable to avoid or postpone the procedure. Here are some instances when you should avoid filler dissolving treatments:
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Recent filler injection: It's generally best to wait at least two to four weeks after the initial filler injection before considering dissolving treatment. This allows the newly injected filler to settle and any immediate side effects, such as swelling and bruising, to subside.
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Active infection or skin condition: If you have an active skin infection, cold sores, or other skin conditions in the treatment area, it's essential to wait until the infection or condition has fully resolved before undergoing any filler dissolving treatment. Injecting hyaluronidase into an infected area can lead to complications.
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Pregnancy or breastfeeding: While the safety of hyaluronidase during pregnancy and breastfeeding has not been conclusively established, it's generally recommended to avoid elective procedures, including filler dissolving, during these periods. Discuss this with your aesthetic practitioner.
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Allergic reactions: If you have a known allergy to hyaluronidase or any of the components used in the dissolving treatment, you should avoid the procedure. Allergies to hyaluronidase are rare but can be serious.
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Unresolved complications: If you experienced severe complications with your previous filler injection, such as granulomas, nodules, or vascular compromise, it's crucial to address these issues with your medical professional before considering dissolving treatment. They may need to be resolved first to avoid worsening the situation.
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Unrealistic expectations: If your expectations are unrealistic or if you are dissatisfied with the results of your initial filler treatment due to reasons that cannot be resolved with dissolving treatment alone, it's important to have an in-depth discussion with your practitioner. Dissolving may not be the appropriate solution in every case, and your practitioner can help you explore other options.
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Medical conditions or medications: Certain medical conditions or medications may affect your suitability for filler dissolving treatment. It's important to discuss your full medical history and any medications you are taking with your healthcare professional before the procedure.
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Unstable mental health: Patients with unstable mental health conditions or those experiencing significant emotional distress may not be suitable candidates for cosmetic procedures, including filler dissolving. It's important to be in a good mental and emotional state when considering any aesthetic treatment.
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Lack of a qualified practitioner: Ensure that you choose a qualified, experienced, and reputable healthcare professional to perform the procedure. Avoid unregulated practitioners or those without a proven track record of successful and safe treatments.
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It's crucial to have a thorough consultation with a qualified healthcare professional to discuss your specific needs, concerns, and suitability for filler dissolving treatments. They can assess your situation and provide guidance on the most appropriate course of action for your individual case.
Best Results
1 Treatment
Within 1-2 weeks
Procedure Time
60 minutes
Duration of Results
permanent
Treatment Recovery
7-14 days
Anaesthetic
topical cream