Filler Dissolving Treatments - At A Glance

Best Results

1 - 3 treatments

Best Results
Best Results

Best Results

1 - 3 treatments

Duration of Results

Permanent

Duration of Results
Duration of Results

Duration of Results

Permanent

Treatment recovery

3-4 hours

Treatment recovery
Treatment recovery

Treatment recovery

3-4 hours

Risks & complications

Medium

Risks & complications
Risks & complications

Risks & complications

Medium

Anaesthetic

Numbing cream / local anaesthetic

Anaesthetic
Anaesthetic

Anaesthetic

Numbing cream / local anaesthetic

Procedure time

60+ min

Procedure time
Procedure time

Procedure time

60+ min

Skin specialist

Medically qualified

Skin specialist
Skin specialist

Skin specialist

Medically qualified

Back to work

Same day

Back to work
Back to work

Back to work

Same day

Filler Dissolving Overview

Celebrity culture has both popularised and demonised fillers, and many people now mistakenly associate fillers with overly plumped, pillowy faces, ‘trout pouts’ and ‘duck lips’. There is no denying the impact the Kardashian’s have had on the use of dermal fillers.

If you have had filler treatments and are no longer happy with how they look. Or you have been to a practitioner who was maybe not so adequately trained and you have lumps of nodules, or filler migration, you may wish to dissolve your filler.

In the correct, highly-skilled, highly-qualified hands, this can be done using an enzyme called hyaluronidase, or Hyalase, which is a prescription-only medicine. This enzyme is injected where the filler has been placed and dissolves it, leaving the area free of hyaluronic acid filler.

If you wish to have the area re-filled, you would need to wait at least two weeks before having further filler placed in the area treated with hyaluronidase.

Hyalase/hyaluronidase is a prescription-only medicine. The potential side-effects and risks of filler dissolving treatments can be significant. It is important that you see a medical practitioner for filler dissolving treatments.

This only works for hyaluronic acid-based fillers.

This Glowday Treatment Guide has been edited and medically verified by Dr Charlotte D'Souza.

How do filler dissolving treatments work?

Most dermal fillers used in the UK contain hyaluronic acid. When injected into the skin, hyaluronic acid's hydrophilic (water-loving) tendencies, cause it to attract water, instantly filling out wrinkles and scars and adding volume, shape and definition where necessary.

Hyaluronic acid is a naturally occurring substance within the body, which makes adverse reactions to it unlikely.

Fortunately, it can also be dissolved using an enzyme called hyaluronidase. This is a prescription-only medicine that can be injected into the area filler has been placed, dissolving any filler in that area.

This means that if you have had filler treatments and are not happy with the outcome, because you aren't keen on the aesthetic, or have lumps or nodules, the treatment can be reversed.

Who can have filler dissolving treatments?

Filler dissolving treatments are suitable for all adults, regardless of race and gender, who have had hyaluronic acid-based fillers, unless you are allergic to hyaluronidase/Hyalase.

How do you prepare for a filler dissolving treatment?

In the week before the treatment, avoid taking aspirin (unless prescribed by a doctor), ibuprofen, vitamin E and C, and fish oil supplements. These may increase bleeding and bruising. You can take paracetamol.

You must inform your practitioner of any prescription medication you are taking.

Don't have any anti-wrinkle injections 48 hours before or 48 hours after filler dissolving treatments.

What happens during a filler dissolving treatment?

Step One - Consultation and Consent

It is important to understand that, whilst dermal fillers are not prescription only medicines, the medication needed to dissolve fillers, hyaluronidase, is. Additionally, the anatomy of the face is complex, it is advisable the you only allow medically qualified practitioners carry out filler treatments and filler dissolving treatments.

Step Two - The Treatment

Your treatment will take about an hour, possibly longer.

The first part of your treatment will be administering an anaesthetic to make your treatment as comfortable as possible.

Step Three - The Check-Up

It is good practice for your practitioner to offer a free check-up, two weeks after your treatment. This allows them to check that the dose they administered was appropriate for the agreed outcome.

Step Four - The Repeat Treatment

Depending on whether the existing filler has been completely dissolved, you may need an additional dissolving treatment.

Your practitioner will advise regarding when you may require a repeat treatment.

What happens after a filler dissolving treatment?

After your treatment, you can go about your normal day. Bruising and swelling is common post-treatment, but these effects are temporary.

Post-treatment advice may include:

  • iced water soaks or ice packs to help to reduce swelling (although this is generally not required);
  • the use of painkillers such as paracetamol, is often not required but may be used if needed for a few days after treatment;
  • arnica (a homeopathic remedy) cream or tablets are sometimes recommended a few days before and a few days after treatment as there is some evidence that this can reduce bruising.

Bruising and swelling should go down after a couple of days but can persist for a week.

If you continue to experience excessive swelling, itching, pain, inflammation or skin colour changes, you should contact your practitioner immediately.

What are the side effects and risks of dissolving fillers?

Depending on the area being injected, the type of filler being used and the pain relief method being used, clients may find this procedure relatively painless to uncomfortable. Treatments around the nose, lips and tear trough area (under the eyes) are usually more painful than other areas but most clients find filler dissolving treatments as bearable as the initial filler treatment.

You must discuss pain management options with your practitioner and let them know if you are finding the procedure too uncomfortable.

The obvious, immediate and most common side effect is slight bleeding after the needle has been inserted into the skin.

Other risks include bruising, tenderness, redness and swelling around the injection site. These signs may take 2-7 days to vanish completely, especially around the lips where there is little flesh and skin is tender.

Hyalase (hyaluronidase) breaks down hyaluronic acid fillers, but it can also break down naturally occurring hyaluronic acid present in the body, so the results can be unpredictable and the effect dramatic.

There may well be loss of volume and some skin laxity which in itself may not provide a good aesthetic result. This often corrects itself as your own hyaluronic acid is regenerated 2-3 months later.

Rarely, allergic type reactions can occur after a filler dissolving treatment. In very rare cases, these can be severe or even fatal if not quickly and adequately treated. Signs of an allergic reaction include prolonged redness, swelling, itching and/or hardness, bumps in the skin. Such signs may appear at some or all injection points or in the general area the hyaluronidase has been injected. If you have allergic-type reactions to bee and wasp stings, you are more likely to have a reaction to hyaluronidase.

If you experience difficulty breathing, it is indicative of an anaphylactic reaction and you should seek medical help immediately.

As with any skin treatment, injections should be avoided in areas where the skin is swollen or where infections are present - e.g. active acne. Medically-qualified practitioners will be able to advise on treatments to manage such conditions prior to any filler dissolving treatments.

If you have a history of cold sores, or fever blisters in the treated area, injections may result in break outs. In this case, your practitioner may recommend that you take a course of anti-viral medicine before treatment.

No medical practitioner would carry out a filler dissolve treatment on a pregnant woman.

You should wait at least 2 weeks before undergoing any new dermal filler treatments. This is to ensure that any swelling and bruising has subsided. Also, if you have treatments too soon, hyaluronidase will dissolve your new filler too.

How much do filler dissolving treatments cost?

Costs vary depending mostly on the amount of hyaluronidase used and the number of treatments needed to dissolve the filler.

Hence, overall prices start at £200 per treatment session.

Glowday Disclaimer

All information in our Glowday Treatment Guides and blog articles is intended for reference and information. The information given here is to help you make informed decisions when considering the wide range of non-surgical aesthetic treatments available.

It is NOT intended as medical advice. Any reliance placed by you on the information contained within the Glowday Treatment Guides, Glowday blog articles or on any of Glowday.com is done by you at your own risk.

Before undergoing any non-surgical cosmetic treatment mentioned anywhere on Glowday.com, you should fully consult with an appropriately qualified and accredited practitioner who is properly trained in and fully insured to conduct the treatment you are interested in. Neither the author of the guides or blog articles, or the practitioner who has verified the guides nor Glowery Limited can be held responsible or liable for any loss or claim arising from the use or misuse of the content of Glowday.com.

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