Filler Complication Clinic: Dermal Filler Dissolving with Hyaluronidase

At our clinic, we recognise that while dermal fillers can create stunning results, occasionally we see complications or unsatisfactory outcomes that have occurred with previous treatments at other clinics. To address these issues, we offer specialised treatment using an enzyme known as Hyaluronidase, which is expertly used to dissolve unwanted hyaluronic acid fillers.

Patch Testing: Before proceeding with the full treatment, we conduct a patch test to ensure you do not have an allergy to hyaluronidase. According to the ACE Group guidelines, a small amount of hyaluronidase is injected intradermally in the forearm. We observe the area for any adverse reactions for at least 20 minutes. This safety measure helps to minimise the risk of an allergic reaction during the actual treatment.

Treatment Procedure: Once the patch test confirms no adverse reactions, we perform your treatment. During the procedure:

  1. Preparation: The treatment area is thoroughly cleansed, and a topical numbing cream may be applied to ensure comfort.
  2. Injection: Using a fine needle, hyaluronidase is carefully injected into the targeted areas where the filler needs to be dissolved. The amount and concentration of hyaluronidase depend on the volume of filler and the degree of correction required.
  3. Monitoring: We closely monitor the injection sites for any immediate reactions and ensure the enzyme is effectively targeting the unwanted filler.
Dermal Filler Dissolving with Hyaluronidase
How Hyaluronidase Works

Hyaluronidase is an enzyme that specifically targets and breaks down hyaluronic acid, the primary component in many dermal fillers. It can be carefully injected into the affected areas to correct issues such as overfilling, asymmetry, or to mitigate complications. In some cases, it can also be applied topically, though injection is the more common method for deeper or more precise correction. The efficacy of Hyaluronidase depends on the concentration used, the specific properties of the filler, and the amount administered.

  • Procedure: Hyaluronidase is injected into the targeted area with precision. The process is quick and involves minimal discomfort.
  • Post-Treatment Reactions: Patients may experience mild bruising, redness, swelling, and temporary itching at the injection site. These side effects are generally mild and resolve within a few days.
  • Results: The effects of Hyaluronidase can be noticeable within minutes, though we recommend waiting up to 72 hours to evaluate the final outcome as swelling subsides.
  • Follow-Up Care: Avoid makeup for 6-8 hours post-procedure, refrain from strenuous exercise for 48 hours, and skip blood-thinning medications for two days to optimise healing.
  • Quick Correction: Rapidly addresses dissatisfaction from previous filler treatments.
  • Versatility: Effective against a range of complications, including prolonged swelling, lumps (granulomas), overfilling, and uneven contouring.
  • Safety: Provides a means to mitigate serious risks such as vascular compromise or skin necrosis, which, while rare, can be severe.

Before undergoing Hyaluronidase treatment, a thorough consultation is crucial to understand the specific issues and the best approach for correction. In some cases, multiple treatments may be necessary to achieve optimal results. It’s important to address any concerns about potential changes in appearance, as sometimes the removal of filler can result in perceived volume loss.
At our clinic, we are committed to ensuring your safety and satisfaction with all aesthetic treatments. Our approach is careful, considered, and tailored to your individual needs, ensuring that you feel confident and informed at every step of the process.