Filler Dissolving
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.
Understanding
How Hyaluronidase Works
Hyaluronidase is a prescription only enzyme used to dissolve hyaluronic acid based dermal fillers.
It works by breaking down the hyaluronic acid molecules that give filler its structure, allowing the product to be safely reabsorbed by the body.
At our London clinic, hyaluronidase is used with precision to correct concerns such as overfilling, asymmetry, product migration, or persistent irregularity. In certain cases, it may also be used as part of urgent management where vascular compromise is suspected.
Treatment involves careful assessment of the area, including the depth and type of filler previously placed. The dose and technique are tailored to achieve either partial refinement or complete dissolution, depending on the clinical objective.
As with all medical treatments, suitability is determined during consultation. The aim is controlled correction and restoration of natural contour, not unnecessary removal.
Clinical safety
A Safety Led Approach
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 should be 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 Outcomes
Benefits of Hyaluronidase Treatment
Hyaluronidase offers a rapid and effective way to address dissatisfaction from previous filler treatments.
It is versatile in correcting a range of complications, including prolonged swelling, lumps or granulomas, overfilling, and uneven contouring. Importantly, it also provides a means to mitigate serious risks such as vascular compromise or skin necrosis, which, while rare, can be severe.
The Procedure: What to Expect & Timeline
The process is quick and involves minimal discomfort. 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. 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.
Stage
Typical Duration
Patch Testing
Small intradermal injection and monitoring for 20 minutes
20 minutes
Preparation
Treatment area cleansed, topical numbing cream may be applied
5 minutes
Injection
Hyaluronidase injected using a fine needle into targeted areas
10 - 20 minutes
Monitoring
Injection sites observed to ensure effective filler breakdown
5 - 10 minutes
Aftercare
Post-treatment guidance provided
10 minutes
Dermal Filler Dissolving FAQs
If you are considering filler dissolving with hyaluronidase, this section is designed to give you a clear understanding of what to expect.
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. From patch testing and clinical safety, to what you can expect in the hours and days after treatment, this section gives you a clear understanding of the process and outcomes before you book your consultation.
How does hyaluronidase work?
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 affected areas to correct issues such as overfilling, asymmetry, or other complications. The effectiveness of hyaluronidase depends on the concentration used, the properties of the filler, and the amount administered.
Is patch testing required before treatment?
Yes. Before proceeding with full treatment, a patch test is carried out to ensure there is no allergy to hyaluronidase. In line with ACE Group guidelines, a small amount is injected intradermally into the forearm and the area is observed for at least 20 minutes. This safety measure helps minimise the risk of an allergic reaction during treatment.
What happens during the treatment?
Once the patch test confirms no adverse reaction, the treatment area is thoroughly cleansed and a topical numbing cream may be applied. Using a fine needle, hyaluronidase is carefully injected into the areas where filler needs to be dissolved. Injection sites are closely monitored to ensure the enzyme is effectively targeting the unwanted filler.
How quickly will I see results?
The effects of hyaluronidase can be noticeable within minutes. However, it is recommended to wait up to 72 hours to assess the final outcome, as any swelling needs time to settle.
What reactions can occur after treatment?
Some patients experience mild bruising, redness, swelling, or temporary itching at the injection site. These reactions are generally mild and typically resolve within a few days.
Book a Consultation
A doctor-led consultation focused on natural, balanced results. Share your goals and concerns and we will guide you through the most appropriate treatment plan.
