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.

  • Medical Assessment First Every case begins with a detailed consultation to understand what filler was used, where it was placed, and the safest way to correct the issue.
  • Patch Testing Protocol A patch test is carried out before treatment to rule out allergy to hyaluronidase, in line with ACE Group guidelines.
  • Targeted Correction Hyaluronidase is injected precisely into the areas where filler needs to be dissolved, based on the volume and degree of correction required.
  • Monitored & Supported Injection sites are closely monitored during treatment, with aftercare guidance provided to support healing and confidence.
Understanding

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.

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.

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.

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.

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.

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.

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.