What filler dissolving is
Most dermal fillers used for lips, nose, chin and under-eye areas are made from hyaluronic acid. One reason these fillers are popular is that they can usually be broken down with an enzyme called hyaluronidase. Injecting hyaluronidase into the area speeds up the body's natural breakdown of the filler gel, which can reduce or remove the product.
Filler dissolving is a medical procedure, not a cosmetic shortcut. It has its own considerations and risks, and it should be performed by a doctor who has examined the area carefully. This guide explains when it may be considered and what to expect.
When hyaluronidase may be needed
Doctors consider dissolving filler in two very different situations: urgent complications and non-urgent cosmetic concerns.
- Suspected vascular complication.
If filler appears to be blocking or compressing a blood vessel, hyaluronidase may be used urgently to help restore blood flow. Warning signs after filler include severe or increasing pain, pale, grey, blue or blotchy skin, and any change in vision. This is a medical emergency and needs immediate attention.
- Lumps and bumps.
Filler that feels lumpy or sits unevenly may be partly dissolved.
- Overfilling.
Lips, cheeks or the under-eye area that look too full can be softened.
- Migration.
Filler that has moved beyond its intended area, such as above the lip border, may be dissolved before any new treatment.
- Bluish tint under the eyes.
Filler placed too superficially can show through thin skin, which is sometimes improved by dissolving.
- Wanting a fresh start.
Some people with filler from several past treatments prefer to dissolve it and start again with a simpler plan.
What happens during the procedure
- Assessment.
The doctor examines the area, asks about previous treatments and checks whether the filler is likely to be hyaluronic acid. Non-hyaluronic acid products, such as collagen-stimulating injectables, are not dissolved this way.
- Allergy considerations.
Hyaluronidase can cause allergic reactions in some people. Tell your doctor about any allergies, including to bee or wasp stings, which are sometimes discussed in connection with this enzyme.
- Injection.
The enzyme is injected into the area containing the filler.
- Review.
Changes can often be seen within a short time, but swelling may make the area look different for a while. Sometimes more than one session is needed.
Possible side effects and limitations
- Swelling, redness and bruising.
These are common and usually settle.
- Allergic reaction.
Uncommon but possible, which is why the doctor asks about allergies first.
- Loss of some natural volume.
Hyaluronidase can also act on the body's own hyaluronic acid, so the area may temporarily look flatter than expected before settling.
- Uneven results.
Partial dissolving may need further adjustment.
- Not every product responds.
If the filler was not hyaluronic acid, dissolving will not work.
If you are pregnant or breastfeeding, have allergies or have medical conditions, consult a doctor before treatment. Suitability and results vary, and the doctor decides at consultation.
Waiting before refilling
A common question is how soon new filler can be placed after dissolving. There is no single rule, and doctors often prefer to wait until swelling has settled and the area can be assessed properly. Rushing to refill can make it hard to judge how much product is actually needed. Your doctor will advise based on your situation.
Filler dissolving at Daybeau Clinic Seomyeon
Filler dissolving is not listed as a separate item on our price list. If you are concerned about previous filler, ask during your consultation whether dissolving is suitable and available for you, and it will be quoted after an in-person consultation. Fillers at Daybeau Clinic Seomyeon are also quoted after consultation, because the amount of product varies. Read more on our dermal filler page
and lip filler page.
If you think you are having a complication after filler, do not wait for a routine appointment. Contact the clinic that treated you or seek urgent medical care.
Before your consultation, it helps to gather:
- Product names.
The brand and product name of previous fillers, if you know them.
- Dates and areas.
When and where filler was placed.
- Photos.
Pictures from before and after previous treatments help the doctor understand changes.
- Allergy history.
Including any reactions to medicines or insect stings.
Frequently asked questions
Is filler dissolving painful?
Most people feel stinging or pressure during the injection. The doctor can discuss comfort options with you.
Will dissolving remove all the filler?
It can reduce or remove hyaluronic acid filler, but sometimes more than one session is needed, and results vary between people.
Can collagen-stimulating products be dissolved?
Products such as Sculptra or Juvelook are not hyaluronic acid fillers, so hyaluronidase does not dissolve them in the same way. Ask your doctor about options.
Unhappy with previous filler? Book a consultation
or message us on WhatsApp so our doctors can take a look.
