Hyaluronidase is also known as ‘Hyalase’, ‘Hylenex’, and ‘filler dissolving’.
Understanding dermal filler dissolving
What is dermal filler dissolving?
Dermal filler dissolving is a procedure used to reverse the effects of dermal filler injections. It involves injecting an enzyme called hyaluronidase to break down the hyaluronic acid in the filler, causing it to dissolve.
How do you dissolve dermal fillers?
To dissolve dermal fillers, a medical doctor injects hyaluronidase. This substance causes the dermal filler to liquify, allowing the body to metabolise it at a rapid rate.
What is hyaluronidase, and what role does it play in the process of dissolving fillers?
Hyaluronidase is an enzyme that naturally occurs in the human body. It breaks down hyaluronic acid, a substance commonly used in dermal fillers. When injected into the area with the filler, hyaluronidase dissolves the filler material.
How long do fillers take to dissolve with hyaluronidase treatment?
The time it takes for fillers to dissolve with hyaluronidase treatment varies depending on the type and amount of filler used, as well as the amount of filler dissolver injected. However, most fillers will dissolve within 24 hours.
Can hyaluronidase treatment damage collagen?
No, hyaluronidase treatment does not damage collagen. It specifically targets the hyaluronic acid in the filler, leaving the underlying tissues unaffected.
Can hyaluronidase treatment harm natural tissue?
Hyaluronidase treatment is generally considered safe and does not harm natural tissue in any significant sense. While it can break down your natural hyaluronic acid, this has been shown to regenerate within a few days.
Why and When to Dissolve Fillers
Why do patients opt to have their dermal fillers dissolved?
Patients may choose to have their dermal fillers dissolved for various reasons, including:
• Dissatisfaction with the results
• Reactions to the dermal filler
• Medical conditions that necessitate filler removal
• Changes in personal preferences
Is it safe to dissolve fillers during pregnancy?
It is generally not recommended to dissolve fillers during pregnancy due to the limited research on the safety of hyaluronidase during this time. However, depending on the reason for filler dissolving, it may be appropriate. The decision to dissolve dermal fillers during pregnancy must be made in conjunction with an experienced doctor.
How long should I wait to get dermal fillers again after hyaluronidase?
It is recommended to wait at least 2 weeks before getting dermal fillers to the same area after hyaluronidase treatment to allow the tissue to fully recover.
How soon after filler injections can I get hyaluronidase treatment?
Hyaluronidase treatment can usually be performed immediately after dermal fillers. However, unless there is a complication requiring filler dissolving, you should wait for the treated area to heal before making a decision about dissolving your dermal fillers.
Dermal Filler Dissolving Process
What can I expect during a filler dissolving procedure?
During a filler dissolving procedure, a healthcare professional will inject hyaluronidase into the area containing the filler. The procedure is typically performed with a fine needle or a blunt cannula. Before injecting the filler dissolver, the area will be cleaned, marked and numbed. The actual dissolving process only takes a few minutes.
How should I prepare for a filler dissolving procedure?
To prepare for a filler dissolving procedure, it is important to remove any makeup, and avoid alcohol for 24 hours before your treatment. You must also inform your clinician of any allergies or medical conditions you have, as these may affect how the treatment is performed.
Is a patch test required before dissolving fillers?
A patch test is not usually required before dissolving fillers. Patch tests are indicated when you have a suspected allergy, and must be performed in a controlled setting, usually a hospital with emergency equipment. It is not appropriate to patch test for a hyaluronidase allergy in a typical cosmetic clinic.
How many treatments are needed for dissolving dermal fillers?
The number of treatments needed to dissolve dermal fillers depends on the amount and type of filler used. In most cases, a single treatment is sufficient, but multiple treatments may be necessary for larger amounts of filler.
What is the process of dissolving lip fillers?
Dissolving lip filler is the same as dissolving other areas. After cleaning and numbing the area, hyaluronidase is injected into your lips with a small needle. After injection, a cold compress is applied to reduce swelling and bruising.
How long before I see results from dermal filler dissolving?
While filler dissolving works immediately, you’ll need to wait a few days to see the result. This is because you will have localised swelling the needs to resolve.
Aftercare and Side Effects
What aftercare is needed following filler dissolving?
Aftercare for filler dissolving typically involves avoiding strenuous activity and excessive heat exposure. It is also important to keep the treated area clean and dry, and avoid alcohol and makeup for 24 hours.
What are the risks and side effects associated with dissolving fillers?
The risks and side effects associated with dissolving fillers are generally minimal and may include:
• Swelling
• Bruising
• Temporary redness
• Infection
There is a rare risk of an allergic reaction, including anaphylaxis, when having dermal filler dissolving.
What are the dos and don’ts after receiving hyaluronidase treatment?
Below are some do’s and don’ts after receiving hyaluronidase treatment
Do:
- Keep your skin clean and free from makeup for 24 hours
- Use a cold compress to reduce swelling and bruising
- Seek medical attention if you develop signs of an allergic reaction
Don’t:
- Consume alcohol or smoke for at least 24 hours
Is it advisable to massage your face after hyaluronidase treatment?
No, massaging your face after hyaluronidase treatment is not advisable as it can cause the dissolver to spread.
How should you sleep after having dermal fillers dissolved?
It is recommended to sleep on your back or side to avoid putting pressure on the treated area.
How long does swelling typically last after hyaluronidase treatment?
Swelling after hyaluronidase treatment typically lasts for 12-24 hours in most cases.
Can hyaluronidase cause sagging?
Hyaluronidase does not cause sagging. It specifically targets the hyaluronic acid in the filler, leaving the underlying tissues unaffected. People that report sagging after having their fillers removed are usually under a misapprehension. After having fillers for many years, the ageing process which includes sagging has been disguised. When they remove their fillers, the underlying sagging is quickly revealed. However this was not caused or made worse by hyaluronidase.
Restoring Natural Appearance
Will my face return to its natural appearance after hyaluronidase treatment?
Yes, your face will gradually return to its natural appearance after the filler has completely dissolved. You will look as you would have had you never had dermal fillers.
What will my lips look like after undergoing filler dissolving treatment?
Your lips may appear slightly swollen or uneven immediately after filler dissolving treatment. However, these effects should subside within a few days. You’re lips will return to their pre-filler appearance, plus with any associated ageing-related changes. However, if you have had very overfilled lips for a long time, they may appear deflated.
How long will it take to see the effects of dissolved filler?
The complete effects of dissolved filler are usually visible within a few days as any localised swelling resolves.
Other Questions and Considerations
Is it safe to dissolve dermal fillers?
Dissolving dermal fillers with hyaluronidase is generally considered safe when performed by a qualified healthcare professional. For added safety, having emergency equipment on site in the case of allergic reactions is recommended.
How painful is the process of dissolving fillers?
Without proper anaesthetic, dissolving fillers is very painful. If correctly administered using appropriate numbing, there is almost no pain.
Will dermal fillers completely dissolve after reversal treatment?
As long as enough hyaluronidase has been injected, dermal fillers should completely dissolve after reversal treatment.
Can all types of dermal fillers be dissolved with hyaluronidase?
No, only hyaluronic acid-based fillers can be dissolved with hyaluronidase. Other types of fillers, such as calcium hydroxyapatite and poly-L-lactic acid, are not dissolvable.
How long does hyaluronidase remain in your system?
Hyaluronidase is a naturally occurring enzyme that is quickly metabolized by the body. It does not remain in the system for a prolonged period, typically wearing off in a matter of hours.
Do fillers dissolve on their own?
Yes, fillers gradually dissolve on their own. Over time, your body metabolises the filler molecules, which are then removed from the body using natural processes. The exception to this are in cases of permanent fillers, which do not dissolve.
Can fillers be dissolved at home?
No, fillers cannot be dissolved at home. Dissolving fillers requires an injectable compound known as hyaluronidase that is only available to doctors. Beware filler dissolvers that can be purchased online, or offered by non-doctors, which may be fake, significantly increasing the risk of side effects.
