Hyaluronidase is a filler dissolver that works to break down and remove hyaluronic acid-based dermal fillers. They are often used to improve the shape and volume of different areas around the body and face, such as the cheeks, lips and chin.

This enzyme that breaks down hyaluronic acid and allows your practitioner to reverse the effects of dermal filler. This article explains exactly what filler dissolving is and explores some of the most common questions surrounding filler dissolver treatment.

The CREO Clinic’s team of experienced Aesthetic Doctors, have performed countless successful dermal filler treatments, as well as making adjustments or corrections when patients have found themselves dissatisfied with their dermal filler performed elsewhere. In the hands of our team, you can feel confident you will see artful enhancements, always performed with the utmost care and attention to your well-being.

Contact the CREO Clinic today to book a consultation with our experienced aesthetic doctors and find out how they can use lip filler dissolver to address concerns with your lip filler results.

Medically reviewed by Dr. Omar Tillo MD, MS, EBOPRAS, FRCS (Plast)

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Understanding Hyaluronic Acid and Hyaluronidase

Hyaluronic acid dermal filler has grown in popularity over recent years given the excellent long-term results it provides. However, to achieve these results, it’s important to have an experienced cosmetic practitioner perform the initial treatment. Less experienced practitioners can leave you with unsatisfactory results that may need to be corrected.

This is where hyaluronidase is used. This is an enzyme that breaks down hyaluronic acid once directly injected to the treatment area. A skilled aesthetics expert can use hyaluronidase to make corrections wherever filler has been applied unsuccessfully.

The Role Hyaluronidase Plays in Cosmetic Medicine

The main use of hyaluronidase in cosmetic medicine is for the dissolution of dermal fillers when corrections are necessary after an initial filler application.

When To Use Hyaluronidase After Filler Treatments

Hyaluronidase treatment is applied when there is an issue with higher hyaluronic acid fillers. This issue could be medical or aesthetic, and can be addressed either soon after filler has been injected or after some time is passed. Some of the most common issues addressed with hyaluronidase are:

Migration – this is when filler moves away from the injection area

Excessive application – When filler is injected too often or in too large a quantity

Lumpy or uneven results – The target area can sometimes develop and unevenness as a result of filler

Misplacement of filler – If filler injections have been injected into the wrong spot, hyaluronidase can be used to immediately address this

Vascular occlusion – Cosmetic practitioners who lack experience with hyaluronic acid application may accidentally inject into the artery – this is called vascular occlusion, where the blood supply is prevented from reaching the tissue. Hyaluronidase can be used to correct the occlusion, either during or after the initial procedure.

What does Hyaluronidase Dissolve?

Lip Filler

One of the most common uses of hyaluronic acid dermal fillers is in the lips. Lip fillers enhance the volume and shape of the lips, but some patients may find themselves dissatisfied with their results. Hyaluronidase can dial back the effects of the hyaluronic acid and restore the original size before refilling with a more desirable amount of filler.

Filler that has been misplaced or has migrated from one area to another on the lips can also be dissolved by hyaluronidase and corrected.

Cheek Filler

Another common use of hyaluronic acid filler is to add volume and shape to the cheeks. Loss of collagen due to ageing can make cheeks appear sunken, and cheap filler can restore their plumpness.

Hyaluronidase can address unwanted accumulation of filler, swelling, puffiness, or lumps around the cheek by reducing any excess of hyaluronic acid causing problems.

Tear Through Filler

The skin of the tear troughs – the semicircles below the eyes – can thin as we age and appear sunken. Dermal filler treatment can help address this, but overfilling will cause the tear troughs to puff up – this can lead to ‘bags’ under the eyes. Hyaluronidase can gently remove unwanted filler from a delicate area, addressing puffiness and discolouration in the lower eyelid.

If hyaluronic acid filler is injected underneath the eye or post-septal, hyaluronidase is likely the only way to resolve this issue.

Nose Filler

The nose is not always as symmetrical as we would like it to be, and nose filler can balance out the appearance of the nose, or provide a lift to the tip of the nose. These results last for months at a time, but the hyaluronic acid can remain in place and accumulate with repeated treatments. When this occurs, hyaluronidase injections can dissolve this accumulated filler.

Chin Filler

To fine tune the appearance of the jaw or chin, hyaluronic acid is commonly used as a chin filler. Applying chin filler requires a skilled and experienced aesthetic practitioner, and sometimes the chin or jaw can appear too broad or strong after filler application. Hyaluronidase treatments can dissolve the filler and restore the initial jaw shape, and also address any migration of filler to the neck that may have occurred over time.

What To Expect When Dissolving Fillers

In general the dermal filler dissolving treatment is a routine procedure that requires between 1-2 applications.

Before your filler dissolver is applied, you will have a consultation with Dr Sabina who will discuss your aesthetic goals, perform a patch test, and ensure you are fully informed of what you can expect from filler correction or dissolution.

The Filler Dissolving Process

Once our Aesthetic Doctor has identified the problem areas, they will first numb the areas to ensure you are comfortable throughout the process. Then, they will use small injections of hyaluronidase in carefully targeted areas to dissolve any filler present.

Aftercare For Filler Dissolver Treatment

It is common to experience a degree of bruising and swelling in the days after your filler dissolver treatment. You may see a small change in the appearance of the treatment area during this time, but this inflammation or bruising will not be permanent.

If you find that the dissolution of your filler results in some lax skin, the CREO Clinic provides laser skin tightening treatments – such as the Fotona 4D facelift – that can firm up the skin and restore a natural looking plumpness.

The Risks and Side Effects of Hyaluronidase?

Swelling and Bruising

Swelling and bruising are the most common side-effects from hyaluronidase application. This is in part due to the injections that are made and as a result of the hyaluronidase itself. Swelling and bruising will not be permanent, and you should see it subside after 1-2 weeks.

Allergy and Anaphylaxis

Allergies and anaphylaxis – these are uncommon, and a patch test performed before your treatment should reveal any potential allergy. Anaphylaxis is more common in individuals who have experienced allergies to bee stings – this is because hyaluronidase is also found naturally in bee venom.

What Does Dissolving Filler Cost?

At the CREO Clinic our Hyalase (hyaluronidase) filler dissolver treatment starts from £290 for a single application.

In your initial consultation with our specialists, she will discuss with you the amount of applications necessary to achieve your desired results. Every filler correction treatment is tailor-made to suit your needs, and as such a full cost breakdown is only available after this initial consultation.

Should you wish to spread the cost of your filler dissolve a treatment over multiple instalments, our financing partner, Chrysalis Finance, offers a variety of financing options.

Dissolver Filler FAQs

Is dissolving filler bad for you?

In the hands of an experienced aesthetic doctor, using hyaluronidase to dissolve filler is safe. There is no evidence that filler dissolver causes long-term damage, but filler correction should still only be performed by an experienced practitioner who has been trained in the use of hyaluronidase.

How long does filler dissolver last?

The dissolution of filler with hyaluronidase is permanent. Once it has been applied, the hyaluronic acid filler present onto the skin will break down and immediately reduce the volume of the target area.

How many filler dissolver treatments are required?

Filler dissolver treatments can usually be performed in one session. However, repeated treatment may be necessary if some filler remains after you heal. 

Can all dermal fillers be dissolved?

Only fillers that consist of hyaluronic acid can be dissolved – this is why the CREO Clinic only uses hyaluronic acid fillers.

What is the downside of dissolving filler?

One of the few downsides of dissolving filler is the risk of some side-effects, such as swelling, bruising, or asymmetry. However, it’s important to remember that these are extremely rare, and dissolving filler is typically very safe.

Considering Filler Dissolver Treatments? Contact Creo Clinic Today!

Contact the CREO Clinic today to find out how we can safely and permanently remove or adjust existing filler with filler dissolver treatments. Our doctors are skilled in the art of filler adjustment and removal – in their care, you can feel confident you are being treated by a highly experienced practitioner.