What Is Hyaluronidase?
Hyaluronidase is a naturally-occurring enzyme in the body that is able to catalyse the breakdown of hyaluronic acid (HA). For this reason, hyaluronidase is used in aesthetics to break down hyaluronic acid-based dermal fillers, diminishing their volumising effects to produce immediate results.
If you are considering dermal filler dissolvers in London, contact the CREO Clinic today to book a consultation with our aesthetic doctor, Dr. Sabina, who will thoroughly assess your previous dermal filler treatment and create a bespoke solution to match your needs.
What Is Hyalase?
Hyalase is a chemical solution containing the hyaluronidase enzyme that breaks down hyaluronic acid filler. When injected, Hyalase is able to reverse or reduce the volumising effects of dermal fillers or lip filler treatments.
How Does Hyaluronidase Work?
Hyaluronidase is an enzyme that facilitates the breakdown of hyaluronic acid dermal filler in the body. Like hyaluronic acid, hyaluronidase is naturally occuring and works to control the turnover of hyaluronic acid that the body produces.
Hyaluronidase can be injected into areas where dermal fillers have previously been placed to reduce or reverse their effects.
What Does Hyaluronidase Treat?
Hyaluronidase can be injected to treat dermal fillers that have not produced the desired result or have caused unwanted side effects. For example, the filler becomes misplaced, too much filler is used, or an allergic reaction to the dermal filler occurs.
When Can Hyaluronidase Be Used After Fillers?
Patients are advised to wait 2-3 weeks after dermal filler injections to give them time to settle in place and see the final results before pursuing a dermal filler dissolving treatment. However, more urgent treatment may be required in the instance of severe side effects or allergies.
How Soon Can I Expect To See Results From Hyaluronidase?
The results from hyaluronidase treatment are immediate, though hyaluronidase will continue to dissolve dermal fillers for up to five days after injection.
Therefore, the final results will be visible after any side effects dissipate and hyaluronidase stops working, which can take up to two weeks. At this stage, you can assess the outcome and determine whether further treatment is required.
What Can Hyaluronidase Dissolve?
Hyaluronidase can dissolve hyaluronic-based dermal fillers, which are common in areas including the lips, cheeks, tear troughs, nose, and chin.
Lip fillers are one of the most popular dermal filler treatments and work to add additional volume to the lips and correct any asymmetries. However, if the lips are overfilled or appear asymmetrical after treatment, hyaluronidase is an effective lip filler-dissolving treatment.
In some cases, cheek filler can cause the appearance of overfilled or unnatural cheeks. For this reason, patients may opt for hyaluronidase treatment to reduce these effects and restore balance to the facial profile.
Tear Trough Fillers
Dermal filler can be inserted under the eyes in the tear trough to reduce the hollow appearance of the area. However, this may result in a puffy or lumpy appearance. Hyaluronidase can, therefore, be used to correct these issues and restore a more natural appearance.
Dermal fillers can be used as a non-surgical rhinoplasty to alter the shape of the nose. If these fillers produce unsatisfactory results, hyaluronidase can be injected to reverse the effects.
Another common treatment area for dermal fillers is the chin. If patients are unhappy with their results, hyaluronidase treatment can be completed to break down hyaluronic acid-based chin fillers.
Who’s a Good Candidate for Hyaluronidase?
Patients who have had hyaluronic acid-based fillers and are unhappy with the results. For example, if the results are too drastic, asymmetrical, or generally don’t meet the expectations of the patient.
In addition, hyaluronidase is a suitable treatment for those suffering from complications from dermal fillers. This includes lumps, overfilling, and vascular occlusions.
You will not be eligible for treatment if you are pregnant or breastfeeding, have an allergy to hyaluronidase, or if you currently have an active infection in the treatment area. Patients may not be suitable if they take blood thinners as they can increase the risk of bleeding, bruising, and haematoma.
To better understand your suitability, book a one-to-one consultation with Dr. Sabina, who can provide a thorough assessment.
How Much Does Hyaluronidase Cost in London?
Hyaluronidase treatments at the CREO Clinic start from £395 but can vary depending on the number and size of the area(s) treated.
Therefore, you will be provided with an exact quote following a consultation with Dr. Sabina, where she will design your tailored treatment plan.
What Can I Expect When Dissolving Dermal Fillers?
During your initial dermal filler dissolving consultation with Dr. Sabina, she will provide a full assessment of your aesthetic concerns and ensure that you are a suitable candidate for hyaluronidase treatment. You will then be provided with a full cost breakdown of your bespoke treatment plan.
How To Prepare For Hyaluronidase
In the 48 hours prior to treatment, you will need to avoid alcohol and Ibuprofen. You must not schedule any vaccines in the three weeks before and after treatment. In addition, if you suffer from cold sores, please contact the clinic for treatment prior to hyaluronidase injections.
Although patients are able to resume daily activities immediately, you should also avoid booking any major social gatherings in the weeks after treatment to give your body ample time to recover and for any side effects to completely dissipate.
Hyaluronidase does not typically require an anaesthetic, but a numbing cream can be applied to make patients more comfortable if desired. Hyaluronidase is then injected into the predetermined treatment areas to dissolve the dermal filler.
There are several steps you should take to ensure a smooth recovery:
- Avoid makeup and touching the area for 12 hours to reduce the risk of infection.
- Avoid alcohol, exercise, and anti-inflammatory medications (e.g., Ibuprofen) for 48 hours to reduce the risk of swelling and bruising.
- Try to sleep with the head slightly elevated, avoiding pressure on the injected sites for a week.
- Avoid extreme sun exposure, freezing temperatures, firm massage or facial treatments, steam room, and saunas for 2 weeks after treatment to reduce the risk of complications.
How Many Treatments Are Recommended for Hyaluronidase?
After your initial hyaluronidase treatment, you should wait to see if the dermal filler has sufficiently dissolved. If there is remaining dermal filler, you can book a follow-up session to assess your results and undergo additional hyaluronidase treatment, if needed.
How long does hyaluronidase keep working?
Hyaluronidase will continue to dissolve dermal fillers for up to five days after injection.
Can I get dermal fillers again after hyaluronidase? If so, how soon after?
Yes, you are able to have dermal fillers again after hyaluronidase treatment. However, you should wait 7-14 days to allow hyaluronidase to stop working and to avoid the results of the new filler treatment being affected.
Are there side effects for hyaluronidase?
After treatment, you may experience side effects such as tenderness, bruising, or swelling in the treatment area. This is usually mild and should gradually reside as you heal.
Can all dermal fillers be dissolved?
Hyaluronidase is able to dissolve hyaluronic acid-based dermal fillers (e.g., Juvederm, Teoxane, etc.) but not those made of other chemicals or other filling agents such as Sculptra and Ellanse.
Does hyaluronidase dissolve natural hyaluronic acid?
Hyaluronidase can dissolve the body’s natural hyaluronic acid. However, the chemical is not able to dissolve tissues, meaning it is able to target and break down dermal filler without damage to surrounding tissue.
What is the most common area to get hyaluronidase?
The most common areas treated with hyaluronidase include the lips, cheeks, nasolabial folds, tear troughs, and nose, where dermal fillers are typically used.
Can you dissolve filler without hyaluronidase?
Dermal fillers gradually degrade over time, reducing their volumising effects at the injection sites. Therefore, if you don’t wish to undergo hyaluronidase treatment, you can simply wait for the body to break down the dermal filler.
What is hyaluronidase not suitable to treat?
Hyaluronidase is not suitable for patients who have a history of serious allergies such as anaphylaxis or if you are allergic to bee or insect stings.