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DISSOLVING FILLERS

Reset, refine, or reverse—safely.

Hyaluronidase breaks down hyaluronic acid, the gel in most modern lip and facial fillers. We use it to soften or remove unwanted filler (e.g., migrated lip filler, nodules after nasolabial injections, overfilled tear troughs), or emergently when blood flow is threatened (sudden severe pain, blanching, or dusky color after filler elsewhere). Results often begin immediately and consolidate over 24–72 hours; some cases benefit from a staged approach to avoid over-correction. Hyaluronidase can also transiently affect your native HA in the skin, but your body rebuilds this over days to weeks. Once the area settles, we can plan fresh, subtle re-filling—or leave it natural—based on your goals.

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What is it and when is it used?

Hyaluronidase is an enzyme that dissolves HA filler. We use it for lumps, asymmetry, Tyndall (bluish) hue, migration/“filler mustache,” overfilled areas, and for urgent vascular events after filler performed anywhere.
How should I prepare?

Tell us about allergies (including bee/wasp stings or prior reactions to hyaluronidase), medications (anticoagulants/NSAIDs), and history of cold sores (for lip work). Arrive with clean skin, avoid alcohol/optional blood thinners for 24–48 hours if safe, and plan light activities the day of treatment.
Is it painful? What happens during treatment (and how long)?

After consent, we mark the area, cleanse, and inject small amounts of hyaluronidase with a fine needle or cannula; we may use topical numbing or lidocaine mix. Expect brief stings/pressure and temporary swelling as the enzyme disperses. Most visits take 10–20 minutes.
Am I a good candidate?

Yes—if the product to be removed is hyaluronic acid (e.g., most modern lip/tear-trough fillers). Hyaluronidase does not dissolve non-HA fillers like Radiesse® (CaHA), Sculptra® (PLLA), or PMMA; if product type is unknown, we’ll assess carefully and may recommend a staged test or alternative plan
What are the benefits?

It allows precise correction or reversal of prior HA filler, restores natural contours, resolves lumps/migration, and is the standard of care for treating suspected vascular compromise—with effects that you can see quickly.
Is it safe? What are the risks?

Most effects are mild and short-lived: swelling, bruising, tenderness, or temporary unevenness. Uncommon risks include allergic reactions (rare, higher with animal-derived products), over-dissolving (we dose conservatively), infection, or transient skin texture changes as native HA briefly decreases. We carry hyaluronidase, antihistamines, and emergency protocols on site.
When will I see results, and how long do they last?

Softening often begins immediately, with most of the effect visible by 24–72 hours. Dissolved HA does not return; your own HA gradually replenishes over days–weeks, which is why we reassess after swelling settles before planning any refill.
How many sessions will I need, and what about aftercare or refilling?

Many cases resolve in one session; migrated or dense areas may need 2–3 staged visits. Aftercare is simple: ice in short intervals, avoid pressure/massage unless instructed, skip strenuous exercise/heat for 24 hours, and watch for unusual pain or color change. If you’d like fresh filler, we typically wait 1–2 weeks (sometimes longer in delicate areas) to refill conservatively and rebuild shape the right way.

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