The filler dissolving procedure is a medical procedure. If the results are not as desired after hyaluronic acid-based filler injection, the filler dissolving procedure used to correct or reverse them must be applied meticulously and carefully. Hyaluronic acid-based filler materials are applied for purposes such as eliminating volume loss in the skin, filling wrinkles, and plumping lips. However, sometimes the results after filler injection may not be as desired. This causes facial lines or facial expression to become abnormal. In such cases, the filler dissolving procedure is applied. Medical Aesthetic Doctor Lida Çiteli, serving her patients and clients in Istanbul, explained for you what the filler dissolving procedure is, why and how it is performed.
What is Hyaluronidase?
It is a type of enzyme that helps break down hyaluronic acid. Since hyaluronic acid is a substance naturally found in the body, it is frequently preferred in filler injections. It improves the body's water retention capacity and ensures the skin becomes moist and plump. It supports joint mobility and restores elasticity, which tends to decrease in the skin over time.
Hyaluronidase ensures the breakdown of hyaluronic acid molecules and their separation into smaller components than normal. Therefore, it can quickly eliminate the effect of hyaluronic acid-based filler materials. The hyaluronidase enzyme is frequently preferred in the filler dissolving procedure.
Why is Dissolving Filler Necessary?
Although filler injection has been a highly popular and successful medical aesthetic procedure in recent years, sometimes the results may not be as expected. In such cases, results can be revised or completely reversed with the filler dissolving procedure. Situations where the filler dissolving procedure is needed are as follows:
Unwanted Swelling – Unwanted swelling can sometimes be encountered as a result of dermal filler injections. These swellings occur as a result of the injection site gaining more volume than normal or spreading towards layers of appropriate depth where the filler was not placed.
Poor Appearance – If the result is not as expected after filler treatment or if the filler could not be injected into the right points, the balance and aesthetic appearance of the face are disrupted. If the person is not pleased with the appearance obtained, the filler dissolving procedure can be resorted to.
Lump Formation – Small and irregular lumps may occur at the point where the filler injection was performed. The filler dissolving procedure can also be applied to remove these lumps.
Asymmetry – The problem of asymmetry may occur in filler injections not performed by a specialist physician. Because the person performing the filler injection needs to have a command of facial anatomy. If one part of the face looks fuller or different than the other part after the filler, a filler dissolving procedure may be required.
Excessive Filler Application – Not adjusting the dosage correctly, especially in procedures such as lip fillers, can cause excessive fullness or an abnormal appearance. This may require the filler dissolving procedure.
Vascular Problems – Rarely, filler injections can lead to blockage in vessels or different vascular problems. In such cases, emergency medical intervention must be applied to the person.
How is the Filler Dissolving Procedure Performed?
An enzyme named hyaluronidase is utilized during the filler dissolving procedure. This enzyme ensures the breakdown of hyaluronic acid molecules used in filler treatments and rapidly reduces the effect of the filler. During the filler dissolving procedure, the hyaluronidase enzyme is injected into areas where the filler creates unwanted results or is applied excessively. Injections are mostly fast and painless procedures. After the hyaluronidase injection, the effect of the filler rapidly decreases and disappears within a short time.
What is the Filler Dissolving Time?
The duration varies for each user. The hyaluronidase enzyme quickly eliminates the effect of the filler. However, it may take a few days or a few weeks for the filler to be completely eliminated. In this process, the skin quickly returns to its former state. How long it will take for the filler to dissolve depends on the filler type, injection site, amount of filler, and the person's metabolic characteristics.
Can Every Filler Be Dissolved?
It is not possible to dissolve every filler. The filler dissolving procedure can mostly be applied to hyaluronic acid-based filler materials. The hyaluronidase enzyme has the ability to break down hyaluronic acid molecules. Therefore, it is beneficial to prefer hyaluronic acid-based filler materials in filler applications to be able to reverse unwanted results or prevent possible complications.
Because it is not possible to dissolve permanent fillers or filler materials with different chemical components with the hyaluronidase enzyme. Surgical intervention is required to remove permanent fillers. The body cannot naturally absorb these permanent fillers. Therefore, it is necessary to be careful and conscious when choosing the filler material before having filler done.
Can Filler Be Done Again After the Dissolving Procedure?
You may need to wait for a while to have filler injection again after the filler dissolving procedure. This period is sometimes a few weeks and sometimes a few months. This time is allocated to allow the person's skin tissue to heal completely and for the effect of the dissolving filler to disappear entirely.
How Many Sessions Are Required for Filler Dissolving Procedure?
How many sessions the filler dissolving procedure will be applied depends on the area treated, the type of filler material used, the dosage, the desired results, and the person's skin structure. Often, one or a few sessions of filler dissolving procedure are sufficient. However, more sessions may be needed to fully achieve the results.
In most users, it is possible to see the results of the filler dissolving procedure after a single session. Especially in treatments applied to revise unwanted results or dissolve excess filler, single-session applications are often sufficient. However, in some more complex situations or wider application areas, physicians may decide to apply additional sessions.
What Should Be Considered After Filler Dissolving Procedure?
There are some important points to be considered for the procedure to result successfully and to avoid unwanted results after filler dissolving procedures. If we need to examine these points one by one:
Follow Doctor Instructions: You should meticulously apply the suggestions and instructions your doctor will give after the injection.
Respect the Recovery Time: Remember that your skin needs time to heal after treatment. It is normal for tiny and temporary swellings, redness, or sensitivity to occur on your skin. These will heal spontaneously in a short time without requiring any treatment.
Makeup and Skin Care – Applying makeup and using skin care products and similar cosmetic products after the filler dissolving procedure is a matter to be considered. At this point, you need to act according to your doctor's suggestions. Because some skins may become sensitive after the procedure.
Avoid Heavy Exercise and Activities – Avoiding heavy exercises or compelling physical activities that will tire your body after the filler dissolving procedure may cause an increase in swelling.
Avoid Alcohol and Cigarettes – Substances like alcohol and cigarettes slow down the skin's healing process after injection treatments. Staying away from these substances ensures your skin recovers much faster.
Protect Yourself from the Sun – Harmful rays of the sun can have an effect that increases skin sensitivity after injection treatments. Therefore, it is beneficial to protect yourself from the sun when you go out.
Use Medications by Consulting Your Doctor – If your doctor prescribed or recommended some medications after the procedure, you should use them according to your doctor's instructions and consult your doctor when you encounter an unexpected result.
Consume Plenty of Water - Consuming plenty of water allows you to maintain the moisture balance of the skin and supports your healing process.
Monitor Early Symptoms – If you encounter any unexpected symptoms on your skin after treatment, inform your doctor immediately.
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