Dermal fillers can create subtle, natural-looking improvements when appropriately selected and carefully placed, but sometimes the result may not look or feel as expected. You may be concerned about unwanted filler, migration, an overfilled appearance, lumps, irregularities or asymmetry, whether following a recent treatment or filler placed some time ago.
At Pure Perfection, the first step is to assess what is actually happening rather than immediately adding more filler or assuming everything needs to be dissolved. Where appropriate, hyaluronic acid filler can be dissolved using Hyalase®, allowing us to reduce or remove unwanted product and plan the safest next step.
What Are Filler Complications?
Filler complications can describe a range of unwanted changes following dermal filler treatment. Some are primarily aesthetic, while others can require more urgent medical attention.
Aesthetic concerns may include filler that looks excessive, uneven or poorly positioned. You might notice asymmetry between the two sides of the face, visible or palpable lumps, irregular contours or filler that appears to have moved beyond the intended treatment area.
Sometimes the issue is simply that the result no longer suits your facial proportions. In other cases, the filler may need to be assessed because of a reaction or another complication.
What Causes Unwanted Filler, Migration & Irregularities?
There is rarely one single reason. The result can be influenced by the amount and type of filler used, where and how it was placed, the anatomy of the treatment area and previous filler treatments.
Filler migration describes product that has moved or is visible beyond the intended treatment area. This can contribute to puffiness, poorly defined contours or an overfilled appearance.
Lumps and irregularities may develop because of the way filler has settled within the tissues, while asymmetry can occur when filler distribution or the underlying facial anatomy differs between sides.
Because different problems require different management, an appropriate assessment is important before deciding whether filler should be dissolved.
Treatment for Filler Complications at Pure Perfection
Hyalase® Filler Dissolving
Hyalase® contains hyaluronidase, an enzyme that breaks down hyaluronic acid. It can be used to dissolve suitable hyaluronic acid dermal fillers when there is a clinical or aesthetic reason to remove them.
Treatment may be considered for:
- Unwanted or poorly positioned filler
- Filler migration
- An overfilled appearance
- Lumps and irregularities associated with hyaluronic acid filler
- Asymmetry caused by filler placement
The aim is not necessarily to dissolve every trace of filler. Depending on the concern, we may recommend targeted dissolving to correct a particular area or more extensive dissolving where a greater reset is appropriate.
Once the area has settled, it can be reassessed. If further dermal filler treatment is appropriate, this can then be planned around your natural anatomy rather than immediately replacing what has been dissolved.
Hyalase is not suitable for dissolving every type of injectable filler, so knowing which product was previously used can be helpful where that information is available.
FAQs
Can all dermal fillers be dissolved?
No. Hyalase is used to dissolve hyaluronic acid-based dermal fillers. Other types of filler cannot necessarily be removed in the same way, which is why we need to assess the product and concern first.
Can migrated filler be dissolved?
If the migrated product is a suitable hyaluronic acid filler, Hyalase may be used to break it down. The extent of dissolving required depends on where the filler is positioned and the result you would like to achieve.
Can you dissolve filler if it was injected somewhere else?
Potentially, yes. We can assess filler placed by another practitioner and advise whether dissolving is appropriate. Details of the original treatment and product used can be helpful where available.
Can I have filler again after dissolving?
Potentially. The area should first be allowed to settle and reassessed before further filler is considered. Any subsequent treatment should be based on your anatomy and what is appropriate following dissolving.
What should I do if I think I have a serious filler complication?
Seek urgent medical assessment if you develop significant or worsening pain, unusual skin blanching or discolouration, cool skin, blistering, or any visual disturbance following filler treatment. These symptoms should not be treated as a routine aesthetic concern.