Filler Dissolving

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Filler Dissolving with Hyaluronidase

If you’re unhappy with the results of hyaluronic acid-based dermal fillers, or need them removed for safety reasons, Dr Thomas offers precise filler dissolving using hyaluronidase. This enzyme quickly breaks down the filler, allowing your body to clear it naturally over a period of days.

At Infinity Aesthetics, we always use ultrasound assessment and guided injection to locate the exact position of the filler. This ensures a smaller amount of enzyme is used, and importantly reducing the chance that filler could be missed completely.

Hyaluronidase treatment is generally very safe, with a low incidence of complications. It works specifically on hyaluronic acid filler and does not damage your body’s own natural collagen, elastin, or other tissues. Most people experience only mild, short-lived effects such as minor swelling or redness.

Our approach allows us to dissolve unwanted filler quickly, precisely, and with less impact on surrounding tissue. However, it is impossible to predict exactly the degree of filler reduction per treatment as there are other factors (filler age, patient age, tissue laxity). It is possible to see hollowing after treatment which is usually temporary. With patients who have had larger amounts of filler repeatedly over many years, they can find that there’s a sudden loss of volume that makes them look very different. This is not because of damage to tissue, but because of loss of the filler that has been propping up the tissues around it. While this occurs in a minority of people, one study showed that around 18% of people did have significant hollowing after treatment. If this persists, it may require re-treatment with filler.

Treatment Time:

45-60 minutes (including consultation and ultrasound assessment)

Results seen:

Immediately to within 72 hours

Downtime:

Minimal usually – mild swelling or redness for 24–48 hours or bruising is possible.

Treatment Frequency:

Usually one session; further treatment rarely required

FAQS

Hyaluronidase is a naturally occurring enzyme that breaks down hyaluronic acid – the main ingredient in most dermal fillers. Once the filler is broken down, your body safely clears it over the following hours to days.

No. Hyaluronidase only targets hyaluronic acid filler. It does not destroy your body’s own collagen, elastin, or other natural structures.

We use ultrasound to see exactly where the filler is located beneath the skin. This means we can target it precisely, using the smallest possible amount of enzyme while reducing the risk of unnecessary tissue exposure.

When performed by an experienced medical practitioner, hyaluronidase treatment is generally very safe. Complications are rare and usually minor, such as temporary redness or swelling at the injection site.

Results are often visible within minutes to hours, although full clearance may take a day or two as your body processes the dissolved filler.

Consultation

Dr Owen will examine the areas and discuss with you to determine the areas that need to be dissolve and explain the procedure, risk and after dissolving plan.

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Allergy testing & treatment

Dr Owen doesn’t do any allergy testing such as a skin-prick test as this is no longer advised, by professional bodies that deal with allergy testing. This is due to a high number of false negative and positive tests, no standardised way to do this, and the risk that the test itself could cause allergy to form.

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Treatment Areas

There are many reasons that the filler has to be dissolve or has been requested to be dissolved for example:

  • Migrated – The filler has moved or spread to other areas
  • Lumps and unevenness of dermal filler result
  • Asymmetrical result
  • Before facelift surgery
  • Late reaction: swelling lump at the filler areas which commonly see at tear through areas even a few months after the filler has been injected. (very uncommon 1:2000)
  • Infection – nearby the areas of dermal filler can cause immune reaction that cause swelling and tender hard lump at the areas that has dermal filler (rare)

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Get In Touch

To book online please use the link here – you can see available slots online in our Marylebone clinic.

You can always phone on 02039166500 or email if you prefer or have any questions before booking and we will respond promptly.