Aesthetic Medicine

Filler Reduction

Swollen eyelids caused by excess hyaluronic acid-based filler or an unesthetic, thick lip contour don’t have to stay with you for long. Now you can quickly and effectively return to a natural look with the help of the hyaluronidase enzyme.

Key information:

Key information:

Repeatability: 1–3 treatments (at 2-week intervals)

Duration: 15-20 minutes
Pain level: low / moderate
Method: injection / product administered with a needle
Recovery: slight swelling up to two days
Anesthesia: local
Longevity:
  • skin inflammation: acne, active herpes
  • cancers
  • tendency to hypertrophic scars
  • pregnancy and breastfeeding

Treatment Description:

Removing filler from areas such as the lips or facial contours is most often performed when the filler procedure was done incorrectly or the result is unsatisfactory. If the hyaluronic acid was injected too superficially, in excessive amounts, has migrated, or lumps are palpable, the filler should be removed as soon as possible.

The procedure is safe – hyaluronidase is an enzyme that dissolves hyaluronic acid, is fully eliminated from the body, and does not affect other chemical reactions. The enzyme is injected with a fine needle into the area where the filler was previously placed, gradually dissolving and absorbing the product. The first effects can be seen within a few minutes, but complete dissolution of the filler may take a few days. Sometimes the procedure needs to be repeated if a large amount of filler was injected. After the procedure, slight swelling or bruising may occur at the injection site. Before the first filler removal, it is recommended to perform blood tests for antibodies to rule out an allergy to hyaluronidase. If you are allergic to hymenoptera venom (e.g., bee or wasp stings), please inform me! This is an important contraindication!

Frequently Asked Questions about the Procedure:

How long does the swelling last?

Usually, swelling lasts for one day after the procedure. Unfortunately, swelling is an inpidual reaction of the body. Bruising may also occur after the treatment.

When will I see the results?

The effects of the procedure will be visible 2–4 days after the enzyme is administered.

Will the procedure cause my skin to sag?

Yes and no. In the first phase, there may be a visible loss of firmness in the treated area, but this is naturally restored by the body at a rate depending on:

  • the patient’s age
  • how long the filler was present in the tissue

This means that the longer the filler was in the tissue and the more mature the patient (35+), the longer the recovery time. This period can be shortened with revitalizing treatments, such as mesotherapy with sodium succinate or non-crosslinked hyaluronic acid.

Younger people, whose tissue contains and produces more collagen and elastin than mature tissue, will regenerate much faster without the need for additional revitalization. Also, re-modeling the lips after an unsuccessful procedure may be possible as soon as 2–3 weeks later.

When can I refill the corrected area with cross-linked hyaluronic acid?

The exact timing for the next procedure will be determined by the practitioner, taking into account your inpidual case, age, skin condition, type of dissolved filler, and the amount of hyaluronidase used.

What should I avoid after the procedure?

After filler reduction, you should pay special attention to hygiene, as with all other aesthetic procedures. For a few days, avoid alcohol, tanning, close contact with animals, and physical activity. Makeup can be applied the next day.

How should I prepare?

To safely undergo the procedure, it is important to rule out an allergy to hymenoptera venom. Patients allergic to wasp venom may already have antibodies in their system that also react to hyaluronidase. In such cases, additional enzyme application carries a high risk of severe allergic reaction or even anaphylactic shock.

Gallery of Performed Procedures

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