When Dissolving Makes Sense
There are several reasons to dissolve filler. Lips that were overfilled or migrated above the border into a shelf. Lumps that never settled. Under-eye filler that caused puffiness. Old filler that has shifted over the years and now sits somewhere it shouldn't. Or simply a change of heart. Sometimes the fix is a full dissolve and a fresh start. Sometimes a small, targeted amount of hyaluronidase corrects a lump or a bit of migration while leaving the rest in place. We'll look at what you have and recommend the least aggressive approach that solves the problem.
How Hyaluronidase Works
Hyaluronidase is an enzyme that breaks down hyaluronic acid, the material most fillers are made of. Injected into the filler, it begins working within minutes and the filler softens noticeably within a few hours. Most of the effect is visible in the first day or two. It's the same medication we carry to every filler appointment in case of an emergency, so it's something both of our providers use regularly.
Which Fillers Can Be Dissolved
Any hyaluronic acid filler: Juvederm, Restylane, Revanesse, RHA, Belotero and the like. If you don't know what was used, that's okay. Most filler on the market is hyaluronic acid. Radiesse, Sculptra and permanent fillers like silicone cannot be dissolved with hyaluronidase. If you have one of those and want it addressed, we'll talk through what options exist, which are more limited.
Pricing
| Service | Non-Member | Member |
|---|---|---|
| Filler Dissolving (per session) | $150 | $100 |
Some cases need more than one session. We'll tell you what to expect before we begin. See Membership Pricing
What to Expect at Home
Dr. Bashian or Rachel Fey, PA will examine the area, ask what you know about the original treatment, and explain whether a full or partial dissolve makes sense. The injections sting briefly. Swelling is common for a day or two, and the area may look slightly deflated at first, since the filler was providing volume. Wait at least two weeks before having new filler placed, so we can see what your natural baseline looks like.
Risks and Side Effects
Swelling, bruising and temporary tenderness are expected. Rarely, someone can be allergic to hyaluronidase, so we'll ask about any bee sting allergy and may do a small test dose first. Hyaluronidase can also break down some of your own natural hyaluronic acid in the area, which is temporary and recovers. Individual results vary.
