As minimally invasive aesthetic procedures such as BOTOX and dermal fillers become more common, we are also seeing more poorly done jobs with undesirable outcomes.
With advancements in technology, dermal fillers available generally last for a year or more. This means that if dermal fillers are not properly injected, it may look like a sore thumb for more than a year!
At SL Aesthetic Clinic, we typically see under eye ‘lumps’ or ‘sausages’ that have stayed on for years after an initial tear trough filler treatment. These patients were invariably affected but felt helpless at the same time, believing that one day the fillers will go away.
However, fillers degrade only if there is sufficient naturally-occurring hyaluronidase (the enzyme that digests hyaluronic acid, which are the main component of fillers). In certain areas without this enzyme, fillers can persist for years.
To dissolve fillers, we can manually inject hyaluronidase or hyalase.
Important note: Certain filler brands are NOT dissolvable even with hyalase. These brands include Radiesse, Ellanse, Gouri and Sculptra.
Filler treatments aim to create natural, harmonious aesthetic outcomes which should conform to a publicly-accepted standard of beauty. Generally, when one can tell that you have had fillers done, the filler injected is probably sticking out like a sore thumb. Some common problem areas include:
Always inform your doctor of all medications, including supplements you may be taking as well as your medical history, including anti-inflammatory drugs such as ibuprofen and aspirin, anti-histamines, Vitamin C. We advise patients to stop taking these non-prescribed medications where possible in advance of treatment.
If you think that you have had a dermal filler injected with a suboptimal outcome, do consult our Aesthetic Physicians who will advise if you are a suitable candidate for dissolving the filler and benefit from re-treatment.
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Hyaluronidase is a very specific enzyme that can only dissolve hyaluronic acid-based fillers. It does not work on other types of fillers such as Sculptra, Ellanse or Radiesse.
Studies have shown that the filler-dissolving effect of hyaluronidase lasts only for 3 to 6 hours after injection. Hence, fillers can theoretically be re-injected to achieve a more desirable outcome after 6 hours. However, in practice, we generally advise our patients to wait for 2 to 3 days before re-treatment with dermal fillers for the same area.
Dermal filler dissolving is suitable for any healthy adult looking to dissolve only hyaluronic-acid based dermal fillers.
Dissolving dermal fillers may be unsuitable for the following circumstances:
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