One of the most important — and often underappreciated — aspects of hyaluronic acid dermal fillers is that they are fully reversible. Using an enzyme called hyaluronidase, a qualified practitioner can safely dissolve hyaluronic acid filler, whether to correct an unsatisfactory result, address a complication, or simply because a patient has changed their mind.
At The London Aesthetic Clinic, we offer expert filler dissolving in London for patients who have had fillers elsewhere and are unhappy with their results, as well as for our own patients who require adjustments. Our practitioners are experienced in the safe and effective use of hyaluronidase and will assess your situation carefully before recommending treatment.
What Is Hyaluronidase?
Hyaluronidase is an enzyme that breaks down hyaluronic acid — the main component of most modern dermal fillers. When injected into an area containing hyaluronic acid filler, it dissolves the filler rapidly and safely, allowing the body to absorb and eliminate it naturally.
Hyaluronidase is a prescription-only medicine in the UK and must be administered by a qualified medical practitioner. It works quickly — most patients see a significant reduction in filler within 24 to 48 hours of treatment, with full dissolution typically complete within one to two weeks.
When Is Filler Dissolving Appropriate?
Unsatisfactory aesthetic result
If you are unhappy with the appearance of your fillers — whether due to overfilling, poor placement, or asymmetry — hyaluronidase can dissolve the filler and allow you to start afresh.
Vascular occlusion (emergency)
In the rare event that filler is accidentally injected into or compresses a blood vessel, hyaluronidase must be administered immediately as an emergency treatment to restore blood flow and prevent tissue damage.
Tyndall effect
A bluish discolouration that can occur when filler is placed too superficially, particularly under the eyes. Dissolving the filler resolves this.
Migration
Filler that has migrated from its original placement site can be dissolved to restore a more natural appearance.
Patient preference
Some patients simply decide they no longer want their fillers and wish to return to their natural appearance. This is entirely valid and hyaluronidase makes it straightforward.
What to Expect During Filler Dissolving Treatment
Filler dissolving at The London Aesthetic Clinic begins with a thorough consultation. Your practitioner will assess the area to be treated, review your medical history, and perform a patch test for hyaluronidase allergy (a small amount is injected into the forearm and observed for 20 minutes).
If the patch test is clear, the treatment proceeds. Hyaluronidase is injected into the area containing the filler using a fine needle or cannula. The procedure is quick — typically 15 to 30 minutes — and most patients experience only mild discomfort. Topical anaesthetic cream can be applied beforehand to minimise any stinging sensation.
After treatment, some swelling and redness is normal and typically resolves within 24 to 48 hours. The filler will begin to dissolve within hours and full dissolution is usually complete within one to two weeks. We schedule a review appointment to assess the result and discuss next steps.
Frequently Asked Questions
Can all fillers be dissolved?
Hyaluronidase only dissolves hyaluronic acid fillers. Permanent fillers (such as PMMA or silicone) and semi-permanent fillers (such as calcium hydroxylapatite) cannot be dissolved with hyaluronidase. This is one of the many reasons we only use hyaluronic acid fillers at The London Aesthetic Clinic.
How quickly does filler dissolving work?
Most patients see a significant reduction in filler within 24 to 48 hours. Full dissolution is typically complete within one to two weeks, though this can vary depending on the type and amount of filler being dissolved.
Is filler dissolving painful?
Most patients experience only mild discomfort. Topical anaesthetic cream can be applied beforehand, and the injections themselves are quick. Any discomfort is typically described as a brief stinging sensation.
Can I have new fillers after dissolving?
Yes, but we recommend waiting at least two to four weeks after dissolving before having new filler placed. This allows any swelling to fully resolve and gives the tissue time to settle, ensuring the most accurate assessment of what is needed.
Will dissolving fillers damage my skin?
No. Hyaluronidase dissolves the filler and the body absorbs it naturally. It does not damage the surrounding tissue. Some patients notice that their skin looks slightly deflated immediately after dissolving, but this is temporary and the skin returns to its natural state within a few weeks.
Expert Filler Dissolving
Safe Filler Dissolving in London
Contact The London Aesthetic Clinic to discuss filler dissolving with an experienced medical practitioner.
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