Filler Dissolving Explained: What Really Happens Under the Skin
With cosmetic treatments becoming increasingly popular and beauty trends dominating our social feeds, it’s almost impossible not to have heard about dermal fillers. While fillers can enhance features and restore volume, there has also been a growing conversation about dissolving them, especially as more celebrities choose to reverse their look.
Whether you’re curious about the science behind filler dissolving, or you’re considering the treatment yourself, this article will walk you through the science behind the dissolving and demonstrate the process in realtime.
What exactly is filler dissolver?
Fillers that can be dissolved are specifically those made with hyaluronic acid (HA), which are marketed as being non-permanent. There are many types of HA fillers available, each with slightly different properties that need to be considered when planning a dissolving treatment.
The dissolving process uses hyaluronidase, a group of enzymes that break down hyaluronic acid. It’s important to note, however, that hyaluronidase doesn’t just target the filler, it also breaks down the body’s own naturally occurring hyaluronic acid.
Why would someone dissolve their filler?
The reasons for dissolving filler can be broadly grouped into two categories: emergency and non-emergency situations. Like any cosmetic procedure, dermal fillers carry risks, and while uncommon, the most serious is a vascular occlusion. This occurs when the blood supply to tissue is blocked, either by filler being injected directly into an artery, or by filler pressing against and obstructing it. In these cases, emergency reversal is critical to restore blood flow and prevent permanent damage. Beyond tissue loss, vascular occlusion can also affect the eyes, potentially leading to blindness, which is why the timely use of hyaluronidase is so important.
In non-emergency situations, fillers may be dissolved weeks or months after treatment. Common reasons include patient dissatisfaction with the result, migration of filler, asymmetry, the development of lumps or nodules, or simply a personal preference to return to a more natural look.
How does the dissolving actually work?
Hyaluronidase is available worldwide under different trade names, and each product must be mixed (reconstituted) according to the manufacturer’s instructions. In emergency situations, it is typically prepared in a higher concentration and smaller volume to act quickly. In non-emergency settings, however, it is often diluted to allow for greater precision and control.
Doses are measured in units, and the exact amount depends on the filler brand, how much was injected, and what needs to be treated.
Before use, a patch test is recommended to rule out allergic reactions. Once prepared, the solution can be injected in two main ways: either around the outer surface of the affected area (allowing it to diffuse through the tissues), or directly into the site of concern, such as a nodule or lump.
The enzyme remains active for around six hours, and gentle massage can help spread it more evenly, improving results. Repeated treatments may be possible in the same day depending on results. Changes continue to occur till around 72 hours post injection.
What happens after dissolving?
When hyaluronic acid (HA) fillers are dissolved using hyaluronidase, the body processes the broken-down HA fragments naturally. These fragments are absorbed by cells, broken down into simple sugars, and eventually eliminated through the lymphatic system and urine. This process ensures that the body safely clears the dissolved filler material without leaving residues behind.
Soon after treatment, the body’s natural hyaluronic acid begins to replenish, and within about two weeks the treated area typically returns to its baseline volume. At this point, reassessment can be carried out, and if desired, re-injecting with dermal filler may be considered
Conclusion
Dissolving filler is both a safety net and a choice. It’s critical in emergencies, but also for anyone who decides their filler no longer fits their look. With such invasive procedures carrying risks, it is imperative to seek the advice of an adequately trained healthcare professional prior to treatments.
I hope that you have found this article helpful.
Take care and stay healthy,
Dr Nora x
Please note that the contents of this article are not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or medical condition.
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