If the filler is hyaluronic acid (Juvederm, Restylane, Voluma, Vollure, etc.), then hyaluronidase can dissolve it. If the filler is not HA, as in the case of Sculptra or Radiesse, for example, then hyaluronidase will not dissolved the filler. There are no means to dissolve those fillers.
So while the body naturally breaks them down over time, there is a way to speed up the process: Injections of hyaluronidase. Hyaluronidase is what the body produces naturally to break down fillers, so by injecting more, it allows the lips to regain natural shape quicker, usually going down within 3-4 days.
Topilase®: a safer alternative to hyaluronidase
Despite its considerable effectiveness, some patients experience an allergic reaction triggered by ingredients of animal origin.
Because dermal fillers are made of hyaluronic acid, a naturally occurring skin compound, they are naturally dissolved by your body over a period of 6 – 18 months.
Dissolving filler is a very simple and quick treatment. It involves no more than 1-4 injections of hyaluronidase into the area that the filler needs to be dissolved, meaning the treatment time takes up to only 10 minutes.
Massage can encourage the filler to be broken up by the body more quickly. But in practice this still takes a long time (like weeks of daily vigorous massage) to improve the outcome. This may also spread the product over a larger area causing more problems.
If the filler is in a location further away from direct blood flow than other locations, then this means that cells that secrete hyaluronidase will not be able to reach the hyaluronic acid gel, and will therefore be unable to dissolve it.
Results depend on which filler was originally used and how much it has built up over time – sometimes more than one session of hyaluronidase may be needed. It's possible to partially dissolve filler without dissolving all of it, if a simple adjustment is what you need to soften your look.
While it is largely unreported on in the press and in medical literature, many people suffer from injuries and other problems after having Hyaluronidase injections to dissolve lip filler gone wrong.
A published journal article states that higher doses [of hy'dase] can lead to damage of native extracellular matrix glycosaminoclycans, leaving a gaunt appearance with poor skin texture (Figure 4). Patients are increasingly presenting with hyaluronidase-related damage, which is often untreatable.
Answer: Dissolving fillers without hyaluronidase.
Fillers can be partially reduced with some lasers, such as Fraxel, if they are used within 1-2 months of having the filler treatment. This doesn't always work but might help.
Due to the spreading effect of hyaluronidase, treatment should not be performed in an area where botulinum toxin treatment has been performed within the last 48 hours or on an area of infected skin, unless there is a vascular occlusion and the risks outweigh the benefits.
Our skin and tissues are not broken down by injected hyaluronidase, however. Because our natural hyaluronic acid is turned over constantly by naturally occurring hyaluronidase, the effect of injected hyaluronidase on our body's natural hyaluronic acid is temporary.
To dissolve lip fillers, you'll need to receive injections of hyaluronidase (Hyalase) near the filler. Hyaluronidase is a concentrated synthetic form of an enzyme that naturally occurs in your body. When injected, it begins to break down the filler, speeding up the dissolving process that would take place over time.
Heat exposure is also important to avoid, particularly heat from hot water, showers, saunas, hot tubs, and tanning beds. Intense heat on the skin can make your filler break down more quickly or produce less effective results.
Can all fillers be dissolved? Fillers with silicone (which are sometimes used in the lips and face, cannot be dissolved). Other semi-permanent fillers such as Scultpra and Radiesse also can't be dissolved. But temporary fillers, such as Hyaluronic Acid (HA) fillers can easily be dissolved.
Dissolving filler is not painful. We provide numbing cream, numbing injections and skin cooling to minimise any discomfort. As with any injection, it is possible that you may experience some redness, swelling, tenderness and bruising. These may take a 2-3 days to resolve and bruises sometimes longer.
Answer: Filler Can be Dissolved after 1 Year
Yes, your filler can be dissolved if it lasts longer than 1 year, but it needs to be a hyaluronic acid filler. Hyaluronic Acid based filler can be dissolved at anytime with Hyaluronidase.
Avoid any heat-inducing activities for 24 hours such as strenuous exercise, spas, saunas and hot showers.
Answer: How long between dissolving and redoing fillers
Dissolving agents begin to work immediately and are pretty much done after 48 hours. I do not recommend redoing fillers until at least day 3 and usually ask patients to wait a week just in case there's any mild swelling or anything.
Answer: Dissolving Juvederm can be done at anytime, but usually wait at least a week after injection. Using hyaluronidase to dissolve Juvederm can be done at anytime. The results of a treatment take about 7-10 days to fully appreciate because Juvederm tends to spread a little.
Hyaluronic acid fillers such as Juvederm can be dissolved with the hyaluronidase enzyme, which begins to work almost immediately. Many patients experience slight swelling or bruising after these injections, so you may not see most of the settled effect until 2-3 days after injection.
The price range varies depending on your provider and how many sessions you need but you can expect to pay somewhere around $500 for your filler removal.
Yes, massages can move the filler initially. It is generally recommended to wait at least 2 weeks before having a massage, manipulating the areas that have had filler added (try not to touch, if possible!), or having any additional treatments to the area immediately after.
Hyaluronidase doesn't spread so you won't have a problem with having it injected into your top lip while avoiding the marionette lines, which you do like.