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. This process uses a compound called hyaluronidase.
And while it is true that some of what is injected dissolves and is discarded by the body, it is untrue that the entirety of the filler is fully dissolved by the body.
Hyaluronic acid dermal fillers such as Juvederm, Restylane, Teosyal and Belotero can be dissolved using an enzyme called Hyaluronidase. This enzyme naturally occurs in our skin but can be injected at higher concentrations in order to rapidly remove unwanted filler.
This isn't permanent and can be treated with dissolving all of the filler, refilling the lips again subtly after two weeks and in some cases the use of Botox or skin tightening treatments to tighten up the skin around the mouth again and reduce any remaining fine lines.
Can all dermal fillers be dissolved? No. Only dermal fillers made from hyaluronic acid can be dissolved with hyaluronidase.
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.
You can have hyaluronidase as many times as needed. The most I usually do is 3x spread about a week apart. I never inject as much as your injector though.
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.
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.
"Theoretically, all filler has the ability to migrate," says Dr. Diamond. "That is why it is so imperative that non-surgical injectable services are performed by experts with the anatomical knowledge to prevent this from happening.
Can your face go back to normal after fillers? Many patients fear that when the filler wears off, they will look worse than before. Though fillers may stretch your skin, it is elastic enough to revert to its original form before your treatment. However, anything that's too much is also not good for you.
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.
When too much filler is injected into one area it's too much for the lips to hold and it migrates. Lip filler migrating can also be caused by injections placed too close together. If they aren't spaced properly, it can cause the skin to be filled too quickly, forcing it to migrate.
There's a shift in the world of fillers right now, with more patients dissolving their fillers and, then (sometimes), refilling the area. Chalk it up to filler fatigue, poorly done fillers, migrating product, or a desire not to look so overtly plump—there's no denying the uptick in dissolution.
The filler can take several weeks to soften and settle into your skin. This means that patients won't see the ultimate results of their treatment immediately. Although individual results will vary, many people achieve the full effect within two weeks after receiving their injections.
Answer: No, hyaluronidase dissolves HA indiscriminately, not evenly. Thank you for your question.It can be very difficult to control the amount of filler that is dissolved by hyaluronidase...
Intense heat on the skin can make your filler break down more quickly or produce less effective results. Ideally, you should avoid exposure to intense heat for at least 12 to 24 hours after your appointment.
While no official studies have been done on patients who have had fillers and then undergone micro-needling, the general consensus is that as long as the micro-needling procedure is spaced no sooner than two weeks after the filler treatment, there will be no noticeable effect on the integrity of the filler.
Although extremely rare, dermal fillers are able to migrate within the skin if consistent and adequate pressure is applied to them. For this reason, we advise patients not to get a facial, massage (on the treated skin), or microdermabrasion for the first two weeks following their filler injections.
After a hyaluronidase injection, the skin will typically restore its hyaluronic acid levels within a few days or, in rare cases, over the course of a few weeks.
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.
In this case, hyaluronidase could have been an effective treatment if used at the right time, but unfortunately, it was left too late. Nodules can become resistant to hyaluronidase, and in this case, the patient was left with disturbing nodules for 7 years.
Answer: DIfferent fillers require different doses of Hyaluronidase. Juvederm and more particalarly juvderm plus require higher doses of hyaluronidase to dissolve compared to other fillers. If the lumps are truly filler it is most likely a dosage issue.
Your body naturally dissolves the dermal filler for you over time using a substance called hyaluronidase. This is a naturally occurring material in your body that gradually breaks down the hyaluronic acid in your filler, causing your results to gradually diminish over a period of 6 – 18 months.
"If the filler is not permanent, such as Restylane Silk or Juvederm, the lips will return to their original shape," says Dr. Howard Sobel, founder of DDF Skincare. "If the filler is permanent, such as Silicon 1000, they'll stay the same." Dr.