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.
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.
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.
Only hyaluronic acid (HA) fillers, like Juvederm, Restylane, and Belotero, can be dissolved.
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.
Answer: Massaging after Fillers
Thank you for your question, Massaging your face will not cause your fillers to disappear and massaging a lot may interfere with your final results. However, if you are unhappy with your filler/Botox results after two weeks, you can have the fillers dissolved with hyaluronidase.
Massaging the treated areas can disrupt the dermal filler and cause the hyaluronic acid solution to move out of place. This can lead to an uneven or lumpy appearance.
The filler will start to break down and soften immediately, although depending on the location and how much needs to be dissolved, it may take up to two weeks for it to completely dissolve and settle back to natural.
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.
Can all dermal fillers be dissolved? No. Only dermal fillers made from hyaluronic acid can be dissolved with hyaluronidase.
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.
Delayed-onset nodules occur in 0.5% of HA filler treatments, typically four weeks to over one-year post-treatment. These nodules are believed to occur due to either delayed onset inflammation or bacterial biofilms. Often, these nodules have preceding infectious or immune triggers.
Answer: Dissolving Filler Late
No, a filler cannot be dissolved after two years. There are two reasons for this. First, after a short while the filler is essentially incorporated into the surrounding tissues and becomes like the tissue itself.
You can have hyaluronidase as many times as needed. The most I usually do is 3x spread about a week apart.
HOW LONG UNTIL I SEE THE EFFECTS OF FILLER DISSOLVING? Hyaluronidase has immediate effect and a half-life of two minutes with duration of action of 24 to 48 hours. Once we start the process of injecting the hyaluronidase, the dermal filler in that area starts to break down and soften immediately.
Slowly inject approximately 0.05ml – 0.1ml per 0.1ml of filler to be dissolved in the centre of the lumps/swelling and then massage gently.
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.
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.
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.
Dr. Frank says the best way to deal with migration is to dissolve the filler with hyaluronidase (an enzyme that breaks down hyaluronic acid gels). In just a few hours, hyaluronidase softens the filler and returns the lips to a more natural shape, projection, and size.
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.
You cannot dissolve lip fillers at home. Only licensed medical professionals can administer the enzyme hyaluronidase. However, you can wait for your dermal fillers to dissolve on their own.
Experiencing lumps in lips after injectable filler is extremely common—and lumps most often resolve naturally with time. Gentle lip massage 5-7 days after the treatment can help smooth any lumps and bumps in the lips.
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.
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.