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.
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.
Don't get a facial, massage, or microdermabrasion
While massage can sometimes improve mild symptoms such as moderate lumpiness or slight asymmetry, don't perform massage on your fillers unless instructed to do so by your plastic surgeon or injector.
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.
Answer: Hyaluronidase should be massaged after injection
Two, it helps the unwanted HA break down and resorb. You should know that hyaluronidase works very quickly, often times within a 1-3 day span, so if you don't see resolution, you should check back with your injectionist.
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.
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.
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.
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.
Hyaluronic acid fillers, such as Juvéderm products (including VOLUMA and VOLBELLA), Restylane products, and Belotero, can be partially or completely removed with an enzyme called hyaluronidase.
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.
Do not massage your lips for 24 to 48 hours after the treatment. Once your swelling subsides down, you can gently massage your lips with light pressure.
If you're big into exercise, your fillers may metabolize faster than those with a more sedentary lifestyle. This shouldn't deter you from an active life or lip fillers though. Dermal fillers dissolve as your body metabolizes them, so patients with an increased metabolism may notice their fillers disappearing sooner.
Answer: Fillers
Don't worry, exercise does not do anything to the fillers.
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.
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.
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.
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.
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.
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.
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.
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.
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 lips may feel stiff or rigid immediately after injection with dermal fillers. Don't worry — this is entirely normal, and the lip fillers will soften with time. Your lips may also be swollen and tender, which can contribute to the lip filler feeling hard under the skin.