Dermal Filler Dissolving

Dissolving facial dermal filler is a procedure that involves the use of an enzyme called hyaluronidase to break down and dissolve hyaluronic acid-based dermal fillers. This enzyme naturally in occurs in our skin but can be injected at higher concentrations to rapidly remove unwanted hyaluronic acid-based fillers. This non-surgical procedure is typically performed when a patient is dissatisfied with the results of their filler treatment or experiences complications such as overfilling, asymmetry, migration or lumps. Hyaluronidase works by breaking down the hyaluronic acid molecules in the filler, allowing the body to naturally absorb and eliminate the filler over time. Patients can expect to see a reduction in the volume and appearance of the filler within a few days once swelling has settled.

A patch test is required at the appointment to determine suitability. A small amount of the product is injected into the forearm to test for potential allergies or reactions to the concentrated enzyme. A minimum of 2 weeks is required between dissolving and refill appointments.

Frequently Asked Questions

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What are Dermal Fillers?

Dermal fillers are injectable substances that are used to soften wrinkles, lines, and hollow areas of the face, as well as to add volume and contour to other areas of the face. They are commonly used in cosmetic procedures to restore a more youthful appearance and to enhance facial features.

Hyaluronic acid fillers are the most used dermal fillers as they attract and hold onto water creating a plumping effect under the skin. Hyaluronic acid (HA) fillers are a type of dermal filler made from a substance that is naturally found in the body. HA is a sugar molecule that is present in the skin, joints, and other tissues, where it helps to maintain hydration and volume. In dermal fillers, HA is cross-linked to form a gel-like substance that is injected into the skin. They are also reversible if any complications occur.

What areas can I have Dermal Fillers, and how long will it last?

Dermal fillers can be used in various areas of the face to address different concerns and achieve specific aesthetic goals. Some common areas where dermal fillers are used include:

Nasolabial folds: These are the lines that run from the sides of the nose to the corners of the mouth. Dermal fillers can be used to fill in these lines and restore a smoother appearance. This treatment will typically last between 9-12 months.
Marionette lines: These are the lines that run from the corners of the mouth to the chin. Dermal fillers can be used to fill in these lines and lift the corners of the mouth. This treatment will typically last between 9-12 months.
Cheeks: Dermal fillers can be used to add volume and contour to the cheeks, creating a more youthful and defined appearance. This treatment will typically last between 12-18 months.
Lips: Dermal fillers can be used to add volume and contour to the lips, as well as to define the lip border and enhance the cupid’s bow. This treatment will typically last between 6-9 months.
Chin: Dermal fillers can be used to add volume and contour to the chin, creating a more balanced and harmonious facial profile. This treatment will typically last between 12-18 months.
Jawline: Dermal fillers can be used to add volume and contour to the jawline, creating a more defined and sculpted appearance. This treatment will typically last between 12-18 months.
Under-eye area (Tear Trough): Dermal fillers can be used to fill in hollow areas and reduce the appearance of dark circles under the eyes. This treatment will typically last between 9-12 months.

The duration of the effects of dermal fillers can vary depending on the area treated, and the individual’s metabolism. Over time, the effects of dermal fillers will wear off, and repeat injections are usually needed to maintain the desired results.

Are Dermal Filler injections painful?

Dermal filler injections can cause some discomfort, but the level of pain experienced varies from person to person and depends on the area being treated. The sensation is often described as a slight pinch or stinging feeling at the injection site. A topical numbing cream is applied to the area before the injection to minimise discomfort, as well as the filler itself containing lidocaine which further numbs the area with each injection.

What are the risks of Dermal Fillers?

Dermal fillers are generally considered safe when administered by a qualified healthcare professional. However, like any medical procedure, they carry some risks. Some potential risks and complications associated with dermal fillers include:

Bruising, swelling, and redness These are common side effects of dermal filler injections and usually resolve within a few days.
Infection: There is a risk of infection at the injection site, which can lead to redness, swelling, pain, and pus-like discharge. This is rare but can be serious if left untreated.
Allergic reaction: Some people may be allergic to the filler material or other ingredients in the filler, which can cause itching, rash, hives, swelling, difficulty breathing, or anaphylaxis.
Nodules or lumps: Dermal fillers can sometimes form nodules or lumps under the skin, which may be visible or palpable. These can usually be treated with massage or injections of hyaluronidase, an enzyme that breaks down hyaluronic acid fillers.
Migration or displacement: Dermal fillers can sometimes migrate or become displaced from the injection site, which can lead to asymmetry or other aesthetic concerns.
Vascular complications: Dermal fillers can sometimes be injected into blood vessels, which can lead to vascular complications such as bruising, swelling, pain, or skin necrosis (death of the skin tissue).
Blindness: In rare cases, dermal fillers can be injected into blood vessels in the face, which can lead to blockage of the blood supply to the eye and blindness.
Granulomas: Dermal fillers can sometimes cause the formation of granulomas, which are small, hard lumps under the skin that can be painful or tender.

Are there any reasons why I can’t have Dermal Fillers?

There are several reasons why someone may not be a suitable candidate for dermal filler injections. These include:

Pregnancy or breastfeeding: The safety of dermal filler injections during pregnancy or breastfeeding has not been established, so it is not recommended for women who are pregnant or breastfeeding.
Allergy to filler material or other ingredients: Some people may be allergic to the filler material or other ingredients in the filler, which can cause an allergic reaction. It’s important to discuss any allergies or sensitivities with your practitioner before undergoing dermal filler injections.
Certain medical conditions: Dermal fillers may not be suitable for people with certain medical conditions, such as bleeding disorders and autoimmune disorders.
Unrealistic expectations: Dermal fillers are not a permanent solution, and their effects are temporary. It’s important to have realistic expectations about the results of dermal filler injections and to understand that repeat injections are usually needed to maintain the desired results.

Dermal Filler Dissolving

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