Dermal fillers known in various brand names such as Juvederm, Restylane, Teosyal, Stylage, etc. are dissolvable by nature.
Hyaluronidase is a soluble protein enzyme that is typically used to break down the hyaluronic acid found in dermal filler. The solution works by breaking up the bonds that hold the HA molecules together and encourages the body to reabsorb those molecules in a natural process. It accomplishes this by increasing tissue permeability, splitting the molecular bonds holding the hyaluronic acid together and promoting the natural cellular processes responsible for its diffusion.
Dermal fillers injecting procedure isn’t always perfect. There are always risks related to anatomy and how filler will behave in the tissues. There might be foreseeable problems that can be adjusted with appropriate technique, placement and product, however some are beyond our control and this is when mild dissolving or emergency dissolving may be required.
The reason of dermal filler dissolving might be due to overfilled lips or other areas, lumps and unevenness of dermal filler result, allergic reaction (prolonged swelling), infection, visible asymmetry or late reaction (swollen lumps at the filler areas which are usually seen at tear through areas even a few months after the filler has been injected).
As we go through the process of dissolving the chosen area with you, we can assess your body’s and skin’s response and advise further on the process based on your outcomes. The degree of further treatment will depend upon indication, risks versus benefits and side effects from treatment.
