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Filler Dissolving

At Hortman Clinics, we offer the most advanced solutions, including ultrasound-guided filler dissolution – a safe, precise, and effective way to remove unwanted fillers with confidence.

Are you anxious about getting your fillers dissolved? Here’s everything you need to know about our advanced filler dissolving approach!

WORkS

Who is a Candidate for a Filler Dissolving Procedure?

Anyone who has previously had a facial filler can opt for a dissolving procedure.
You may be a candidate for filler dissolution if you:

filler dissolving at forehead
filler dissolving at neck area
TREATMENT

When is the Filler Dissolving procedure required?

A filler dissolving procedure may be required for the following reasons:

In a few cases, the filler injected into the face can migrate or spread from its original position. This can occur due to poor technique and knowledge of the doctor, use of incorrect products and frequent retreatments. Filler can migrate when excess product is used.

When done properly, a filler procedure is almost always successful. However, some individuals may develop bumps and lumps when the filler does not spread evenly under the skin. While this situation usually resolves itself, sometimes dissolving the filler is the only option available.

Getting fillers is as smooth as planning a holiday! However, sometimes you hit a roadblock. In some rare cases, people may develop intense pain, discolouration or other symptoms following a filler procedure. In these cases, a filler dissolution procedure may be required.

lady at hortman clinics
TREATMENT

Types of Filler Dissolving materials

Fillers available today can be reversible and non-reversible.

  • These fillers are commonly used.
  • The most common reversible filler today is hyaluronic acid. 
  • Other temporary fillers are calcium hydroxyapatite and polymethacrylate microspheres. Permanent fillers
  • These cannot be reversed once injected into the body.
  • While their appearance reduces over time, reversing them is almost impossible.

The most popular filler-dissolving material is hyaluronidase. This is an enzyme that breaks down hyaluronic acid. When hyaluronidase is injected into the area of the filler material, it rapidly breaks down the filler and absorbs it for safe elimination from the body.

TREATMENT

Advanced Filler Removal & Filler Dissolving

At Hortman Clinics, we use the most advanced techniques for filler removal, including ultrasound guidance.

Ultrasound-guided filler removal uses high-frequency imaging to visualise the exact location, depth, and volume of residual filler beneath the skin in real time. The aesthetic specialist injects hyaluronidase with high precision, targeting areas with unwanted filler deposits while preserving nearby structures, such as vessels and ligaments.

 

This advanced technique offers several advantages:

  • It reduces guesswork
  • Lowers the total dose of hyaluronidase needed
  • Minimises swelling, bruising, and risk of complications such as vascular compromise or uneven dissolving
  • Particularly valuable for complex areas like the tear troughs, lips, and nose, or when fillers have migrated or been layered over multiple sessions.

To dissolve hyaluronic acid fillers, our experts at Hortman Clinics use hyaluronidase injections to break down the filler gel into smaller fragments safely. Since these fragments are naturally found in the body, they are absorbed and easily eliminated.

 

The enzyme is carefully dosed and injected directly into or around the filler, with adjustments made based on the type of HA product, how long it has been in place, and the desired degree of correction.

 

Results are often visible within hours to a few days, and treatment can be repeated if a gentle, stepwise reduction is preferred rather than complete dissolving in one session. This controlled approach allows the practitioner to refine contours, correct asymmetry, or fully reverse previous filler treatments as needed.

In addition to enzymatic treatment, sometimes manual techniques such as gentle massage or moulding may be used to help redistribute or soften small, superficial irregularities in the filler. 

 

In other cases where the filler is calcium hydroxyapatite (Radiesse), poly-L-lactic acid (Sculptra), or permanent fillers, the filler removal process is more complex. 

 

  • Since these materials cannot be enzymatically broken down, advanced removal strategies, such as microneedling-assisted dispersion, or laser- and radiofrequency (RF)-based treatments may be used. 
  • In a few rare cases, surgical removal of the filler may be performed.





filler dissolving at neck area

What does Filler Removal involve?

To get a filler dissolved, you will require:

- A consultation with our qualified aesthetician, who performs a physical evaluation of the site and understands your concerns or desired outcome

- If you are a candidate for filler dissolution, hyaluronidase is administered into the area.

- A follow-up appointment is advised to assess the results and determine if additional treatment is clinically indicated.

happy lady face
PROCEDURE

Filler Dissolving Procedure

The procedure for filler removal involves the following:

To prepare for a filler dissolving process, you must avoid medications like aspirin and nutritional supplements that may interfere with healing. You must also stop smoking several weeks before the procedure, as it may disrupt healing.

  • The expert will apply a skin-numbing cream to minimise discomfort during and after the procedure. 
  • Next, hyaluronidase is injected into the area with a thin needle. The enzyme breaks down the hyaluronic acid, which forms your filler.
  • The procedure takes around 10 minutes to 15 minutes to complete.
  • You can expect mild swelling or bruising in the area after the procedure.
  • While these side effects usually resolve in a few days, your doctor may prescribe medications to help you manage them better.
  • Avoid applying excessive heat or cold on the area.
  • Refrain from strenuous workouts and activities for atleast 24-48 hours after the procedure.
  • Keep yourself hydrated
TREATMENT

How long does the Filler Removal procedure take?

Depending on the amount of filler in the facial area, dissolving a filler can take one to two sessions. The complete results can take one to two weeks to show. The amount of time taken for the result depends upon many factors, especially the type and brand of hyaluronidase used and the quantity of filler in the area.

RISKS

Are there risks to a Filler-Dissolving procedure?

If you are worried about the risks of getting a filler dissolved, you can leave it to the safest hands at Hortman Clinics.

Dissolving facial fillers is a relatively safe procedure and a quick fix to reverse any undesirable effects of dermal fillers. However, some people may experience mild to moderate side effects, such as:

- Allergic reaction
- Bruising
- Itching or redness in the area
- Tenderness
- Mild skin discolouration
- Swelling

lady at hortman
;ip filler dissolving
RECOVERY

What does the recovery look like?

The recovery following a filler dissolving procedure is usually uneventful. If you wish to redo your filler, you must wait atleast two weeks post the dissolving procedure. If you develop bruising, it may take around a week to dissolve. You do not require any downtime after the filler dissolving procedure. You can resume your daily activities immediately.

DOCTOR

Consult our doctor

Unsure of the latest filler treatment you got? Don’t fret! We have the perfect antidote to your irregular or messed up filler procedures at Hortman Clinics. Book your consultation with our dermatologist to know more!

FAQs

Frequently asked questions

Most temporary fillers dissolve over time. However, if you need your filler to dissolve immediately, you can opt for a filler-dissolving procedure.

A filler dissolving procedure is a well-researched and routine aesthetic procedure. It is completely safe when performed by a trained dermatologist.

Most side effects of a filler removal procedure are mild and resolve themselves in a few hours to a few days.

The cost of filler dissolving depends upon several factors, including the doctor's expertise and the quality of products and technology used.

The most commonly used filler-dissolving material is hyaluronidase, an enzyme that breaks down hyaluronic acid.

Yes, most hyaluronic acid fillers can be dissolved entirely.

Here are a few things to avoid after a filler dissolving procedure:

  • Consuming hot or cold foods
  • Application of hot or cold packs
  • Strenuous exercise for 24-48 hours
  • Avoid cosmetics and ask your doctor about what products you can use on the face

The effects of a filler-dissolving injection become more apparent and noticeable after around 48 hours. The effects may continue to become more evident upto a week after the procedure. The total time to work depends upon the injection area and the filler type.

A filler-dissolving procedure is performed under topical anaesthesia, which numbs the area and minimises discomfort during and after the procedure.

Yes, you indeed can! Once the filler has been dissolved, you can consult our doctor to determine the best time to redo your fillers.

We are here for you. Always.

Everything we do is tailored to your needs, this is why we take our time to take care of you and answer all your questions.

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