How Do I Get Rid of Wrinkle Filler if I Don't Like the Results?

asked 4 years ago by anon
Latest answer by Mathew C. Mosher, MD
Question viewed 4,849 times
Tags: dissolve, extraction, removal

I read that injectables can be extracted from the skin if you don't like the results. How is this possible? Laverné from Indianapolis, IN

11 answers to How Do I Get Rid of Wrinkle Filler if I Don't Like the Results?

Removal of dermal fillers

Not all dermal fillers can be removed easily. Hyaluronidase is very good at removing hyaluronc acid dermal fillers.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

Reversal of Injection Procedures

One of the reasons we lean toward hyaluronic acid fillers such as Restylane, Juvederm and Perlane is because they are easily reversed with Hyaluronidase. This product dissolves and degrades the Restylane, Juvederm or Perlane so as to reverse the results of the initial injection. It's a great insurance policy when choosing a practitioner. Make sure yours has it at his/her disposal.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Removing an undesireable result from filler injections may be possible

Most patients find the immediate results of soft tissue filler treatments very satisfying. If an undesirable result occurs, your treatment provider should be able to discuss and carry out all of the treatment options. Removing the effects of a "filler" treatment can be difficult. This is why any filler treatment needs to be done carefully, conservatively and only by very experienced and Board Certified Specialists. Hyaluronic Acid based dermal fillers have the additional... more

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

Extraction of fillers

There are several options to remove fillers: 1. Hyaluronic acid fillers (Juvederm,Restylane for example) can be dissolved with hyaluronidase 2. Fillers that are more permanent like collagen fillers usually resolve with time but if they may need to be excised 3. Permanent fillers will have to be excised 4. Some fillers such as sculptra respond to steroid injections. Of note, fillers near the lower eyelid can sometimes be removed without a scar through an... more

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon

Hyaluronidase for filler dislikes

If you are unhappy with some aspect of a hyaluronic filler (such as Restylane or Juvederm), there are several options - 1) wait to see if what you dislike improves or reduces, 2) your physician can try to extract the unwanted filler material with pressure on the skin after a tiny poke or incision is made - this works well if the material is placed to close to the skin surface where it can easily be extracted, and 3) an injection of a small amount of hyaluronidase can dissolve the unwanted... more

Elizabeth F. Rostan, MD
Charlotte Dermatologist

Reversal of undesirable facial filler injections

The key is to choose a reputable, experienced board-certified aesthetic physicians for your facial filler injection. Vast majority of the time, in the right hands, aesthetic filler injections are instantly gratifying and do not require reversal. For first timers, it may be desirable to utilize hyaluronic acid fillers such as Restylane or Juvederm, so that in the very unlikely scenario that you are not happy with the cosmetic outcome of the filler injection, there may be an option for... more

William Ting, MD
Bay Area Dermatologic Surgeon

Hyaluronidase for Hyaluronic Acid Fillers

The beauty about hyaluronic acid fillers is that they are reversible via injection of an enzyme known as hyaluronidase. However, in my hands, the need for use of this reversing agent has been very rare. In general, satisfaction from fillers is very high with two exceptions: too little injected or too much injected. The one anatomic area to be very careful with is injection around the eyes. The filler to be used, if at all, is a hyaluronic acid filler (Juvederm, Restylane). Radiesse... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Hyaluronidase--A Safety Valve for Hyaluronic Acid-Containing Fillers

Nonsurgical rejuvenation of the eyes, cheeks, lower face and neck have become very popular in-office procedures in the past few years. Hyaluronic acid-containing injectable agents, such as Restylane, Perlane, Juvederm Ultra and Juvederm Ultra Plus are now used routinely not only for filling, but for volumizing, shaping and contouring of the eyebrows, the region under the eyes, smile lines, "marionette" lines and jowls. These procedures take only minutes to perform and often... more

Nelson L. Novick, MD
New York Dermatologic Surgeon

Hyaluroinic acid fillers, Hyaluronidase and correction

Hyaluronidase is a naturally occuring enzyme produced by bacteria that digest the hyaluronic acid normally present in the skin., It can also be used to digest the hyaluronic fillers (Restylane, Prevelle Silk, Hyalform, Perlane, etc) that are injected into the skin.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Removing Facial Injectable Filler

Most facial injectable fillers today are temporary and designed to only last a few months to a year. Many cosmetic patients are happy with the aesthetic results of these non-surgical treatments for facial wrinkles. Some patients are unsatisfied with the cosmetic results and would like to reverse the treatment. Removal of filler material is difficult at best, and impossible for some fillers. Some fillers are potentially more easily reversible, such as the hyaluronic acid fillers. Your... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Ease of removal depends on the type of wrinkle filler used

Extraction of filler material from the skin and deeper tissue is difficult at best. Once injected the material, if designed to be temporary, slowly degrades over a period of 3-12 months depending on the material used. Fillers made of hyaluronic acid (HA), such as Restylane and Juvederm, however, can be treated with an enzyme called hyaluronidase which dissolves the HA based filler rapidly.