Dissolve Filler or Wait?

Hello, almost three months ago I had Juvederm injected around mouth and smile lines. It looked bumpy and uneven so I had some of it dissolved. It still looked bad, so I had some Belotero injected to smoothe it out a bit. I just want my face back and don't think I should risk dissolving again. Will my face return to normal after all these injections or will there be some stretched skin and residual filler remaining causing contour irregularities? Should I just have it all dissolved?

Doctor Answers 13

Filler Contour Troubles

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi - I am sorry to hear that you are not completely happy with your results. If you can wait out another 3-6 months, most of the original filler should be gone, as it tends to disappear quicker in areas that move more. Having further injections of hylauronidase may cause your own native tissues to "dissolve" which is more likely to cause contour problems in the future and could potentially be permanent.

Minneapolis Plastic Surgeon
5.0 out of 5 stars 11 reviews

Dissolve filler

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You may just want to let the filler dissipate naturally.  Give it time it will go away.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Dissolve Juvederm or wait.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Your face will go back to normal once the Juvederm etc. is gone if you want to dissolve faster you can do this but probably just waiting another three or four months to let it dissolve is probably better.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Your choice

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Generally speaking, results from hyaluronic acid based fillers like Juvederm Ultra last from 6 months to a year. If you don't want to have another treatment with hyaluronidase, then you can wait until the results wear off. However, I suggest seeing your injector to determine if it is actually product that is causing your lumps. Best of luck.


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without pictures, it is difficult to suggest the best option.  In general, if you've not been happy with hyaluronidase, then perhaps you should wait 3-9 months for the products to dissolve and then reassess whether you want to try fillers again or not.

Make sure you see a board certified plastic surgeon in your area about this.


Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Should Filler Be Dissolved?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I recommend that you wait and let things return to normal naturally; the filler should be fully dissolved within 6-9 months of the last injection. After this you can start out from square one. At my practice I use Radiesse for nasal labial folds because it typically lasts longer and has a thicker consistency which is good for that area.  Juvederm, Belotero, and other hyaluronic acids are great for more superficial lines or the lips because the molecule is much softer, allowing it to be injected close to the surface of the skin. “Dr. D”

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Dissolve filler or wait?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hello, and sorry to hear you were not happy with your initial result. Are you happy with your appearance following the Belotero? And how long has it been since you had the Belotero? In general, you should wait about two weeks before judging the final result or having any touch ups. The fillers are temporary. When the filler wears off or is dissolved, your face will look how it did prior to the treatment. There will be no stretched skin following the treatment, as the skin is elastic enough to withstand the minor changes that take place. From here, I would recommend the following:

1) Waiting 2 weeks after the most recent injection if you have not done so already
2) Posting photos for professional analysis if you have further questions.

I hope this helps, and I wish you the best of luck.

Dissolve Filler or Wait?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

    You could do either.  The skin and contours will return to their former status using either approach.  Kenneth Hughes, MD Los Angeles, CA

Should I dissolve filler?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi Claremont.  Only you can answer the question about whether or not to dissolve the filler.  If you cannot stand to wait until it goes away on it's own, then you have your answer.  If you are ok with your results, but just want something better than give it a rest for 6 months and pick up where you left off.  

We have an office in Orange County and offer Vitrase injections so if you decide to dissolve it, feel free to contact us.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Dissolve Filler or Wait?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 I think it makes more sense to just let all the Juvederm and any other temporary filler dissolve and go away on its own.  Then select a plastic and cosmetic surgeon, for your Lip Augmentation, that understands and follows the proper aesthetics of facial beauty for the creation of naturally more attractive lips and face. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.