How to dissolve fillers while maintaining a youthful look? (Photo)

It's understandable that you want to maintain a natural and youthful appearance. Here are a few options you might consider:
1. Dissolving Fillers: Hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase. This can help restore your natural facial movement and expressions. However, it's important to note that this process can sometimes lead to an overcorrection, leaving you with less volume than before you started with fillers. It's also not an option for permanent fillers.
2. Botox: Botox can be used to relax certain facial muscles and reduce the appearance of wrinkles, leading to a more youthful appearance. It's critical to have this done by a skilled provider who understands facial anatomy well, as incorrect placement can lead to unwanted side effects.
3. Laser Treatments: Laser treatments can stimulate collagen production and help tighten the skin, which can help maintain a youthful appearance. However, you've mentioned that you're terrified of lasers, so this might not be a suitable option for you.
4. Topical Treatments: Topical retinoids can help stimulate collagen production and repair skin damage. They're often used for wrinkles and signs of aging.
5. Lifestyle Changes: A healthy diet, regular exercise, adequate hydration, and sun protection can all help maintain youthful skin.
Before making any decisions, it's essential to have a thorough discussion with your clinician about your goals, the potential risks and benefits of each option, and what you can expect in terms of results. It's also worth considering a second opinion if you're unsure about your current clinician's recommendations.

If the fillers are hyaluronic acid you should be able to dissolve most using hyaluronidase. At some point filling becomes counterproductive and surgery is a better option.

Long term filler use can lead to concerns like yours. Yes, you can have your fillers dissolved and reassess the outcome. There are different modalities such as biostimulators and plasma energy devices which can address volume loss and skin laxity respectively. Devices such as Emface also provides great natural results.

If you were treated with HA fillers you can elect to have them dissolved with hyaluronidase. It may take multiple treatments to dissolve them completely. Fillers add volume and help to define contours of the face. You can also consider other treatments such as Morpheus8. This is not a replacement for fillers, but these treatments work to improve overall skin tone and texture. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

It would have been helpful to see your smile from 5-10 years ago. If you feel frozen and unable to fully smile, then dissolving is a way to go. It is always best to go to the same provider who injected you to have it dissolved because they would know the depth and amount, etc,If you choose a different provider, then the best route is to make sure they are certified and super knowledgeable in dissolving the filler. Some practices started offering ultrasound guided filler dissolving, so this is something I highly recommend you research about . Be super gradual an make it a few sessions over a few months not to completely melt your face.
Good luck. Best. Dr.Anna Avaliani, NYC