Is Pelleve (Radiofrequency Waves) a Good Way to Reduce Unwanted Filler?

I'm male, 29, had HA fillers to face 8 months ago, with excellent results. But 5 months ago I decided to top up the left-cheek - a mistake - as it made left-side stick out too much. I went back to injector, he didn't recommend Hyaluronidase as it would dissolve ALL filler. He instead said RF waves to REDUCE it. I chose instead to wait for it to wear off, but even now left cheek sticks out. Is RF to melt it good idea, or better to wait for it to fade? I want the look of 8 months ago back.

Doctor Answers 5

Pelleve does not reduce filler

We know that hyaluronidase will reduce filler, and the amount eliminated can be adjusted via the amount of hyaluronidase injected.

There is no evidence or experience that Pelleve reduces injected fillers.

New York Dermatologist
5.0 out of 5 stars 8 reviews

Pelleve is not known to dissolve fillers

I am not aware of Pelleve dissolving filllers. First of all the fillers are not known to liquify in the heat that is generated by Pelleve and second, the Pelleve usually doesn't penetrate as deeply as the filler is injected.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Restylane and RF waves

If you have an assessment with a well-trained and experienced injector, you absolutely can remove the filler with hyaluronidase. Several things come into consideration when doing this, so be sure and discuss all options and expectations.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

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Can radiofrequency waves reduce filler

I do a different version of this treatment - Skin Tightening Refirme - and I do it on patients who have fillers. And who like and want to keep their fillers. The long and short is that there is no evidence that RF affects or removes fillers. So it's not going to be wise to use this as a means to reduce your fillers. A few injections of hyaluronidase done by an expert can absolutely remove just the excess and not the entire filler. If your physician doesn't have experience with hyaluronidase, consider seeing someone else for these injections as it's a simple procedure that can help remove your excess filler.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

What is "a Good Way" to Reduce Unwanted Hyaluronic Acid Facial Fillers?

When using fillers one should never "top up" the face. The face is not a gas tank and an attractive face is reached by understanding where to place volume and where to hold off. Hyaluronic acid fillers (Restylane, Juvederm etc) have a major advantage in that they CAN be dissolved. But I have never heard of RF waves or other modalities being successful in doing so. In addition you may end up with OTHER unintended consequences by over using this modality. If you do not want to try a feww well placed shots of hyaluronidase you may want to consider leaving it alone until it dissolves. This may take a year.

Good Luck

Peter A Aldea, MD
Memphis, TN

Peter A. Aldea, MD
Memphis Plastic Surgeon
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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.