Quickest way to dissolver filler without Hyaluronidase?

Question

I want to dissolve my filler as quickly as possible to re shape and start fresh. I am unwilling to use Hyaluronidase as the horror stories of it affecting patience own HA is too much to bare. I feel my only option is waiting it out. Should I massage? What can I do to speed this up?

Philip S. Schoenfeld, MD, FACS · Answer

Unfortunately, I am unaware of any way to expedite the dissolution of filler that has been injected into your face.  There are certainly potential side effects from the use of hyaluronidase however, if your injector is patient and uses dilute hyaluronidase, the potential for side effects is reduced significantly.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question. I am not aware of anything else on the market that will dissolve HA fillers. Without hyaluronidase the only option is to wait. All the best!

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. If you don't want to do the hyaluronidase then you will have to wait 8 months to a year for the filler to lose its affects. See an expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

The best and easiest way to dissolve filler is with hyaluronidase. It may take a series of treatments. Hope this helps.

Lucas Bryant, MD · Answer

I agree that hyaluronidase is the only recommended treatment to dissolve filler. When done correctly by a board certified facial plastic surgeon, plastic surgeon, or dermatologist it is safe. Other experimental treatments like ultrasonic or radiofrequency treatments have their own risks and create structural changes (radiofrequency therapy works by creating subcutaneous burn injury which causes localized inflammation and scar (collagen) tissue for example). The absolute safest method is to patiently wait, but I know that can seem like a long time!

Gregg Kennedy, MD · Answer

This question brings up a topic rarely encountered in practice:  the effect of injected hyaluronidase on naturally-occurring hyaluronic acid in the tissues.  There is no evidence that there is an appreciable effect on natural hyaluronic acid when synthetic enzyme is injected.  It is important to be cautious when injecting any biologically active substance, and I suggest you find a doctor skilled in fillers and their removal.  You might be well-advised to use an injector who is comfortable adding and taking away filler to do all your injecting.
Best to you,  Gregg Kennedy, MD

Drew Varano, MD · Answer

Ultherapy uses ultrasound energy iwhich can penetrate deep enough to dissolve filler . The filler should be in a location that won’t affect nerve function. If you have filler in the oral commissure area , Ultherapy would not be suggested as there is a marginal mandibular  nerve located in the same area . Excluding lips , Most other areas filler is placed can be safely treated with a few lines of Ultherapy to help its resolution provided the filler is not older than 3 months

Jamé Heskett, MD · Answer

Hi,
I have found that using radiofrequency generated heat is the best most natural and efficient way to dissolve filler. In fact, I don't even keep hyaluronidase in the office. The result is a very smooth and natural reduction in the filler and without the side effects of the hyaluronidase which are sometimes significant when used under the eyes creating crepiness and dryness for sometimes months. 
A quick low level RF treatment once or twice will do the trick nicely. Also will tighten the skin where the filler was placed.There are no side effects and usually a spot treatment is not expensive, 
Best of luck
Dr. Jamé

Monika Soni, MD · Answer

Thank you for your question! Hyaluronidase is the only safe and effect option for dissolving hyaluronic acid-based dermal fillers. A small amount of hyaluronidase can go a long way to help soften the effects of your recent filler treatment. And if done correctly it can leave a natural appearance to the face without negative side effects to the skin.  This procedure takes a skilled and experienced hand so be sure to seek treatment by an experienced board-certified facial plastic surgeon, general plastic surgeon, or dermatologist. Best of luck!

Quickest way to dissolver filler without Hyaluronidase?

Answers (9)

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