Can you dissolve lip fillers only partially on one side or does it dissolve everything?

Question

My upper lip is uneven after lip fillers. (This is very frustrating as the reason I got them filled was to correct asymmetry and now the asymmetry is even more apparent.) I would like to shrink the larger side, but don’t want all the filler to just go to waste. It would be a huge waste of money and time. My question is: Can you have lip injections only partially dissolved on one side? Or does injecting the dissolvent just dissolve everything.

Raffy Karamanoukian, MD, FACS · Answer

Hylauronidase has many advantages and should be considered in patients who are unhappy with their results or in acute cases of overfilling or occlusion. Its often better to reverse filler and restart then to deal with long term edema. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

Yes, if you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. You can inject this product into the necessary affected areas.  See an expert. Best, Dr. Emer

Tim Neavin, MD · Answer

Yes, you are able to use hyaluronidase to dissolve lip filler. Please see a board certified specialist.

Trevor M. Born, MD · Answer

Dear dranoleaThank you for your question!  The enzyme is not specific, you can use smaller amounts to be more selective.With Warm RegardsTrevor M Born MD

Solomon Facial Plastic - Thornhill · Answer

Hi there,
Hyaluronidase should not be used for symmetry. The product is not made to be precise, it is meant to spread and dissolve Hyaluronic acid. You could either add more filler for symmetry or dissolve the whole thing and start from scratch.

Lesley A. Rabach, MD · Answer

If you have a highly experienced injector dissolving product is very effective. Be sure to see a Double Board Facial Plastic Surgeon to have an assessment on the best treatment plan for you.

Shaun Patel, MD · Answer

Yes, using a smaller amount of hyaluronidase and injecting it only into the area where you would the filler dissolved should work.

Shelin Tkatch, MD, FRCSC · Answer

While the application of hyaluronidase is not a strict science, if your injector and you are prepared to be patient, a little can be injected over several sessions to dissolve a limited area until you obtain the desired result. Best, Dr. Tkatch

Benjamin Barankin, MD, FRCPC · Answer

If you go low and slow, you can partially dissolve the filler over 1-3 sessions by an experienced and highly trained physician injector such as a dermatologist.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there,
      If small amounts are used over several appointments, you should be able to fine-tune the result without affecting the opposite side. I would definitely recommend doing this procedure at an office that is proficient in this treatment. Hope this helps.
Sarah RN BSN

Can you dissolve lip fillers only partially on one side or does it dissolve everything?

Answers (12)

More Hyaluronidase Questions

What to do about dissolving Radiesse?

After 3 rounds of Belotero hydro skin booster, Ive had protruding Fluid-filled eye-bags for 6 months. What can I do now? (photo)

Is there anyway to break down 1 ml of Voluma in both cheeks without hyaluronidase?

What is the best treatment for edema in lower lids after Voluma, where residual edema isn't responsive to hyaluronidase?

Hyaluronidase alternatives for upper eyelid filler? Please help?!

WE SEND PRETTY
EMAILS