How long do I have to wait until dissolving lip filler with hyaluronidase after injections? (photos)

Thank you for your question and I am sorry that your lip augmentation results are not what you anticipated.  Due to the thin nature of the tissues of the lip they are predisposed to significant swelling.  You did not mention how much filler material you had placed but I would allow your results at least 2 and up to 4 weeks to fully mature before electing to pursue hyaluronidase.  Best wishes!

Longterm filler problems include migration, edema, and nodularity. 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 to wait about 2 weeks to see if filler will settle in. Early on can be due to edema.  Use hyaluronidase conservatively by an experienced injector.  Best Dr. Anil Shah

Unfortunately in spite of attempts to achieve beautiful meticulous results using injectable fillers, sometimes excessive or uneven responses occur. Many fillers create unwanted swelling (big lips for example) and usually this settles down within a week. Sometimes a second week will be necessary. When excessive fullness, or ‘bluish color’ or uneven results persist and an “HA” filler has been used, this can be reversed using a dissolving enzyme such as hyaluronidase. This may require more than one session. One then starts from the beginning since the filler is now gone. 

If you would like to reverse the fillers I suggest waiting 2-3 weeks to do so, swelling takes that long to resolve.  Best, Dr. Emer.