This will depend on what type of dermal filler you have.
Only the Hyaluronic Acid (HA) fillers can be dissolved, as HA is a natural compound that exists widely in our skin and tissues and there is a specific natural enzyme that will dissolve it. This enzyme is called hyaluronidase and is marketed under the brand name “Hylase”
All other fillers are synthetic and do not have a dissolving agent available. They cannot be dissolved and so it is important to be certain when you are having these fillers injected into you that you will not want or need to reduce or remove them later.
There may be a number of reasons you may wish to have your filler reduced or removed. There may be overcorrection, uneven results, the development of lumps, an allergic reaction to the filler, don’t like the results, or simple a change of mind.
With HA fillers there is an additional reason, and that is over-hydration. HA exists in abundance in all our tissues because it is a naturally hydrating agent and so it provides volume, texture and hydration to the tissues. When it is injected as a filler it will naturally increase hydration to that area as well as filling. This is a good thing in most cases, but there are some situations such as in the tear troughs where increased hydration can become an issue because drainage in that area is poor, occasionally resulting in some increased puffiness there. This need not be an issue however as the careful and precise placement of tiny amounts of Hyalase will reduce this puffiness (it is not necessary to remove the filler) and produce good results.
Similar to HA it too is a natural compound that exists in the body, making it a very safe product.
The main concerns with hyaluronidase are from removing too much HA filler when all you wanted was reduction. This happens when too big a dose of Hylase is used by inexperienced injectors. Doses need to be very small and placed carefully and precisely.
In most cases you will notice an immediate reduction, within minutes of injecting! The full result will be seen by the next morning.
Most concerns have more than one course of treatment. Feel free to contact us so one of our team can discuss options for your unique concern.