Filler Dissolving in Vancouver | Hyaluronidase at Promethean Clinic

Filler dissolving with hyaluronidase in Vancouver at Promethean Clinic is a medical procedure. It requires the same anatomical knowledge and clinical judgment as placing filler in the first place. We perform it regularly, both for patients who had work done at Promethean and for patients who came to us after receiving treatment somewhere else. If you have HA filler that you want removed, or filler that is creating a problem, this is a straightforward solution. The enzyme dissolves hyaluronic acid. What it cannot do is make a judgment call about what should be dissolved, how much, and where. That part requires a trained clinical provider.

Benefits of Hyaluronic Acid

Corrects Overfilling and Asymmetry: Effectively dissolves excess hyaluronic acid fillers, correcting overfilled areas and restoring natural facial contours.
Addresses Complications: Provides a solution for complications such as lumps, bumps, or uneven distribution of fillers.
Quick and Effective: Rapidly breaks down unwanted filler material, with results often visible within hours to a couple of days.
Non-Surgical: Offers a non-surgical approach to adjusting or reversing filler treatments, avoiding the need for more invasive procedures.
Customizable: Allows for precise adjustment of filler results, tailored to each individual’s needs and aesthetic goals.
Minimal Downtime: The procedure requires minimal downtime, allowing patients to quickly return to their daily activities.

Common Reasons People Need Hyaluronidase

Several situations lead people to seek filler reversal or correction.

Overfilled appearance: Too much filler creates an unnatural look. Pillow face. Duck lips. Overfilled cheeks. Hyaluronidase can dissolve excess product to restore balance.

Asymmetry: Uneven filler placement creates visible asymmetry. One side looks different from the other. Correction requires dissolving filler from the overfilled side or both sides for fresh placement.

Filler migration: Sometimes filler moves from where it was originally placed. Lip filler migrating above the lip border. Cheek filler settling in unwanted areas. Hyaluronidase dissolves the migrated product.

Lumps or bumps: Filler can clump together creating palpable or visible irregularities. These require targeted dissolution.

Vascular complications: This is rare but serious. If filler blocks a blood vessel, immediate hyaluronidase treatment is necessary to dissolve the filler and restore blood flow.

Change of preference: Your aesthetic goals evolve. What looked good five years ago might not align with your current preferences. Hyaluronidase provides a clean slate.

What Hyaluronidase Actually Does

Hyaluronidase is an enzyme that breaks down hyaluronic acid. When injected into areas where hyaluronic acid fillers have been placed, it dissolves the filler material. Your body then naturally absorbs and eliminates the broken-down filler.

The process works quickly. Most filler dissolution happens within 24 to 48 hours of treatment.

This enzyme only affects hyaluronic acid. It won’t dissolve other types of fillers like calcium hydroxylapatite (Radiesse) or poly-L-lactic acid (Sculptra). It also has minimal effect on your body’s natural hyaluronic acid, which your system quickly replenishes.

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Common questions about filler dissolving

What is hyaluronidase?

Hyaluronidase is an enzyme that breaks down hyaluronic acid, the primary component of most modern dermal fillers. It allows for correction or complete reversal of hyaluronic acid filler treatments.

How does hyaluronidase work?

When injected into areas containing hyaluronic acid fillers, hyaluronidase breaks down the filler material. Your body then naturally absorbs and eliminates the dissolved filler through normal metabolic processes.

Is hyaluronidase safe?

Yes, when administered by qualified medical professionals. Our team includes Nurse Practitioners, Physicians, and Registered Nurses trained in injection technique and complication management. Hyaluronidase has been used safely in medical and cosmetic applications for decades.

How long do the results last?

Results are typically visible within 24 to 48 hours, with complete dissolution occurring within a week. The exact timeline depends on the amount and type of filler being dissolved.

Is there any downtime after the procedure?

Minimal to no downtime. Most people can return to normal activities immediately, though we recommend avoiding strenuous exercise for 24 hours. Some swelling and redness are normal for the first few days.

Are there any side effects?

Common side effects are mild and temporary, including redness, swelling, or bruising at injection sites. These typically resolve within a few days.

Who is an ideal candidate for hyaluronidase treatment?

Ideal candidates want to correct or reverse hyaluronic acid filler treatments due to overfilling, asymmetry, migration, or complications. Anyone dissatisfied with their current filler results should consider consultation.

Can hyaluronidase remove all types of fillers?

No. Hyaluronidase only dissolves hyaluronic acid-based fillers. It does not work on other filler types like calcium hydroxylapatite (Radiesse) or poly-L-lactic acid (Sculptra).

How many treatments are needed?

Most people achieve desired results with one treatment. Complex cases or heavily filled areas may require multiple sessions for complete correction.

Will hyaluronidase affect my natural hyaluronic acid?

Hyaluronidase primarily targets the hyaluronic acid in fillers. While it may temporarily affect some natural hyaluronic acid, your body quickly replenishes its natural levels.

When can I get new fillers after hyaluronidase?

Most practitioners recommend waiting 2 to 4 weeks before placing new filler. This allows complete dissolution of existing product and tissue recovery for optimal results.

How do I book a consultation?

Call (778) 879-7666 or book online through our website. We’ll assess your situation and discuss correction options.

Why patients come to us for filler correction

The most common reasons we see patients for dissolving: filler placed too superficially, causing visible lumps or the Tyndall effect, which is a bluish tint visible through the skin. Overfilled lips that have lost their definition. Lip filler that has migrated above the vermillion border. Cheek or under-eye filler that has shifted, creating a puffy or swollen appearance. Filler that looked appropriate when it was placed but has been built up over multiple appointments to a point where it no longer looks natural. We also see patients who had filler placed by unqualified injectors and experienced complications. The range of what we see is wide. Some of it is straightforward to correct. Some requires careful assessment before anything is done. Every case starts with a consultation.

What happens at your dissolving appointment

Consultation first

We assess what is there before we inject anything. Where the product is sitting, how much appears to be present, and whether there are any signs of nodule formation, migration, or vascular involvement. This evaluation determines the approach.

The injection

A fine needle delivers hyaluronidase to the targeted area. The sensation is similar to the original filler injection. Topical numbing can be applied if preferred. The procedure takes 15 to 30 minutes depending on how many areas are being treated.

After dissolving

The treated area will be tender and slightly swollen for one to two days. Most patients see significant dissolution within 24 to 48 hours. After two weeks, we assess the result. If residual product remains, a second session may be needed.

Waiting to re-fill

If you want to re-fill an area after dissolving, we recommend waiting at least two weeks for the swelling to fully resolve. This gives us a clear picture of what the tissue looks like at baseline before planning anything new.

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