Hyaluronidase: correcting and dissolving hyaluronic acid fillers

How it works

The hyaluronic acid in fillers is a substance the body absorbs gradually over months. Hyaluronidase is an enzyme that speeds up this absorption: applied to the area, it breaks down the gel molecules, which are eliminated by the body within hours to a few days.

For this reason, hyaluronic acid is considered a reversible filler. The enzyme allows unwanted results to be corrected, and its indication is made by the dermatologist at the evaluation.

Indications

• Volume loss and foldsExcess product or an artificial look after fillers.
• LipsLips with excess product, irregularities or gel migration.
• Dark circlesPuffiness or a bluish tint after under-eye filler.
• NoseIrregularities after non-surgical nose reshaping.

Hyaluronidase is also used to treat lumps related to previous hyaluronic acid fillers.

Treated areas

What a session is like

The doctor assesses the area, asks about previous procedures (product, date and area) and, when necessary, recommends a dermatologic ultrasound to locate the material. After the skin is cleaned, the enzyme is applied with a fine needle at the points where the gel is.

Recovery

There may be swelling, redness and tenderness for one to two days. You can return to your activities on the same day.

Sessions and results

The effect starts within a few hours, and the result is assessed after a few days. The number of sessions and the interval between them depend on the dermatologist's individual evaluation and on each patient's clinical concern.

Contraindications

Hyaluronidase is not recommended for people with a known allergy to the enzyme or over active infections in the area, except when treating the infection depends on removing the gel. Allergy to bee or wasp stings and pregnancy require evaluation.

At the evaluation, the dermatologist reviews your health history, current medications and previous procedures to confirm the indication.