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Can excessive Hyaluronic acid fillers be dissolved 1 year later?

Aesthetic Medicine

Hi I previously had Hyaluronic acid (HA) fillers like Teosyal and Restylane injected in my face, and really liked the results as my pores became smaller and my skin smoother. However my last Teosyal injection performed 1 year ago made my face (especially the cheeks area) look overly plumped up and firm. I read that fillers will dissolve overtime, but right now my cheeks still look plumped up. I'll like to remove the fillers, and was wondering if there is any injection that can dissolve all these fillers on my cheeks? Please advise.

DOCTOR’S ANSWER (3)

HA Fillers can be dissolved with hyalase, even after a year of placement. Several sessions may be required to achieve the desired outcome, and sometimes controlling the amount dissolved might not be possible. As such you may need to undergo the dissolving, then a touch up with fillers a few weeks later.

Other fillers such as Non-HA fillers (like Radiesse, sculptra and Ellanse) are not really affected by hyalase and cannot really be dissolved. 

Cheers!

Dr Shane Tan

1053 views 28 Jun 2018

Hyaluronic acid (HA) fillers can be removed using Hyaluronidase (Hyalase). 

Usually 1 session is needed. However, for HA fillers that still remain even after 1 year, more sessions may be needed for best results.

Hope that this helps!

Warmest regards,

Dr Justin Boey

1035 views 28 Jun 2018

Yes, hyaluronidase can be used to dissolve away hyaluronic acid fillers, no matter how long ago they have been put in . 

This is due to a hydrolytic chemical reaction which the by product is water molecules. So as long as it’s hyaluronic acid, it will become water when hyaluronidase comes into contact with it. 

I have successfully dissolved a certain brand of HA that always causes avatar noses of patients from other doctors before, as they persisted for up to 2 years after injection. 

1042 views 28 Jun 2018
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