Dissolving dermal fillers is a procedure frequently requested by patients, particularly those seeking corrective treatment after receiving unsatisfactory results from previous procedures at other clinics. Cosmetic injections are not an exact science. Variations in anatomy, tissue characteristics, and how fillers interact with them can occasionally lead to outcomes that do not meet aesthetic expectations or pose potential risks, such as vascular occlusion or impending necrosis, which could jeopardise healthy tissue.
There are various reasons why dermal fillers may need to be dissolved, including (but not limited to):
Hyalase (Hyaluronidase) for
Filler Dissolving
Hyalase (hyaluronidase) is the enzyme used to dissolve hyaluronic acid-based fillers. While hyaluronidase is naturally present in the body, its use in aesthetic medicine is considered off-label, except in emergency situations. To ensure safety, patients are required to undergo a skin patch test at least 20 minutes before the procedure.
Patch Test Procedure: Hyalase is injected into the subcutaneous layer of the forearm, and the area is observed for any adverse reactions, such as hives, wheals, swelling, or itching.
Test Results: If a positive reaction is observed, the treatment cannot proceed. Normal reactions include erythema (redness) and some vasodilation, but severe reactions, though rare, can still occur despite a negative test.