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Understanding Filler Dissolver: What to Know About Hyaluronidase

By: Dr. Shahzad Anwar

5/1/2025

Understanding Filler Dissolver: What to Know About Hyaluronidase

By Dr. Anwar | Modern Aesthetics

In the world of aesthetic medicine, hyaluronic acid (HA) fillers have revolutionized the way we approach facial rejuvenation. They're safe, versatile, and provide natural-looking volume restoration. But what happens when a filler result isn’t quite what you envisioned—or when migration, lumpiness, or vascular compromise occurs? That’s where hyaluronidase comes in.

At Modern Aesthetics by Dr. Anwar, we believe in empowering our clients with education and personalized care. Let’s dive into what hyaluronidase is, how it works, and why it’s an essential part of safe and ethical aesthetic practice.


What Is Hyaluronidase?

Hyaluronidase is an enzyme that breaks down hyaluronic acid—the main component in most dermal fillers like Juvederm, Restylane, and others. It acts quickly, dissolving unwanted or misplaced filler safely and effectively.

It’s important to note: hyaluronidase only dissolves hyaluronic acid-based fillers, not other types like Radiesse or Sculptra.


Why Would Someone Need Filler Dissolved?

There are several reasons patients seek hyaluronidase treatment:

- Overfilling or unnatural appearance: Sometimes, less is more. If filler results in puffiness or distortion, dissolving offers a clean slate.

- Migration: Filler can sometimes move from its intended area, especially around the lips or under-eyes.

- Lumps or irregularities: Poor technique or uneven placement may result in palpable or visible lumps.

- Vascular compromise: In rare but serious cases, filler can accidentally enter a blood vessel. Hyaluronidase is used immediately to dissolve the product and restore blood flow.


At Modern Aesthetics, Dr. Anwar takes great care to minimize the need for dissolver by using refined technique, conservative dosing, and a deep understanding of facial anatomy. But knowing we have a reliable reversal agent allows us to treat with both confidence and safety.


What Is the Dissolving Process Like?

Hyaluronidase is injected directly into the area where the filler needs to be removed. Here’s what to expect at your appointment:

- Consultation – Dr. Anwar will evaluate your concerns and confirm that the filler is HA-based.

- Allergy check – A patch test may be done for those with a history of allergies, though reactions are rare.

- Treatment – The enzyme is injected in small, targeted doses. You may feel mild stinging or swelling briefly after.

- Results – Dissolving begins within minutes and continues to work over 24–48 hours. Some areas may need a follow-up session for full resolution.


Does Dissolving Mean Starting Over?

Not at all. In many cases, dissolving is the first step toward getting better results. If you’ve had filler elsewhere and are unhappy, Dr. Anwar often recommends dissolving before re-treating—so we’re not layering correction on top of poor placement. It’s all about precision and harmony with your natural features.


Safety, Trust, and Transparency

While hyaluronidase is a powerful tool, it should only be used by trained professionals who understand facial anatomy and filler science. At Modern Aesthetics, patient safety is non-negotiable. Dr. Anwar’s approach is grounded in honesty, artistry, and a deep respect for your aesthetic goals.


Final Thoughts

Filler dissolving isn’t about regret—it’s about refinement. Whether you're correcting migration, removing old filler from years past, or simply starting fresh, hyaluronidase gives you the freedom to change course.

If you’re considering filler dissolving, schedule a consultation at Modern Aesthetics with Dr. Anwar. We’re here to guide you with clarity, compassion, and results you’ll feel confident about.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.