Filler Complication Clinic: Reversal of Fillers

Filler dissolving is a treatment using an enzyme called Hylase or Hyaluronidase. Hyaluronidase is an enzyme that breaks down hyaluronic acid and can aid in the correction of complications and unsatisfactory results after filler injections. Hyaluronidase can be injected into the tissue or sometimes used topically by rubbing it into the skin. The reaction of a filler to hyaluronidase depends on the concentration and amount of hyaluronidase used as well as the specific properties of the hyaluronic acid.


It is injected into the area that is to be treated. While there is no downtime, some mild bruising, redness, swelling, temporary tenderness and itching at the injection site may occur. These reactions are generally mild to moderate and usually resolve within a few days. Most allergic reactions to hyaluronidase are local hypersensitivity reactions; however, delayed hypersensitivity reactions may occur in larger concentrations of its use. A skin test can be done in non-urgent situations.

Depending on the type of hyaluronic acid filler used, results can be seen within minutes. We recommend waiting 72 hours for final results once swelling has resolved. There is more and more evidence demonstrating that hyaluronic acid fillers may last for more years than originally thought. The aim is to inject the appropriate amount of hyaluronidase to dissolve the unwanted filler.

Multiple treatments may be needed for optimal results.

After the procedure, no makeup for 6-8 hours and no intensive exercise for 48 hours. Avoid blood thinning medications for 48 hours.

Most patients are happy with their results but in a small number, patients may feel that their appearance is worse than before they had the filler treatment. Generally, these issues are related to volume loss and volume depletion. It is important to discuss this at the time of consultation to determine the best course of action.


It can be used to address dissatisfaction after hyaluronic acid filler treatment and potential complications including prolonged swelling, granulomas, overfilling or facial distortion, filler migration, blue discolouration, contour irregularities or serious complications such as vision loss or skin necrosis.

Social Downtime:none (potential for bruising & swelling)
Results:none (potential for bruising & swelling)
Treats:Reversal of HA filler, complications from HA fillers

HYALURONIDASE FROM £475 PER TREATMENT (may need multiple treatments)

Book Consultation


Newsletter Signup

To receive information from Dr. Maryam Zamani about new treatments and skin care developments sign up to our newsletter.

Book Consultation

As a leading Oculoplastic Surgeon with special interest in Facial Aesthetics, Dr. Maryam Zamani has garnered a global reputation - both in the US and UK - for her meticulous attention to detail and sought-after techniques for eyes and facial aesthetics.

*We will try to accommodate the times on our follow up.
If you know already, what kind of treatment are you interested in?