dissolve dermal fillers singapore

Dissolve Dermal Fillers

It may be necessary to dissolve dermal fillers if you experience unwanted lumps and irregularities after your procedure.

We provide clinically effective and proven treatments to remove unwanted HA fillers.

dissolve dermal fillers clinic singapore
Dissolve dermal fillers with hyaluronidase


HOW DR.NG dissolve dermal fillers

Unwanted filler lumps and bumps can be concerning to many patients after a filler procedure. Be it the lips, tear troughs and nasolabial folds, with precise injections of hyaluronidase, Dr. Ng will help you remove the filler lumps effectively and quickly.

Why do i need to dissolve dermal fillers?

You can dissolve dermal fillers with Hyaluronidase, a soluble protein enzyme that breaks down hyaluronic acid based fillers. The popularity and rise in biodegradable Hyaluronic acid fillers over the years have also seen an increase in filler related complications. Although most complications are mild and easily remediable, there are rare serious complications (e.g. blindness, stroke, and skin necrosis) that necessitates immediate medical attention.

From experience, filler lumps and bumps are more prevalent in thinner areas of the skin such as the tear troughs, lips and nasolabial folds. Although post filler procedure, you may experience some swelling that usually subsides in a matter of days,  any swelling that persists after 2 weeks should be followed up closely by your doctor.

dissolve dermal fillers singapore
Hyaluronidase to dissolve dermal fillers

What is Hyaluronidase?

Hyaluronidase was first used in 2004 to remove lumps around the eyes following a HA dermal filler treatment. Hyaluronidase is a life-saver in the field of cosmetic dermatology. It is seen as an ‘eraser’ or ‘reverser’ for the undesirable effects of a hyaluronic acid dermal filler injection. Hyaluronidase breaks down HA dermal fillers by the process of hydrolysis i.e. chemical reaction with water. It is rather specific and does not affect normal skin tissues. 

How does hyaluronidase work?

Glycoaminoglycan, which is the main extracellur matrix of the skin has hyaluronic acid as one of its chief components. This is the same ingredient used in modern day hyaluronic (HA) fillers for aesthetic purposes. Hyaluronidase is an enzyme that breaks down the hyaluronic acid into simpler substances (monosaccharides) which are then naturally  cleared by your body.

Factors affecting that rate of filler dissloution include:

  • Cross-linking: Fillers with more cross-linking will be more difficult to dissolve
  • Concentration: Higher concentration fillers will take a longer time to dissolve.

It would be helpful if you could inform Dr.Ng the type and brand of filler used so that we can come up with a plan to best dissolve your fillers most effectively.

dissolve dermal fillers treatment singapore
Nasolabial lump post filler injection

When Do You Dissolve Dermal Fillers?

You may consider Hyaluronidase to dissolve dermal fillers if there is a bluish discolouration (Tyndall effect due to superficial placement of the filler), lumps and irregularities. Hyaluronidase is also useful to correct asymmetry, overfilling and product misplacement. Vascular occlusion is a rare phenomenon due to the blockage of a blood vessel from the inadvertent injection of the HA filler. There may be pain and purple discolouration of the skin in a case of impending skin necrosis. 

What Types of Hyaluronic Acid Dermal Fillers Are Available?

With the recent popularity of dermal fillers, there are many brands to choose from. They differ in their viscosity, cross-linking and longevity. Common Hyaluronic Acid Fillers are:

  • Restylane
  • Juvederm
  • Belotero
  • Teosyal
  • Stylage

How Do You Dissolve Dermal Fillers?

Skin reaction with hyaluronidase which makes this patient unsuitable for the procedure.

After a clinical assessment, the area is marked out and numbing cream is applied.  Skin testing is recommended for any potential allergy to hyaluronidase on your arm before the injection is administered into the affected area. The amount of hyaluronidase to be injected depends on the size of the area to be corrected. Small lumps and bumps may resolve with 24-48 hours while larger lumps may take up to 2 weeks and require repeated treatments.

Frequently Asked Questions About Dissolving Dermal Fillers

Pain levels can vary from person to person, but generally, the procedure involves minimal discomfort. Topical anesthetics may be used to numb the area before the injection.

There may be mild transient discomfort as the hyaluronidase is injected into the affected area. Swelling is mild and resolves in a matter of hours, while bruising can take up to 7 days. Allergic reactions are rare. It is not recommended to go for Hyaluronidase treatment if you had a history of hypersensitivity to bovine collagen, bee stings or have an existing skin infection.

  • Itchiness at injection site
  • Urticaria (itchy bumps on skin) and Angioedema (soft tissue swelling)
  • Allergic reactions

The time it takes for the filler to dissolve completely varies depending on factors such as the type and amount of filler injected. Typically, it can take a few days to a couple of weeks for the filler to fully break down.

When performed by a trained and experienced healthcare professional, filler dissolution is generally considered safe. However, as with any medical procedure, there are risks involved, so it’s important to discuss potential complications with your provider beforehand.

Hyaluronic acid-based fillers are the most commonly dissolved using hyaluronidase. Other types of fillers, such as those made of calcium hydroxylapatite or poly-L-lactic acid, cannot be dissolved with hyaluronidase.

The cost of dissolving dermal fillers including the skin allergy test is from $300 onwards.

schedule a consultation to dissolve dermal fillers in singapore

Contact us today to schedule a consultation, so that Dr. Ng can develop a personalized treatment approach for resolving your skin concerns and helping you to remove unwanted filler lumps and bumps.

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Get in touch with us with any questions, pricing, or bookings.

Or give us a call at +65 6769 6007 | WhatsApp us +65 9855 3022

  • Soparkar CN, Patrinely JR, Tschen J: Erasing Restylane.Ophthalmic, Plastic, and Reconstructive Surgery. 20:3173182004
  • Hirsch RJ, Brody HJ, Carruthers JD: Hyaluronidase in the office: a necessity for every dermasurgeon that injects hyaluronic acid. Journal of Cosmetic and Laser Therapy. 9:182185 2007
  • Rzany B, Becker-Wegerich P, Bachmann F, et al.: Hyaluronidase in the correction of hyaluronic acid-based fillers: a review and a recommendation for use. Journal of Cosmetic Dermatology.8:317323 2009
  • Jung H. Hyaluronidase: An overview of its properties, applications, and side effects. Archives of plastic surgery. 2020 Jul;47(04):297-300.