Corrective work for filler “gone wrong”
One of the brilliant things about hyaluronic acid (HA) is that an undesirable result may be reversed. Hyaluronidase (hyalase) will dissolve HA filler, taking the area back to the way it was before treatment.
Hyalase is a very potent, prescription medication, so the treatment is often done in two or more sessions. This is particularly if there is a distinct lump or swelling that a person wants resolved, whilst maintaining the “good work” of the filler treatment.
If you want an area of filler dissolved entirely and then reinstated, this would be done at two weeks following resolution of the original filler.
There are a few considerations:
1. We have our own hyaluronic acid in the skin naturally and hyalase cannot distinguish between our own native HA and the HA filler. It will therefore break both down. We replenish our own HA every 24 hours however. This means that the immediate result may dip further than the ultimate outcome, but our natural hyaluronic acid will be restored whilst the filler will be completely resolved.
2. Like all injectable treatments, hyalase may result in bruising and inflammation. It may also cause itching.
3. Hyalase begins working immediately and its action will generally be completed within 48 hours.
4. With the above in mind you cannot dissolve and reconstruct the same area in a single session. Equally if the objective is to resolve a small amount of filler whilst maintaining the rest, two or more conservative sessions would be required.
Common areas for corrective work, using hyalase, are the lips and the tear troughs.
Corrective session: First session: £200
Review: Foc / + second/subsequent sessions: £100
Reinstated filler, charged as per price list.