Facial, lip, or nasal fillers have become very popular treatments in recent years. Some of the reasons for their success is that the prices are quite affordable, the results are immediate and they are very safe treatments. All of this has helped make fillers one of many patients’ favorite treatments. According to ISAPS data, more than 3.5 million filings were made worldwide in 2018, with an increase of more than 11% compared to the previous year, figures that demonstrate how the demand for fillings has grown significantly in the last years.

Fillers based on hyaluronic acid are considered very safe products that do not involve risks or side effects, especially if they are administered by expert specialists capable of mastering the injection technique and selecting certified and reliable products. However, due to the fact that it is a very common treatment, the chances of having some unwanted effects are also increased. Sometimes it may happen that if the patient is not completely satisfied with the result obtained, he sees the need to remove the infiltrated hyaluronic acid.

Those who decide to undergo cosmetic treatment, such as a filler to shape the lips or cheekbones or to fill the tear groove and reduce the tired appearance of bags under the eyes, hope that when they look in the mirror at the end of the consultation, they will see a more beautiful and harmonious face. That is, they don’t expect to see huge lips or artificial cheekbones. But even if in the worst case this happens, do not despair because a solution can be found.

Can hyaluronic acid be removed?

The answer is yes, you can delete it. Often the best thing to do if you have had a filler put in and you are not satisfied with the result is to simply wait patiently for it to be reabsorbed. In fact, remember that hyaluronic acid is not a permanent substance, but remains at the injection site for a period that can vary from 5 to 12 months. After this time, it is reabsorbed by the body itself, since it is a natural and biocompatible substance in the tissues of all mammals.

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The best method to quickly remove hyaluronic acid, if it is not possible to wait for its natural reabsorption, is to resort to hyaluronidase, a non-invasive technique that avoids having to act with traumatic surgical procedures that could cause additional complications, asymmetries or scars

Hyaluronidase is the term for an enzyme capable of degrading hyaluronic acid and accelerating its reabsorption. Hence, they say it can be considered a bit of an antidote to asymmetry, granulomas, or excessive swelling of a filler.

The procedure consists of a subcutaneous injection of this enzyme, then a small puncture, and can be performed in surgery. The effect is immediate and its results are visible during the 24 hours after the treatment. In some cases, the specialist may recommend combining antibiotic and anti-inflammatory therapy as well, especially when hyaluronidase is used to dissolve any subcutaneous nodules. Normally, a single session is sufficient, but if excess is to be corrected, the doctor will have to act in two stages.

If after taking hyaluronidase you want to perform a new aesthetic treatment, there is no problem, as long as you wait at least between 2 and 4 weeks. Inform your doctor in advance to make sure there are no contraindications.

Hyaluronidase yes, but with caution

The consequences of hyaluronidase must be taken into account, because hyaluronidase can also have side effects if not done correctly, causing depressions, asymmetries, and inflammation. Unlike hyaluronic acid, they can also cause allergic reactions.

Hyaluronidase is not dangerous in itself, and contrary to what is wrongly believed, it does not attack “pre-existing” hyaluronic acid in the body but must be administered in small doses and according to a precise methodology. Therefore, absolutely avoid applying the product yourself and make sure that the doctor who performs the procedure is a specialist.

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