Understand your filler.
Consider your options.

Can all fillers be dissolved completely?

Hyaluronidase acts on hyaluronic acid. It is not a universal dissolver for silicone or other non-HA materials. The response varies with the product, location and amount present, and reassessment or staged treatment may be needed. The enzyme dose cannot be calculated from a photograph or the old number of syringes alone.

How much dissolving—and what does the quote include?

There is no standard dissolving dose for every lump or area. The suspected material, product characteristics, amount, location and examination guide whether hyaluronidase is appropriate and whether more than one session is needed. Complete removal in one appointment cannot be guaranteed.

Ask whether the quote covers assessment, the proposed area, follow-up and possible further treatment. Under-eye HA can sometimes be dissolved, but persistent swelling still needs a diagnosis. The final contour is reviewed after the response settles; a return to the underlying volume deficit can look different from the filled appearance.

If a lump remains after dissolving

A persistent lump is not proof that more hyaluronidase is needed. Remaining HA, swelling, inflammation, infection, scar tissue or a different material can look similar. The clinician may need treatment records, examination and additional investigation before deciding what to do. A granuloma is an inflammatory tissue reaction; it should not be diagnosed from appearance alone.

Allergy, recovery and when to refill

Discuss previous reactions to hyaluronidase, medicines and relevant allergy history before treatment. Swelling, bruising and allergic reactions are possible; severe allergic symptoms need urgent care. Dissolving can reveal the underlying contour and volume change rather than creating a predictable new shape.

Refilling should wait until the clinician has assessed recovery and the original problem. A fixed same-day or two-week promise may not fit inflammation, infection or an uncertain material. Ask for the review plan, expected cost and what further investigation would involve.

How should I prepare for dissolving filler?

Bring previous treatment dates, products and photographs if available. Tell the doctor about medicines, supplements, allergies, medical conditions, pregnancy or breastfeeding, and any infection or irritation near the area. Ask about the intended product, alternatives, cost and follow-up before consenting.

Some medicines and supplements can affect bruising or bleeding. Do not stop prescribed medicines yourself; any change should be agreed with the prescribing clinician. Ask the clinic about alcohol, exercise and other preparations relevant to your appointment.

1. 01Treatment history & photographs
2. 02Medicines & allergies
3. 03Questions, goals & timing
4. 04Agree the plan before deciding

What should I do after filler?

Follow your treating doctor’s instructions for skin care, activity, pressure on the area and the timing of other procedures. Mild swelling, tenderness or bruising can happen. Avoid firm massage unless the clinician specifically advises it, and ask how and when to use a cool compress.

Contact the clinic for increasing swelling, persistent pain, redness, warmth or a new lump. Severe unusual pain, pale or dusky skin, or vision changes need immediate medical attention. Keep the urgent contact details and attend the agreed follow-up; an early swollen photograph is not the final result.