Does filler really dissolve over time?

If a person is not a candidate to dissolve the filler or does not want to go through the process, Dr. Soleiman recommends using radiofrequency microneedling, as they can melt fillers if placed in deeper environments. Otherwise, over time (usually 6 to 12 months), most fillers will naturally dissolve. By checking this box, I consent to receive promotional messages via email or text message; this agreement is not a condition for any purchase.

I also accept the mobile phone conditions and the privacy policy. Message and data rates may apply. An Internet search reveals wildly contradictory information about whether fillers can stretch the skin or not. As a journalist, I have been reporting on retouching for more than two decades.

This year I am turning 60 and during that time I have been injected with a good amount of filler (probably about 30 ml) into the face. If you've been overstocked (or been disappointed) after fillings from another vendor, you're understandably wary of the promise of a “quick fix.” Part of the appeal of procedures such as fillers is that they are often considered temporary or easily reversible and are therefore less risky than cosmetic surgery. I have heard of fillers that are injected into blood vessels, which clog them and can cause tissue necrosis, in which surrounding tissue dies, or even blindness if the blockage occurs in a facial artery. This means that, in order for the filler to dissolve, the body must produce a regular source of hyaluronidase at the injection site over an extended period of time. The most common technique for dissolving dermal filler is injections of hyaluronidase, an enzyme that breaks down hyaluronic acid (this can only be done if they are hyaluronic acid fillers, as opposed to silicone fillers, Sculptra or Radiesse).

When patients come to him to discuss eye surgery, part of their routine evaluation involves having an ultrasound, which often detects filling bags. An MRI revealed that Alice Hart-Davis has 35 ml of filler on her face despite not receiving treatment in almost four years. But up to this point so amazing? That ghostly print on the screen, an accumulation of filler from years ago, simply shouldn't be there. A key safety feature of fillers made from hyaluronic acid is that they can be dissolved with Hyalase, an injectable product.

While not a magic wand, Hylenex is a powerful tool for treating exaggerated, misplaced, or leftover filler. An Australian doctor who has performed several filling procedures over the years observed that his patient's fillers did not dissolve at 6 to 12 months, as they said.

Kirsten Mason
Kirsten Mason

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