Most modern dermal fillers are made from hyaluronic acid, which can usually be dissolved if a result isn't right.
Most modern dermal fillers are made from hyaluronic acid, and these can usually be dissolved with an enzyme called hyaluronidase. Fillers made from other materials generally can't. That's why it matters what was used and who used it. If you're unsure about filler you've had, our dermal filler team can assess it and talk you through your options.
Whether your lip filler has moved, a result looks heavier than you hoped or you simply want a fresh start, it's reassuring to know most filler isn't permanent. If you're looking into fillers in Manchester, or already have filler you're not sure about, here's what dissolving involves.
How filler dissolving works
Hyaluronic acid occurs naturally in the skin and forms the base of most popular dermal fillers. Hyaluronidase is an enzyme that breaks it down, so the body absorbs the filler much faster than it would on its own. It's a prescription-only medicine in the UK, so it should only be used after a proper face-to-face assessment by a suitably qualified practitioner.
Many people notice a change within a day or two, although swelling can make the area look fuller at first. Some cases need more than one session.
Common reasons people have filler dissolved
Filler that has moved beyond the area it was placed in
Lumps or unevenness that haven't settled
Lips or cheeks that look overfilled
A bluish tinge under thin skin, known as the Tyndall effect
Correcting older work before starting new treatment
Not every concern needs dissolving. Some swelling and asymmetry settles on its own in the first couple of weeks, so timing matters.
Which fillers can't be dissolved?
Fillers made from materials such as calcium hydroxylapatite or poly-L-lactic acid aren't broken down by hyaluronidase. If you're not sure what you had, try to find out from the clinic that treated you before your consultation, because it changes which options are realistic.
Does dissolving hurt, and are there side effects?
Treatment involves small injections into the area, and most people find it manageable. Temporary swelling, redness, tenderness and bruising are the most common effects. Allergic reactions are uncommon but possible, which is one reason a full medical history comes first. Hyaluronidase can also soften a little of your natural volume for a short time, so the area is reviewed afterwards.
When dissolving is urgent
Rarely, filler can block a blood vessel, a complication called vascular occlusion. Warning signs include severe or worsening pain, skin that turns pale, blotchy or dusky, and any change to your vision. Contact the practitioner who treated you straight away, and call 999 or go to A&E if you can't reach them or your vision is affected.
Can you have filler again after dissolving?
Yes, if you still want treatment. Most practitioners recommend waiting at least two weeks so the area settles and the true starting point is clear. Coming back with a lighter, more gradual approach often gives a softer result than the original work. Our articles on what happens to fillers after several years and what to know before booking fillers in Manchester for the first time are useful reading before you decide.
Choosing a clinic for fillers in Manchester
Good filler work depends on a practitioner who can manage complications as well as carry out treatment. At Whitefield Dental, Face & Aesthetics treatments at our Skin Dr. clinic are carried out by Dr Ali Nahiyeh, our skin aesthetics doctor. Every treatment starts with a consultation, a medical history and an honest conversation about what suits your face.
We're on Radcliffe New Road in Whitefield, a short drive or Metrolink ride from central Manchester, with aesthetics appointments on Sundays too.
Book a consultation for fillers in Manchester
If you have filler you're not happy with, or you're considering fillers in Manchester for the first time, book a consultation and we'll talk you through your options.
Whitefield Dental is at 118 Radcliffe New Road, Whitefield, Manchester M45 7WQ. Call us on 0161 524 9883 or email dentist@whitefielddentalpractice.co.uk. We're open Monday, Wednesday and Thursday 9am to 6pm, Tuesday 9am to 8pm, Friday 8am to 3pm and Saturday 9am to 1pm by pre-booking, with Face & Aesthetics appointments on Sundays from 10am to 4pm.
Frequently asked questions
Can all fillers be dissolved?
No. Hyaluronic acid fillers usually can, but fillers made from other materials generally can't.
How quickly does hyaluronidase work?
Many people see a change within 24 to 48 hours, although swelling can hide the result at first and a further session is sometimes needed.
Can lip filler be partly dissolved?
Often, yes. Depending on your assessment, the aim may be to reduce or reshape the filler rather than remove all of it.
How long should I wait before having filler again?
Usually at least two weeks, although your practitioner will advise based on how the area has settled.
