Not satisfied with a previous filler treatment, or does the result feel unnatural, too full, or asymmetrical? With Hyalase (hyaluronidase, also known as Hylase), hyaluronic acid fillers can be targeted for dissolution. It's a way to take a step back and calmly assess what suits you. On this page, you'll read exactly what Hyalase does, who it's suitable for and when it's not, how the treatment at Dr T. works, and what to expect in terms of results, safety, and costs. Honest, without any exaggeration.
Hyalase is a brand name for hyaluronidase, an enzyme that breaks down hyaluronic acid. Since most modern fillers are made of hyaluronic acid, this enzyme can target and dissolve a previously placed filler. It's injected with a fine needle at the site of the filler, after which the body clears away the dissolved material on its own.
Important to know: Hyalase only works on hyaluronic acid fillers. Fillers based on other substances, such as biostimulators or permanent products, cannot be dissolved with it. That's why at Dr T., it's crucial to first properly assess which type of filler was originally used.
The goal isn't always to remove everything at once. Sometimes you simply want to correct an overcorrection, adjust asymmetry, or soften an area that feels too heavy. This can often be done in a controlled, step-by-step approach.
Hyalase may be appropriate if you're dissatisfied with a previous filler treatment, if there's too much product, if the result feels unnatural, or if lumps, bumps, or asymmetry have developed. Even those who simply want their fillers completely dissolved can turn to this option.
In some situations, it's even medically necessary and urgent. If a filler blocks a blood vessel (a vascular complication), rapid dissolution with hyaluronidase is the indicated step. That's one of the reasons why fillers should always be placed by an experienced physician.
It's less suitable if your filler isn't made of hyaluronic acid, if you have a known allergy to hyaluronidase, or with certain medical conditions. During pregnancy and breastfeeding, I never inject. During a consultation, we'll honestly discuss your history, and if Hyalase isn't the right choice, we'll tell you that too.
We start with a calm conversation. What was placed, when, where, and why do you want it removed or adjusted? Ideally, you'll remember which brand or type of filler was used. Then Dr T. examines the areas and works with you to create a plan.
The treatment itself is usually short. The enzyme is introduced with fine pricks at the correct location and depth. Sometimes a brief sensitivity test or a lower starting dose is wise. For larger or tougher filler amounts, a second session may be needed to achieve the desired result.
Afterwards, you'll receive clear aftercare instructions. Mild swelling or bruising sometimes occurs and usually fades on its own. We'll schedule a check-up if needed to assess the effect before considering any new filler.
The effect of Hyalase occurs relatively quickly. You often see and feel a difference within one to a few days, as the filler dissolves and the swelling from the treatment itself subsides. The final result is best judged after about one to two weeks.
How much dissolves depends on the type and amount of filler, how long it's been in place, and how your body reacts. Softening a mild overcorrection typically goes smoother than completely removing a large amount of old, dense filler. When in doubt, we opt for a step-by-step approach so we don't remove more than necessary.
If you want fillers again afterwards, it's wise to wait until the area has completely settled before placing new product. This gives the most beautiful and predictable end result.
As with any injection, you may temporarily experience swelling, redness, tenderness, or bruising at the treatment site. This is usually mild and short-lived. Because the enzyme can also target the body's own hyaluronic acid, an area may temporarily feel less plump; this generally recovers on its own.
An allergic reaction to hyaluronidase is rare but possible, which is why we take your allergy history seriously. In higher-risk or uncertain cases, a test beforehand may be useful. We'll explain beforehand what to watch for and when to contact us.
Safety comes first. Hyaluronidase belongs in the hands of a physician who knows what they're doing and can anticipate and manage complications. At Dr T., you'll receive an honest assessment, not a treatment that doesn't suit you.
The price of a Hyalase treatment depends on several factors: the amount of filler to be dissolved, the number of areas, whether one or more sessions are needed, and the complexity of the situation. That's why we don't work with a fixed price that's detached from your situation.
During the consultation, we'll look together at what's needed and you'll receive an honest estimate, with no surprises afterwards. This way, you know what to expect before anything begins.
Are you unsure whether Hyalase is the right choice, or do you just want to discuss your options first? Schedule a consultation. Then we'll calmly look at your face, your wishes, and what's realistic and respectful for you.
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