Not happy with your fillers, does the result feel too full or asymmetrical, or do you simply want your own face back? Then a hyalase treatment can bring peace of mind. Hyalase (hyaluronidase) is an enzyme that dissolves hyaluronic acid fillers precisely. On this page you'll read exactly what a hyalase treatment does, when it makes sense and when it's best avoided, how the process works at Dr T., and what you can expect in terms of results, timing and safety. Honestly and without false promises.
Hyalase is the brand name for hyaluronidase, an enzyme that breaks down hyaluronic acid. Many fillers consist of hyaluronic acid, and that's exactly what makes them reversible. By injecting hyalase very precisely into the area of the filler, the enzyme breaks down the gel material so that your body can absorb it more quickly.
The beauty of hyaluronic acid fillers is that an undesirable result isn't permanent. If you feel your lips are too full, a cheek looks uneven, or there's a bump somewhere, hyalase can remove that filler entirely or partially, depending on what you want to achieve.
Important to know: hyalase only works on hyaluronic acid fillers. It has no effect on other materials, such as biostimulators or permanent fillers. During your consultation, Dr T. first assesses what was previously injected, so the plan matches reality.
A hyalase treatment is suitable if you have a hyaluronic acid filler you'd rather be rid of: too much volume, an unnatural result, filler migration or asymmetry. It can also help with uneven swelling or lumps after a previous treatment, allowing you to start fresh with a clean slate.
In rare cases, hyalase is medically urgent, for example if a filler is suspected of blocking a blood vessel. That's an emergency where rapid dissolution protects the tissue. If this happens to you after a treatment elsewhere, contact us immediately.
Hyalase is less suitable or not recommended if you have a known allergy to hyaluronidase, with certain conditions or medications, or when your complaint isn't actually caused by filler. During pregnancy and breastfeeding, I never inject. Dr T. tells you honestly when hyalase isn't the right solution.
It all starts with a consultation. Dr T. listens to what bothers you, examines the area and discusses what type of filler was likely used and how much of it should be removed. Sometimes you want to dissolve everything, sometimes just a small correction. We create that plan together.
The treatment itself consists of fine injections of hyalase at the right depth and location. Because hyalase can tolerate an allergy test, Dr T. checks whether it's useful in your case. The injections feel brief and the area may be slightly sensitive.
Sometimes one session is sufficient, sometimes a second injection is needed to dissolve the remaining filler or to refine the result. If you want fillers again afterwards, we schedule that with enough time in between so that the tissue has fully recovered.
Hyalase works quickly. You often see the volume decrease within one to a few days, and the effect can already be felt in the hours afterwards. The exact course depends on the type of filler, how much is present and how long it has been there.
Keep in mind that the area may look a bit swollen or irritated right after treatment, so the final result only becomes clear later. Give your face some time before judging whether more filler needs to be removed.
Sometimes the result is a return to your own face, sometimes a correction of just one detail. Dr T. strives for a natural and respectful result: not exchanging one extreme for another, but returning to what suits you.
As with any injection, after a hyalase treatment you may experience temporary redness, swelling, tenderness or a bruise at the injection sites. This usually goes away on its own. Because hyalase also affects the body's own hyaluronic acid, the area may feel temporarily flatter than you're used to before it recovers.
The main, albeit rare, concern is an allergic reaction to hyaluronidase. That's why Dr T. asks about your medical history and allergies and discusses whether a test is necessary. Always honestly report which fillers and treatments you've had before, even elsewhere.
Safety and honest advice come first. If you experience unusual pain, severe swelling or other symptoms after treatment, get in touch. Proper follow-up is part of the treatment.
The price of a hyalase treatment depends on the area, the amount of filler to be dissolved and whether one or more sessions are needed. That's why a fixed price cannot be given in advance.
During your consultation, Dr T. assesses your situation and provides an honest estimate of the cost and what is realistically achievable. This way, you know exactly where you stand, without surprises.
If you're unsure whether hyalase is the right step for you, feel free to schedule a consultation. Together we'll decide whether dissolving, correcting or simply waiting is the wisest approach.
Schedule a personal consultation with Dr T.
Make an appointmentNot every filler result turns out as hoped, and that's okay. Sometimes asymmetry remains palpable or visible after initial healing, a contour feels too voluminous, or you notice your natural proportions no longer align. Medical complications, such as a rare vascular occlusion, also require immediate, skilled intervention. Hyaluronidase is then the only substance that can safely, locally and rapidly break down a hyaluronic acid filler. Important: it only works on fillers based on hyaluronic acid; Radiesse, Sculptra and other products that are not based on hyaluronic acid do not respond to it.
In practice, a doctor also uses hyaluronidase for:
During a consultation with Dr T., we discuss your wishes, analyze the current tissue and determine whether a partial or complete correction is the best route. Sometimes a microdose is enough to make a bothersome detail disappear, without losing the overall result.
A hyaluronidase treatment proceeds remarkably smoothly, often even lighter than the original filler injections. Still, it's best to keep a predictable course in mind.
After a brief assessment of the areas, Dr T. can first cool the area with ice. The enzyme solution is introduced into the filled areas with extremely fine needles or cannulas. It feels like a series of quick, superficial pricks with a mild burning tingle, a discomfort that usually lasts only a few seconds. The entire session takes an average of 15 to 30 minutes.
Redness and mild swelling are normal and usually subside within an hour. Do not massage or put pressure on the skin for the first 24 hours; this disrupts enzyme activity and can make the result irregular. Also avoid heavy exercise, saunas and direct sunlight.
The hyaluronic acid breaks down gradually: after 24 to 48 hours you already see a clear reduction in volume, but the final result only becomes truly visible after one to two weeks. The skin may temporarily look a little 'emptier', but its own hydration mechanisms usually replenish this quickly. Depending on the amount and type of filler, a second, smaller session may be needed after a few weeks.
Side effects are mostly mild: some bruising, light tenderness or temporary swelling. A true allergy is rare; the enzyme is a protein naturally occurring in the body. However, if desired, Dr T. tests with a minimal dose on the forearm. Because hyaluronidase works irreversibly, precision during injection is crucial; therefore each step is carried out in a controlled manner and with a predetermined treatment plan.
Choose experience and a personal approach when having your fillers dissolved.
Dr T. uses his surgical expertise to place the hyalase injection exactly, so that the enzyme acts as precisely as possible on the intended filler.
We dose hyaluronidase very precisely, so your facial contours are preserved and the effect is discreet.
You receive realistic advice based on your filler, skin type and wishes, with an aftercare plan tailored to you.
Plan a consultation and find out whether a hyalase treatment is suitable for your situation.
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