Yes, a hyaluronic acid filler can be dissolved. When the result is not what you wanted (asymmetry, excess volume, bumps, nodules, a bluish tint under the skin) or in case of a complication, small injections of hyaluronidase, an enzyme that breaks down hyaluronic acid, are often enough to put things right. In Marrakech, Dr Sara Zahid, a dermatologist in Guéliz, carries out the dissolution after examining the face and, where possible, identifying the product injected. Hyaluronidase acts only on hyaluronic acid: it dissolves neither Sculptra, nor fat, nor non-absorbable products.
Asymmetry, excess volume (lips too full, cheekbones too prominent), palpable bumps or nodules, a bluish tint under the skin (Tyndall effect), product that has migrated, or simply a result you do not like. Dissolution is also used to treat certain complications.
Hyaluronidase acts only on hyaluronic acid, including that of skinboosters. It does not affect Sculptra, non-absorbable products or fat. It can also dissolve a little of the skin's natural hyaluronic acid, temporarily. Depending on the amount of product, one session is sometimes enough; in other cases several are needed, with a check between each.
The doctor decides on the right time after examination. They judge whether the initial swelling should first settle or whether the result is established. If there is significant discomfort or a complication, there is no waiting.
If the filler was placed elsewhere, the simplest thing is to talk first to the practitioner who did it: they know the product and technique. You can also ask Dr Zahid for an opinion. The consultation serves to examine the face, identify the product (bring the card or information if you have it) and define the area to treat. Hyaluronidase is then injected in small amounts. The effect appears gradually over 24 to 48 hours, and a check then decides on another session or a touch-up.
Before dissolving, it helps to know where the product is, in what quantity and at what depth. The clinic's portable ultrasound (Clarius L20 HD3) allows the injected hyaluronic acid to be visualised and distinguished from oedema, inflammation or another cause of a lump. Areas and doses can then be better targeted. This examination is not always necessary: the doctor decides at the examination.
Sharp pain, skin turning white or purplish, or visual disturbance after an injection can signal occlusion of a vessel. It is an emergency: contact the clinic or emergency services immediately. Hyaluronidase is part of the treatment, without delay.
Temporary swelling, redness and bruising are possible; dissolution may be incomplete, or temporarily excessive. Allergy to hyaluronidase is rare: report any allergy and current treatment. The treatment is postponed in case of infection or active herpes in the area, and, depending on the situation, pregnancy or breastfeeding.
It is the injection of hyaluronidase, an enzyme that breaks down hyaluronic acid, to remove all or part of a filler whose result is not satisfactory or which causes a problem.
Yes. The simplest is to talk first to the practitioner who did the injection. If you want a second opinion or treatment, Dr Zahid can see you; bring the product card if you have it.
No. Only hyaluronic acid is dissolved by hyaluronidase. Sculptra, fat and non-absorbable products are not.
Yes, for a hyaluronic acid filler. The eye contour and the nose are delicate areas: dissolution there is performed by a trained doctor, after examination.
It depends on the doctor's examination, who judges the result and decides on the right time. If there is significant discomfort or a complication, do not wait.
The injections are brief and generally well tolerated. An anaesthetic cream can be discussed at the consultation.
It depends on the amount of product and where it is. One session is sometimes enough; several may be needed, with a check between each.
Temporary swelling, redness and bruising; incomplete or temporarily excessive dissolution; rare allergy to hyaluronidase. Risks are explained before the procedure.
Contact the clinic or emergency services immediately: sharp pain, white or purplish skin or visual disturbance can signal occlusion of a vessel and require prompt treatment.
The price is given by the clinic after assessment, as it depends on the area and the amount of product to dissolve. A detailed quote is given before any procedure; there is no single displayed price.
Yes, it can help locate the product and target the dissolution, notably for a lump or asymmetry whose origin is not obvious. It is not always necessary.
Explore the clinic's complementary expertise or contact us to determine the most suitable care.
