One of the greatest advantages of hyaluronic acid is its reversibility: The enzyme hyaluronidase (hylase) allows for the targeted dissolution of injected material. I offer this treatment as a separate service—for results you are not satisfied with, for too much material or for injections that were too superficial, even if the injection was administered elsewhere.
When dissolution makes sense
- Overcorrection: overly full lips, puffy-looking tear troughs, blurred contours.
- Visible or palpable nodules and irregularities
- Old material that needs to be removed before re-treatment
- As an emergency measure in case of vascular complications — that's why hyaluronidase is always available in my practice.
Process and effect
Beforehand, I will clarify what was injected and where it is located—please bring any documentation of previous treatments if possible. After explanation, the hyaluronidase will be injected precisely into the depot; the appointment takes about 20 minutes. The material is broken down over several hours to a few days. Often one session is sufficient, but a second session may be necessary for larger quantities or highly cross-linked preparations. A repeat treatment is advisable no sooner than two weeks later.
Risks and side effects
- Swelling and redness, bruising
- Allergic reactions to the enzyme are rare, but possible — if you have a known allergy predisposition, we will discuss the procedure in advance.
- The enzyme also breaks down the body's own hyaluronic acid in the surrounding area; this effect balances out within a few weeks.
- Pre-existing asymmetries become visible again after resolution — this is not a treatment error, but the initial state.
Cost
Dissolving costs 100 € Each appointment (approximately 20 minutes). If you are unsure whether to resolve the issue or wait, this is the better option: Initial consultation It is also suitable for evaluating treatments performed by other practitioners. All prices can be found at [website address]. Prices.
Frequently Asked Questions
Can you also dissolve material that was injected elsewhere?
Yes. It's helpful if you know which preparation was used — if necessary, it's also possible without it, then I'll proceed more cautiously.
How quickly does hylase work?
The breakdown process begins within hours. The final result becomes apparent after a few days, once the swelling from the injection itself has subsided.
Does everything dissolve completely?
Mostly yes. Larger or highly networked deposits occasionally require a second session. Biostimulants and permanent fillers are not dissolvable.
When can I have another treatment?
At the earliest after about two weeks — then the enzyme will have broken down and the tissue can be assessed. New treatment Let's plan together.
Is the dissolution painful?
Similar to a filler treatment: short injections, with numbing cream upon request. A burning sensation for a few minutes is possible.
Dissatisfied with a treatment — regardless of where it was performed? We'll take a look at it together.
Medically responsible: Dr. Jan Gumilar, General Practitioner — Private Practice for Aesthetic Medicine, Brandstätte 3, 1010 Vienna. Member of the German Society for Aesthetic Botulinum and Filler Therapy (DGBT).