When to Hit the "Reset" Button: A Medspa Doctor's Guide to Dissolving Old Filler Dermal fillers have become a wildly popular way to restore volume, smooth lines, and enhance facial features. But what happens when those fillers aren't quite giving you the look you desire anymore? As a medspa doctor, one question I hear frequently is, "Can I have my old filler dissolved?" The answer, in many cases, is yes! But deciding to dissolve filler is a personal choice best made with the guidance of an experienced professional. Understanding Filler Longevity: It's Not Forever
First, it's crucial to understand that fillers are not permanent. Different types of fillers have varying lifespans, influenced by factors like the product's formulation and where it's injected. * Hyaluronic Acid (HA) Fillers: These are the most common type of filler, and for good reason! HA is a naturally occurring substance in our bodies, and HA fillers are generally well-tolerated. They typically last anywhere from 6 to 18 months, depending on the specific product and area treated.
- Non-HA Fillers: Other fillers, like those composed of poly-L-lactic acid or calcium hydroxylapatite, tend to last longer, sometimes even years. However, it's important to note that dissolving these fillers is more complex.
Why Dissolve? Addressing Your Concerns
There are several reasons why someone might consider dissolving their filler: - Aesthetic Concerns: This is often the primary reason. Over time, fillers can:
- Migrate: Shift slightly from their original injection site.
- Clump: Resulting in a lumpy or uneven appearance. * Create Asymmetry: Especially if you've had multiple treatments.
- Produce an Overfilled Look: What once looked subtly enhanced may now feel excessive. * Filler Fatigue: Some patients reach a point where they simply want a "fresh start." Perhaps they've been getting filler for years and feel their face looks different than it once did. * Complications: While rare in the hands of a skilled injector, complications like granulomas (inflammatory nodules) or vascular compromise (affecting blood flow) can occur, and dissolving the filler is sometimes a necessary medical intervention. The Dissolving Process: Breaking it Down
For fillers made with hyaluronic acid, the dissolving process is relatively straightforward. It involves an injection of an enzyme called hyaluronidase. - Hyaluronidase: The Filler Eraser: Hyaluronidase works by breaking down the bonds that hold HA molecules together. Think of it like a magic eraser, specifically for HA fillers.
- What to Expect During the Procedure: * Your doctor will assess the area and inject the hyaluronidase. * You may feel a slight stinging or burning sensation during the injections.
- After Your Appointment: You can expect some swelling and potentially bruising, which typically subsides within a few days.
Making the Decision: Factors to Consider
- Time Elapsed: How long ago was your filler injected? Newer filler is typically easier to dissolve. 2. Type of Filler Used: Is it an HA filler or a different type? As mentioned earlier, HA fillers dissolve readily with hyaluronidase.
- Desired Outcome: What do you hope to achieve by dissolving your filler? Risks and Side Effects: Safety is Paramount
While dissolving HA fillers is generally safe, it's essential to be aware of potential risks:
- Common Side Effects (Temporary): These usually include mild swelling, bruising, redness, and tenderness at the injection sites. * Rare Side Effects: While uncommon, allergic reactions to hyaluronidase can occur. It's vital to have this procedure performed by a qualified professional with experience managing potential complications.
When Dissolving Isn't Advised - Pregnancy and Breastfeeding: Hyaluronidase hasn't been extensively studied in these situations.
- Certain Medications or Allergies: Always discuss your full medical history with your injector.
- Non-HA Fillers: Dissolving non-HA fillers can be significantly more complex.
Exploring Alternatives: Beyond Dissolving
Depending on your concerns, alternatives might include: - Massage Techniques: Gentle massage can sometimes help to redistribute filler slightly, but it won't completely eliminate it.
- Camouflaging: In some cases, strategically placed filler can help to camouflage irregularities from previous injections. The Importance of an Expert Injector
Choosing a qualified and experienced injector is crucial for any aesthetic procedure, especially dissolving filler. * Seek Expertise: Opt for a board-certified dermatologist, plastic surgeon, or a licensed healthcare professional with specific training in injectables and hyaluronidase treatments. - Schedule a Consultation: Discuss your aesthetic goals, concerns, and medical history during a consultation to determine the best course of action for you.
Ready to Discuss Your Options? If you're considering having old filler dissolved or have any questions, I encourage you to schedule a consultation. We'll discuss your individual needs and create a personalized treatment plan to help you achieve your desired results safely and effectively! [Include before-and-after photos of patients who have given consent]
[Consider a diagram illustrating how hyaluronidase breaks down HA filler]