Lip fillers, often composed of hyaluronic acid (HA), have become a popular cosmetic treatment to enhance lip volume and shape. While these fillers offer temporary results, there are instances where individuals may seek to adjust or entirely remove them. This article explores the methods used to dissolve lip filler and the process involved.
Hyaluronidase: The Dissolving Agent
The primary substance used to dissolve hyaluronic acid-based lip fillers is an enzyme called hyaluronidase. This enzyme occurs naturally within the human body, where it plays a role in breaking down hyaluronic acid, a component of connective tissues. In a medical setting, synthetic forms of hyaluronidase are used to specifically target and degrade HA fillers.
Hyaluronidase works by cleaving the glycosidic bonds that link the individual sugar units within the hyaluronic acid polymer chains, effectively breaking down the filler into smaller, more soluble fragments. These fragmented HA molecules are then naturally absorbed and eliminated by the body’s lymphatic system. The enzyme’s action is highly specific to hyaluronic acid, meaning it does not typically affect other tissues or natural components of the lips. The speed of dissolution can vary, but visible changes often begin shortly after injection.
Why Lip Filler May Be Dissolved
Individuals may choose to have lip filler dissolved for a variety of reasons, ranging from aesthetic dissatisfaction to medical necessity. Aesthetic concerns frequently include overfilling, where the lips appear unnaturally large or disproportionate to the face. Asymmetry, or an uneven distribution of filler, can also prompt a desire for correction.
Filler migration, where the product moves beyond the intended lip border, is another common aesthetic concern. Dissatisfaction with the shape or overall appearance of the lips after augmentation can also prompt dissolution, allowing for a fresh start or a more refined approach.
Medical complications, though less common, necessitate immediate dissolution. Persistent swelling or the formation of noticeable lumps and nodules can indicate an adverse reaction or improper filler placement. A rare but serious complication is vascular occlusion, where filler inadvertently blocks a blood vessel, potentially leading to tissue damage. In such emergencies, hyaluronidase is administered urgently to restore blood flow and prevent further complications.
The Dissolving Procedure
The dissolving procedure begins with a thorough consultation and assessment by a qualified medical practitioner. The practitioner evaluates the lips, discusses concerns, and determines the appropriate course of action, also reviewing the patient’s medical history for suitability.
Before the full treatment, a patch test for hyaluronidase is often performed to check for allergic reactions, though severe allergies are rare. A small amount of the enzyme is typically injected into the forearm, and the area is monitored for approximately 15 to 30 minutes for signs of an allergic response. If no adverse reaction occurs, the practitioner proceeds with the main injection.
During the procedure, hyaluronidase is carefully injected into the target areas of the lips. A fine needle is used for precise administration, and some discomfort may occur. After injections, the practitioner may gently massage the treated area to distribute the enzyme evenly. Patients are advised to avoid strenuous activities and excessive lip movement immediately afterward.
After Dissolving and Safety Considerations
Immediately after the dissolving procedure, patients can expect some temporary swelling, bruising, or redness at the injection sites. A noticeable reduction in lip volume often begins to occur within minutes to hours as the hyaluronidase starts to break down the filler. The full effects of the dissolution are typically observed within 24 to 48 hours, though some residual swelling may persist for a few days.
For safety and effective results, a qualified medical professional must perform the dissolving procedure. This includes dermatologists, plastic surgeons, or medical aesthetic practitioners. These professionals possess the anatomical knowledge and injection skills to administer hyaluronidase safely, especially in cases of medical complications.
While generally safe, potential side effects of hyaluronidase include temporary swelling, bruising, or an allergic reaction. In rare instances, improper injection or excessive enzyme use could lead to temporary thinning of natural tissue. Practitioners should always have an emergency plan for severe reactions, highlighting the importance of choosing a reputable provider.