Filler Dissolving
At our clinic, we recognise that while dermal fillers can create stunning results, occasionally we see complications or unsatisfactory outcomes that have occurred with previous treatments at other clinics.
Filler complication clinic
Dermal Filler Dissolving with Hyaluronidase
At my clinic, I recognise that while dermal fillers can create stunning results, occasionally we see complications or unsatisfactory outcomes that have occurred with previous treatments at other clinics.
To address these issues, I offer specialised treatment using an enzyme known as hyaluronidase, which is expertly used to dissolve unwanted hyaluronic acid fillers.
At my Marylebone clinic, hyaluronidase is used to correct:
- Overfilling and an unnatural result
- Asymmetry
- Product migration, including above the lip border
- Persistent lumps, nodules or irregularity
- Prolonged swelling after previous filler
The aim is controlled correction and restoration of natural contour, not unnecessary removal.
Medical Assessment First
Every case begins with a detailed consultation to understand what filler was used, where it was placed, and the safest way to correct the issue.
Patch Testing Protocol
A patch test is carried out before treatment to rule out allergy to hyaluronidase, in line with ACE Group guidelines.
Targeted Correction
Hyaluronidase is injected precisely into the areas where filler needs to be dissolved, based on the volume and degree of correction required.
Monitored & Supported
Injection sites are closely monitored during treatment, with aftercare guidance provided to support healing and confidence.
Highly recommend Paul. He really put me at ease, showed careful consideration and thought for the fact I was coming to him after having previous filler in my lips dissolved due to migration, and kept me very well informed throughout the process. Clearly highly skilled and I am so happy to have found someone I can trust with my lips for the long term!
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Dr Paul is the best! He’s professional yet every time I come visit it’s like visiting an old friend. I knew Paul was someone I could trust as he was the only person to advise me to dissolve my lip filler as it had slightly migrated and over the years has advised against certain treatments as they wouldn’t look natural/ suit my face.
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I had a great experience with Paul for lip filler and Sunekos injections. He is attentive, friendly, and very knowledgeable. He took the time to understand my facial structure, how it moved to ensure a nice balanced and natural look. Also appreciate that he isn’t afraid to say no to more treatments so that things don’t look overdone. Will always be happy to recommend!
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I went to Dr Elgey and had 4 mls of dermal filler which he strategically placed in the temples, cheeks and chin and I am honestly blown away by the results. It’s a real game changer! I went in feeling super nervous but Dr Elgey is so knowledgeable, professional and warm - I quickly felt at ease. We spoke at length about my concerns and then he advised me on where the filler should be placed to get the best results. I had absolutely no bruising afterwards and swelling was minimal. The result is so natural but I look so much younger and fresher. I honestly wish I had done it sooner.
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Paul is fantastic. He uses his experience to understand what you’re looking for and advise on what may work, he does not push or upsell any treatments and he has a real creativity and specialises in achieving a natural result. I trust his knowledge and skills, and his ethics.
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I have had my lip filler done a few times with Paul and they are perfect every time. A natural and full look that I get so many compliments on. Always a lush experience, I highly recommend!
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I have been seeing Dr. Paul for over 3/4 years for a combination of treatments and I couldn’t be happier with the results. His professionalism and meticulous attention to detail are second to none — he truly is a perfectionist in his work. He always takes the time to listen, explain the procedure, and ensure I feel comfortable. I highly recommend Dr. Paul to anyone considering aesthetic treatments — his ability to deliver natural enhancements is truly outstanding.
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I had a consultation and UltraClear treatment with Dr Paul for acne scarring with other skin concerns and my experience has been excellent from start to finish. After speaking with several practitioners, what stood out most was Dr Paul’s honesty and knowledge. I never felt pressured into treatment, and he took the time to explain the reasoning behind his recommendations. Throughout the process, he has been incredibly responsive and supportive, answering all of my questions before and after treatment. He also prepared a personalised pre-treatment skincare cream which made me feel very well looked after. The recovery has also gone smoothly thanks to the clear aftercare instructions and Dr Paul’s ongoing support.
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The treatment
What is hyaluronidase?
Hyaluronidase is a prescription-only enzyme used to dissolve hyaluronic acid dermal fillers. It breaks down the hyaluronic acid molecules that give filler its structure, allowing the product to be safely reabsorbed by the body.
We use it to correct complications and unsatisfactory outcomes from previous treatments at other clinics: overfilling, asymmetry, product migration, and persistent irregularity, and in urgent management where vascular compromise is suspected. The aim is controlled correction and a natural contour, not unnecessary removal.
Indications and applications
What Can Filler Dissolving Correct?
Hyaluronidase is used to correct:
Correct overfilling
Reduces overfilled or overcorrected areas to restore a natural, balanced contour.
Reverse filler migration
Dissolves product that has spread beyond where it was originally placed.
Resolve lumps and irregularity
Breaks down lumps, granulomas and persistent irregularity from previous filler.
Improve asymmetry
Targets uneven results so the treated area looks balanced again.
Manage complications safely
Provides a means to address serious risks such as vascular compromise, which, while rare, can be severe.
What to expect during and after your session
- Injection time10 to 20 minutes
- Patch testRequired beforehand
- NumbingTopical cream if needed
- Effects showWithin minutes
- Final resultJudged at 72 hours
- ReactionsMild, settle in a few days
- Compatible withDermal filler
Understanding
How Hyaluronidase Works
Hyaluronidase is a prescription only enzyme used to dissolve hyaluronic acid based dermal fillers.
It works by breaking down the hyaluronic acid molecules that give filler its structure, allowing the product to be safely reabsorbed by the body.
At my London clinic, hyaluronidase is used with precision to correct concerns such as overfilling, asymmetry, product migration, or persistent irregularity. In certain cases, it may also be used as part of urgent management where vascular compromise is suspected.
Treatment involves careful assessment of the area, including the depth and type of filler previously placed. The dose and technique are tailored to achieve either partial refinement or complete dissolution, depending on the clinical objective.
What can be treated?
Hyaluronidase corrects unwanted or problematic hyaluronic acid filler from previous treatments, restoring a natural contour.
- Overfilled or overcorrected filler
- Filler migration
- Lumps, granulomas or irregularity
- Asymmetry from previous filler
Treatment areas
Where it is used
Technique and safety
How your filler dissolving is carried out
Every case begins with a detailed medical assessment and a patch test in line with ACE Group guidance, so correction is precise and controlled, restoring a natural contour rather than removing filler unnecessarily.
- Every case begins with a detailed consultation to understand what filler was used and where
- A patch test rules out allergy to hyaluronidase before treatment, in line with ACE Group guidance
- Hyaluronidase is injected precisely into the areas where filler needs to be dissolved
- Injection sites are closely monitored, with aftercare guidance to support healing
- A prescription-only medicine administered by a GMC-registered prescriber
Clinical safety
A Safety Led Approach
Before proceeding with the full treatment, I conduct a patch test to ensure you do not have an allergy to hyaluronidase.
According to the ACE Group guidelines, a small amount of hyaluronidase should be injected intradermally in the forearm. The area is observed for any adverse reactions for at least 20 minutes. This safety measure helps to minimise the risk of an allergic reaction during the actual treatment.
Treatment outcomes
Benefits of Hyaluronidase Treatment
Hyaluronidase offers a rapid and effective way to address dissatisfaction from previous filler treatments.
It is versatile in correcting a range of complications, including prolonged swelling, lumps or granulomas, overfilling, and uneven contouring. Importantly, it also provides a means to mitigate serious risks such as vascular compromise or skin necrosis, which, while rare, can be severe.
Your appointment
The Procedure: What to Expect & Timeline
The process is quick and involves minimal discomfort.
- Patch testing: a small intradermal injection, then monitoring for 20 minutes.
- Treatment: hyaluronidase is injected into the areas where filler needs to be dissolved.
- Immediate effects: results can be noticeable within minutes.
- Final outcome: allow up to 72 hours to evaluate the result as swelling subsides.
Patients may experience mild bruising, redness, swelling, and temporary itching at the injection site. These side effects are generally mild and resolve within a few days.
Pricing
Filler Dissolving Pricing
Pricing depends on:
- The number of areas being corrected
- Whether partial refinement or full dissolution is the objective
- Whether more than one session is needed to complete the correction
The patch test is a separate, earlier appointment. You are quoted at consultation, once the previous filler has been assessed.
Doctor-led correction
Why Choose Dr Paul Elgey?
Most patients who need filler dissolved have had a difficult experience elsewhere. The first job is to explain clearly what happened and what can realistically be corrected.
With over 20 years of medical practice and advanced aesthetic training, my focus is:
- Safety
- Precision
- Natural outcomes
- Long-term skin health
Dissolving is not a blunt instrument. Often the right answer is partial correction rather than removing everything, and then rebuilding properly once the tissue has settled.
Book a Consultation
A doctor-led consultation focused on natural, balanced results. Share your goals and concerns and we will guide you through the most appropriate treatment plan.
Dermal Filler Dissolving FAQs
If you are curious about the procedure, the patch test, or what to expect afterwards, the answers to common questions are below. Hyaluronidase is a prescription-only medicine, so every case begins with an assessment.
How does hyaluronidase work?
Hyaluronidase is an enzyme that specifically targets and breaks down hyaluronic acid, the primary component in many dermal fillers. It can be carefully injected into affected areas to correct issues such as overfilling, asymmetry, or other complications. The effectiveness of hyaluronidase depends on the concentration used, the properties of the filler, and the amount administered.
Is patch testing required before treatment?
Yes. Before proceeding with full treatment, a patch test is carried out to ensure there is no allergy to hyaluronidase. In line with ACE Group guidelines, a small amount is injected intradermally into the forearm and the area is observed for at least 20 minutes. This safety measure helps minimise the risk of an allergic reaction during treatment.
What happens during the treatment?
Once the patch test confirms no adverse reaction, the treatment area is thoroughly cleansed and a topical numbing cream may be applied. Using a fine needle, hyaluronidase is carefully injected into the areas where filler needs to be dissolved. Injection sites are closely monitored to ensure the enzyme is effectively targeting the unwanted filler.
How quickly will I see results?
The effects of hyaluronidase can be noticeable within minutes. However, it is recommended to wait up to 72 hours to assess the final outcome, as any swelling needs time to settle.
What reactions can occur after treatment?
Some patients experience mild bruising, redness, swelling, or temporary itching at the injection site. These reactions are generally mild and typically resolve within a few days.
Written and medically reviewed byDr Paul Elgey, Aesthetic Doctor & GP: MBBS MRCGP · MHRA (Medicines and Healthcare products Regulatory Agency): hyaluronidase is a prescription-only medicine administered by a GMC-registered prescriber.
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Dr Paul Elgey Aesthetics • UNTIL Marylebone, 1 Orchard Street, London W1H 6HJ
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