Learn why facial changes may occur after filler dissolving, understand Post Hyaluronidase Syndrome, and explore assessment and treatment planning at ATTA Clinic.
Filler dissolving is one of the methods used to address concerns related to hyaluronic acid (HA) dermal fillers in certain cases, such as when correcting previous results or when a physician determines that dissolving the filler is indicated, for example, when filler forms lumps. However, dissolving filler does not necessarily mean that the face will immediately return to its pre-injection appearance.
After filler dissolving, some people may notice changes in their facial appearance, such as reduced facial volume, a sunken appearance in previously treated areas, or uneven skin texture. These changes may raise questions about what causes them and why the face may look different after the procedure.
Therefore, before deciding to dissolve filler, it is important to understand not only how the filler will be dissolved, but also how facial appearance may change afterward.
What Is Post Hyaluronidase Syndrome?
Post Hyaluronidase Syndrome is a term used to describe changes in facial appearance that may occur after hyaluronidase is injected to dissolve dermal fillers. These changes may include reduced facial volume, a sunken appearance, skin that looks thinner or more tired, and uneven skin texture, making the face look different from its appearance before filler dissolving.
What Changes May Occur After Filler Dissolving?
1. Reduced Facial Volume or a Sunken Appearance
When filler is dissolved, the volume previously added by the treatment may decrease, particularly in areas that were treated to compensate for existing volume loss, such as the temples or cheeks.
If volume loss was already present in these areas, dissolving the filler may make the underlying contours more noticeable, causing the face to appear more sunken compared with its appearance when the filler was present.
2. A Tired Appearance or More Noticeable Facial Lines
After filler dissolving, the face may look different from how it appeared when the filler was present. This is particularly noticeable when the volume that previously provided fullness to an area decreases, making existing lines or hollow areas more apparent.
3. Uneven Skin Texture
Some people may notice changes in skin texture or unevenness after filler dissolving. These changes may be associated with several factors, such as reduced volume, residual filler, or the underlying condition of the tissues.
Assessing the cause is important before determining whether further treatment is necessary.
What Should Be Considered Before Filler Dissolving?
Correcting filler-related concerns should not begin with the decision to dissolve or add more filler alone. It is important to evaluate the specific concern and the current condition of the face to develop an appropriate treatment plan.
Key considerations include:
- Filler injection history: The type of filler, injection sites, amount injected, and time elapsed since treatment.
- Filler location and characteristics: Assessing whether any remaining filler may be contributing to the concern.
- Facial structure and volume: Determining whether the changes are related to the filler or other contributing factors.
- Treatment goals: Planning an approach that suits the individual’s facial condition while avoiding unnecessary procedures.
How Can the Risk of Filler-Related Problems Be Reduced?
Appropriate filler treatment from the outset may help reduce the likelihood of certain complications and the need for corrective procedures later. Important considerations include the following.
1. Assess Facial Structure Before Treatment
Evaluate the facial condition, the concerns to be addressed, and the suitability of dermal fillers for each area. This helps ensure that the treatment plan is tailored to the individual’s needs and facial structure.
2. Plan the Injection Sites and Filler Volume Appropriately
The choice of injection sites and filler volume should take into account the existing facial structure and desired outcome, while avoiding excessive filling.
3. Use Techniques Appropriate for Each Area
Filler injections require an understanding of facial anatomy and the selection of techniques appropriate for the treatment area. This helps manage procedural risks and support a suitable treatment outcome.
4. Assess Before Treatment and Follow Up Appropriately
If an abnormality is noticed after filler injection, the underlying cause should be assessed before deciding on corrective treatment, whether that involves dissolving the filler, adding more filler, or considering another approach.
ATTA Clinic: Understanding Facial Structure Before Planning Treatment
At ATTA Clinic, treatment begins with an assessment of facial structure and a clear understanding of each individual’s concerns. This may involve evaluating existing filler, considering whether filler dissolving is appropriate, or planning care after the dissolving procedure.
Dr. Sroy conducts a detailed physical examination and diagnostic assessment, including the use of ultrasound when appropriate. This can help visualize filler and relevant anatomical structures, providing additional information to support individualized treatment planning.
Because every face has its own characteristics, treatment should not follow a one-size-fits-all approach. Instead, the plan should be based on previous treatment history, facial structure, and the specific concerns identified during the assessment.
Good filler care does not begin with rushing to dissolve or add more filler. It begins with understanding the underlying cause and planning treatment according to each individual’s facial structure and needs.
