Ultrasound-Guided
Filler Dissolving
See More. Target Precisely. Correct Thoughtfully.
Correction, As Intentional As Placement.
Filler correction should be just as intentional as filler placement.
Ultrasound-guided filler dissolving allows your provider to visualize previously placed filler beneath the skin in real time, before and during treatment. This added information can help us more precisely identify where filler is located and target the areas that actually need correction.
Traditional dissolving relies primarily on physical examination and knowledge of where filler was previously placed. With ultrasound guidance, we can look beneath the surface.
Look Beneath The Surface.
Ultrasound may allow your provider to see what an exam alone cannot.
The goal is not simply to dissolve filler — it is to correct what needs correcting while preserving what does not.
When Filler Isn't Where It Should Be.
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Establish a better foundation first.
Correct What Needs Correcting.
More dissolving medication is not necessarily better. When filler can be visualized, your provider can more deliberately determine where to treat, how much to treat, and whether dissolving is appropriate at all.
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Every case is different, and some filler may still require more than one treatment session.
Hyaluronic Acid Has An Antidote.
Most traditional filler dissolving involves hyaluronidase, an enzyme used to break down hyaluronic acid.
Hyaluronic-acid fillers — including many products within the JUVÉDERM®, Restylane®, and RHA® families — may be dissolvable with hyaluronidase.
Not all injectable products can be dissolved with hyaluronidase. Products such as Sculptra® and RADIESSE® are not hyaluronic-acid fillers and require a different approach if correction is needed.
Unsure what was previously injected? Ultrasound evaluation may provide additional information to help guide your treatment plan.
Mindray TE5 SP.
We use the Mindray TE5 SP Point-of-Care Ultrasound System for ultrasound-guided evaluation and procedures. Designed for procedural guidance, the system provides high-resolution imaging and specialized needle-visualization technology that allows the provider to visualize anatomy and needle placement during treatment.
For filler correction, this gives us another layer of information beyond what can be seen or felt from the surface.
Evaluate First.
Then Treat Deliberately.
Your provider first evaluates the treatment area, using ultrasound when appropriate to identify previously placed filler and relevant anatomy. Treatment time varies with the area and complexity of the correction.
If dissolving is recommended, hyaluronidase may be precisely placed into targeted areas of hyaluronic-acid filler. Temporary swelling, redness, tenderness, and bruising may occur afterward.
Changes may begin relatively quickly, but swelling and tissue changes can make the area difficult to assess immediately. Your provider may recommend allowing the area to settle before determining whether additional treatment is needed.
Ultrasound findings are only one part of your evaluation. Your provider will consider your anatomy, previous treatments, examination findings, goals, and available clinical evidence when determining whether dissolving is appropriate. Hyaluronidase use for dissolving cosmetic hyaluronic-acid filler is generally considered off-label, meaning it is not FDA-approved specifically for this cosmetic indication. Risks, benefits, alternatives, and expected outcomes will be reviewed before treatment.
Asked & Answered.
No. Any information you have about the product, amount, treatment area, and date of injection is helpful, but we can still evaluate you if those details are unknown.
Often, that is the goal. Ultrasound guidance can help us identify specific filler deposits and approach correction more selectively. Complete precision cannot be guaranteed, and the response to hyaluronidase varies between fillers and patients.
Not necessarily. Treatment can range from targeted correction of a specific area to more extensive dissolving depending on your concerns and what we find on examination.
Some concerns improve after one treatment, while others require additional sessions. The amount, type, age, location, and distribution of filler can all influence how it responds.
Yes, when appropriate. In many cases, we prefer to let the area settle before deciding whether new filler is needed. The goal is to establish a better foundation before adding anything back.
No. Hyaluronidase breaks down hyaluronic acid and does not dissolve products such as Sculptra or RADIESSE.
No. It may be used for cosmetic correction of migration, overfilling, irregularities, persistent under-eye fullness, or other concerns related to previously placed hyaluronic-acid filler.
Yes. We regularly evaluate filler regardless of where it was originally injected. Bring any records or product information you have, if available.
Your Path, Step By Step.
Consultation
We discuss what was previously injected, when it was placed, what concerns you have now, and what you ultimately want the area to look like.
Ultrasound Evaluation
Your provider evaluates the area with ultrasound when appropriate to identify filler location, depth, surrounding anatomy, and areas that may benefit from correction.
Targeted Treatment
If dissolving is recommended, treatment is directed toward the areas that actually require correction rather than broadly treating the entire region.
Reassessment
We allow swelling to resolve and reassess before deciding whether additional dissolving, observation, or future filler treatment is appropriate.
Begin With A Conversation.
Wherever your filler was placed — we'll look before we treat.