Corrections
Unfortunately, we encounter a lot of clients who have had a bad experience with injectables and require corrections. Botulinum Toxins do not have an antidote or reversing agent, so undesired effects such as drooping brow, lid ptosis, asymmetrical smile, etc. are typically something you just have to wait out. We always encourage you to return to the injector who treated you so that the issue can be assessed and promote learning between you and the injector.
In the case of hyaluronic acid based dermal fillers, we have options. Perhaps you have lumps, asymmetry, migrated filler, filler “moustache” or “ridge” above the lip or a Tyndall effect (blueish appearance of filler too close to the surface of the skin). In these cases, we can remove the filler with an enzyme called hyaluronidase which breaks down filler quickly and effectively and eliminates it through your lymphatic system. Dissolving results are typically noticed within the first 24-48 hours. Repeat treatments spaced minimum of 2-3 weeks apart may be required, as the effects are less predictable than with other injectables. Hyaluronidase is not specific to filler, so it may also break down your own natural hyaluronic acid within your skin. Luckily for us, our bodies are exceptional healers and hyaluronic acid levels can easily be replenished within about a month after breakdown in a healthy individual. Drinking plenty of water, light activity and massaging the area encourages lymphatic drainage and supports optimal results and healing. Sometimes PRP (platelet rich plasma) treatments are recommended to help restore the health of the tissues. If you wish to refill the area, we recommend waiting at least 4 weeks after your last dissolving session for best results.