Precise correction, guided by science.
Hyaluronidase with Precision
Hyaluronidase is an enzyme treatment used to help break down hyaluronic acid (HA)-based dermal filler. It's most commonly used to correct asymmetry, overcorrection, or migration, to adjust results that no longer fit your goals, or to address a vascular occlusion emergency. Treatment is customized to your specific concern and the filler involved.
What to Expect
Hyaluronidase is injected directly into the area where HA filler is present. The enzyme begins breaking down HA molecules within hours, though the full effect can take several days to become fully apparent. Depending on how much filler is present, where it's located, and your desired outcome, more than one treatment session may be needed. Mild swelling, redness, or bruising at the injection site is common and typically resolves within a few days.
Benefits
- Targeted correction of filler asymmetry, lumps, or migration
- Helps address overcorrected or overfilled areas
- Fast-acting option in a vascular occlusion emergency
- Allows for course correction without waiting for filler to fully metabolize on its own
- Dosing customized to your specific concern and goals
Ideal Candidates
Clients experiencing filler asymmetry, lumps or nodules, an overfilled or migrated area, an allergic reaction to HA filler, or anyone wanting to reset before starting a new treatment plan.
Important to Know
Hyaluronidase only breaks down hyaluronic acid (HA)-based fillers — it does not dissolve or affect biostimulators such as Sculptra or Radiesse, or other non-HA products. Results are dose-dependent and highly individual: a single treatment does not guarantee complete or permanent dissolution of filler, and more than one session may be needed depending on how much product is present and how it has integrated with your tissue over time. Some temporary swelling can occur before improvement becomes visible, and in rare cases, an allergic reaction to the enzyme itself is possible. This treatment is a tool for correction and adjustment, not a guarantee of indefinite or total removal — your provider will discuss realistic expectations for your specific situation during consultation.
Pre / Post Care
Pre: Avoid blood thinners and alcohol for 24–48 hours before treatment if possible. Let your provider know about any known allergies before treatment.
Post: Avoid strenuous exercise for 24 hours. Apply ice as needed for swelling. Avoid massaging or applying pressure to the treated area unless directed. Follow up as recommended so your provider can assess results before considering any additional treatment.
POCUS-Guided Filler Revision Available
For added precision and safety, ARTE offers point-of-care ultrasound (POCUS)-guided filler revision using the Mindray TE5 system. Ultrasound guidance allows your provider to visualize filler placement in real time — helping to accurately locate product and understand its relationship to surrounding vascular structures before guiding precise, targeted hyaluronidase delivery. This service is performed exclusively by a POCUS-certified medical professional at ARTE.
Frequently Asked Questions
What is hyaluronidase and how does it work?
Hyaluronidase is an enzyme that breaks down hyaluronic acid — the base ingredient in most dermal fillers. When injected into an area containing HA filler, it begins dissolving the filler's structure, allowing your body to gradually reabsorb it.
Will hyaluronidase completely dissolve my filler?
Not necessarily, and not always in one session. Results depend on how much filler is present, how long it's been in place, and how it has integrated with your tissue. A single treatment often provides significant softening or correction, but complete dissolution isn't guaranteed, and additional sessions may be recommended.
Does hyaluronidase work on all types of filler?
No. Hyaluronidase only breaks down hyaluronic acid (HA)-based fillers. It does not dissolve or affect biostimulators like Sculptra or Radiesse, or other non-HA products, since those work through a different mechanism.
How many sessions will I need?
This varies by individual and depends on the amount and location of filler present. Some concerns resolve in a single session, while others require a follow-up treatment to reach the desired result.
Is hyaluronidase safe? Are there any risks?
Hyaluronidase is generally well tolerated. Mild swelling, redness, or bruising at the injection site is common. In rare cases, an allergic reaction to the enzyme itself is possible — let your provider know about any known allergies before treatment.
What is POCUS-guided filler revision, and do I need it?
POCUS (point-of-care ultrasound) uses real-time imaging to help your provider precisely locate filler and identify its relationship to surrounding vascular structures before treatment. It's not required for every case, but it adds an extra layer of precision and safety, particularly for more complex or higher-risk revisions. Your provider can advise whether it's recommended for your situation.
How soon can I get new filler after hyaluronidase?
This depends on your individual healing and how much correction was needed. Your provider will advise on timing during your follow-up, since injecting new filler too soon can make it harder to assess how the area has settled.
Our Location
Visit us at ARTE Aesthetics in Grapevine, TX.
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