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Correcting Filler with Hyaluronidase in NYC
At Dr. Debra Jaliman’s dermatology practice in NYC, many patients come in seeking correction for lumps, puffiness, or unevenness caused by poorly placed dermal filler—often done by injectors with less experience. Choosing a board-certified dermatologist or facial plastic surgeon is crucial when receiving hyaluronic acid fillers. These experts understand the complex anatomy of the face, including the location of nerves, arteries, and muscles, ensuring safer and more precise filler placement.
If filler results are unsatisfactory or look overdone, they can often be reversed using hyaluronidase—an enzyme that safely breaks down hyaluronic acid fillers. This treatment allows the face to return to a more natural appearance, correcting issues like overfilling, poor symmetry, or visible filler under the skin.
Common reasons for dissolving filler include overfilled lips, asymmetry in the cheeks or jawline, misplaced filler in facial lines, or under-eye filler that causes puffiness or the appearance of bags. With expert hyaluronidase correction, patients can restore facial harmony and achieve a more refreshed, natural look.
Hyaluronidase in NYC: A Safe, Precise Solution for Correcting Filler Mistakes
Hyaluronidase is an effective and reliable treatment used to dissolve unwanted or uneven lip filler and facial filler when results don’t meet your expectations. Whether your lips appear overfilled, lumpy, or asymmetrical due to poor injection technique, hyaluronidase offers a targeted solution. This injectable enzyme works specifically on hyaluronic acid-based fillers such as Juvéderm®, Restylane®, Restylane Lyft (Perlane®), and Belotero®—some of the most common fillers used in aesthetic treatments. However, it does not dissolve non-hyaluronic acid fillers like Sculptra®, Radiesse®, or collagen-based products.
Results from hyaluronidase are often seen immediately, with continued improvement over 24 to 48 hours as the filler breaks down and is naturally absorbed by the body. It’s especially useful for correcting under-eye filler issues, where filler placed too close to the skin’s surface can create puffiness or visible bags. This area requires precision and expertise due to its delicate nature.
Dr. Debra Jaliman, a trusted NYC dermatologist, has extensive experience using hyaluronidase to treat filler complications—including work originally performed by less experienced providers. With her detailed understanding of facial anatomy and refined aesthetic judgment, Dr. Jaliman has helped many patients restore facial balance and feel more confident in their appearance. Depending on the type of filler and how much was injected, 1 to 3 sessions may be needed—especially for denser fillers like Juvéderm Voluma®, which may take longer to dissolve.
The cost of hyaluronidase treatment varies based on how many sessions are required and the number of units used. During your consultation, Dr. Jaliman will review your medical history, answer all your questions, and design a personalized treatment plan. If desired, she can also discuss re-treatment options for achieving more natural-looking, balanced results once the filler is fully dissolved.
To schedule your hyaluronidase consultation in NYC, call Dr. Debra Jaliman’s office at .
What Is Hyaluronidase?
Hyaluronidase is an FDA-approved, enzyme used to safely dissolve hyaluronic acid fillers when cosmetic results are uneven, overdone, or unsatisfactory. If you’ve had dermal fillers for the lips, cheeks, jawline, or under-eyes, you may have heard of hyaluronidase as a solution for correcting filler mistakes. This injectable enzyme works by breaking down hyaluronic acid, allowing the unwanted filler to be naturally absorbed by the body—restoring a more natural appearance.
How does hyaluronidase work?
It works by breaking down the bonds in hyaluronic acid fillers, causing the gel to dissipate and reducing the volume or appearance of the filler.
Is hyaluronidase safe?
Yes, hyaluronidase is considered safe and effective with few side effects reported. It can be safely injected into the skin and it designed to dissolve hyaluronic acid fillers, such as Juvéderm and Restylane. If you want to try hyaluronic days, Dr. Debra Jaliman a cosmetic dermatologist can provide assistance. With extensive experience and knowledge of the latest skincare techniques and products Dr. Jaliman can create a personalized treatment plan tailored to your needs and goals.
Is hyaluronidase effective?
Studies have demonstrated the efficacy of hyaluronidases for the treatment of incorrect dermal filler placement dispersion and dissolving.
What are the common uses of hyaluronidase?
Hyaluronidase is used when Restylane, Juvederm, Volbella, Voluma, Vollure, Belotero, or any other types of hyaluronic acid fillers are injected into the face or lips with a bad result. These products can be dissolved. Usually, all of it is dissolved with little risk. It is also used if the filler causes you to have a lump or bump. There is no need for surgery, and with a fine needle, you can have these mistakes resolved. You can have a small amount injected right into the bump to dissolve it. Or you may need several injections placed into a few different spots. The initial results are immediate, usually within 5 minutes.
Can hyaluronidase dissolve all types of fillers?
Hyaluronidase specifically targets hyaluronic acid-based fillers, but it will not work on non-hyaluronic fillers like calcium hydroxylapatite (Radiesse) or poly-L-lactic acid (Sculptra).
How long does it take for hyaluronidase to work?
Hyaluronidase typically begins to show results within a few minutes, with full effects visible within 1-2 days.
Will hyaluronidase remove too much filler?
Hyaluronidase will only dissolve the hyaluronic acid filler in the treated area. A skilled doctor can control the amount used to avoid over-dissolving.
How much hyaluronidase is typically required to dissolve dermal fillers?
The amount of hyaluronidase required to dissolve dermal fillers varies based on several factors, including the type and volume of filler, its location, and the duration since injection. Larger volumes or more resistant fillers may require higher doses of hyaluronidase. Certain facial areas, such as the under-eyes or cheeks, may be more complex to treat, potentially affecting the price.
Is there any downtime after hyaluronidase treatment?
Most patients experience minimal downtime. While some may notice mild swelling or bruising, these effects typically subside within a few days. Many individuals resume their normal activities shortly after treatment.
What aftercare steps should I follow post-treatment?
Aftercare is essential to ensure proper healing and effectiveness of the treatment. Patients are advised to:
- Avoid touching or massaging the treated area for at least 24 hours.
- Refrain from applying makeup to the area for 24 hours.
- Steer clear of strenuous exercise and alcohol consumption for 48 hours.
- Avoid exposure to extreme temperatures, such as saunas or hot tubs, for a few days.
- Apply ice packs intermittently to reduce swelling and discomfort.
How long does it take to see the final results?
While some effects can be immediate, it may take up to one week to see the full results of the treatment. Swelling and bruising should subside during this period.
Can hyaluronidase be used to fix bad filler?
Yes, hyaluronidase can be used to correct overfilled or poorly placed filler, allowing the provider to restore a more natural look.
What Are the Benefits of hyaluronidase?
Hyaluronidase is administered through a fine needle directly into the targeted area, making it a nonsurgical and minimally invasive option. This approach typically results in a brief recovery period, allowing patients to resume their normal activities shortly after the procedure.
The treatment is both quick and easy, often completed within a few minutes. Most patients experience minimal discomfort and can return to their daily routines immediately
Hyaluronidase is administered through a fine needle directly into the targeted area, making it a nonsurgical and minimally invasive option. This approach typically results in a brief recovery period, allowing patients to resume their normal activities shortly after the procedure.
Do filler reversal injections cause pain?
The injection of hyaluronidase may cause mild discomfort, slight stinging sensation similar to the injection of dermal fillers. We use numbing agents to minimize discomfort or a Zimmer chiller with cold air to provide more comfort.
Which facial areas are most commonly treated with hyaluronidase?
Due to the delicate nature of this area, fillers here can sometimes lead to puffiness or unevenness, making it a frequent site for hyaluronidase treatment.
The lips are a dynamic area, and overfilling or asymmetry can occur, leading patients to seek correction with hyaluronidase.
Excessive volume or uneven filler distribution in the cheeks can be addressed with hyaluronidase injections.
Hyaluronidase Treatment Cost in NYC
How much does hyaluronidase treatment cost?
The cost depends upon how many units of hyaluronidase are used. Patients require between 1-3 treatments.
Does Insurance Cover Hyaluronidase Treatments for Dissolving Dermal Fillers?
Insurance does not cover hyaluronidase treatments as they are considered cosmetic.
Results & Expectations
How Long Do the Effects of Hyaluronidase Last?
Hyaluronidase results are permanent in that the enzyme completely dissolves the hyaluronic acid filler. Once the filler is broken down and absorbed by the body, the treated area returns to its pre-filler appearance. If no new filler is injected, the correction remains unchanged over time.
Will I go back to my pre-filler look after hyaluronidase?
Yes, once the filler is dissolved, your skin will return to the appearance it had before the filler was injected, unless there is any underlying structural change.
Can I get more filler after using hyaluronidase? If so, when?
Yes, you can usually have more filler injected a week after hyaluronidase dissolves the existing filler, depending on how your skin reacts. Your doctor will give you personalized advice.
Safety & Side Effects
Are There Side Effects of Hyaluronidase?
Hyaluronidase is generally safe, but like any injectable treatment, it may cause mild and temporary side effects. The most common include swelling, redness, or bruising at the injection site. Though uncommon, allergic reactions can occur, especially in those with sensitivities to bee-derived enzymes. A skilled injector will review your medical history and perform a skin test if needed to minimize risk.
Can Hyaluronidase Dissolve My Own Skin?
Many patients are concerned that hyaluronidase will break down or dissolve their natural tissue. However, that is not the case. Hyaluronidase is incredibly precise and will only break down hyaluronic acid, nothing else. It is important to note that while hyaluronidase can break down the body's natural stores of hyaluronic acid, it continually produces and dissolves hyaluronic acid as part of its natural process. Any temporary depletion of natural hyaluronic acid caused by an injection of hyaluronidase will be replenished within a few days or weeks.
Can I be allergic to hyaluronidase?
Allergic reactions are extremely rare. A skin test can be performed before the procedure to check for any adverse reactions.
Is a skin test required before hyaluronidase?
A skin test is not required for most patients, but it may be recommended if you have a history of allergies or sensitivities.
How to Choose the Right Doctor for Hyaluronidase Treatment in NYC
When it comes to dissolving dermal filler safely and effectively, choosing the right provider is crucial. If you’re considering hyaluronidase treatment in NYC, look for a board-certified dermatologist or experienced injector with deep knowledge of facial anatomy and a proven track record in correcting filler complications. Here’s what to consider:
Reputation and Credentials:
Make sure you choose a reputable doctor with a proven track record of successful treatments. Research your doctor by reading online reviews and checking their certifications and awards to ensure they are recognized in the industry.
Experience and Expertise:
A qualified hyaluronidase doctor should have extensive knowledge of the procedure. They should demonstrate expertise and professionalism, and be able to answer all of your questions with confidence.
Use of Quality Products:
It’s important to select a doctor who uses high-quality hyaluronidase products. A doctor who uses premium products and the latest technology is more likely to deliver the best possible outcome.
Communication and Trust:
A good relationship with your doctor is crucial. Choose a doctor who listens to your concerns, understands your needs, and offers personalized treatment plans. You should feel comfortable and confident in their care.
Can Hyaluronidase Be Injected in Small Amounts?
Yes, hyaluronidase can be injected in small, controlled amounts to partially dissolve unwanted filler while preserving some of the original volume. This technique is ideal for patients who want to refine or adjust their results rather than remove all the filler. It involves using microdroplets of the enzyme and requires a skilled injector with a delicate, precise approach.
That said, outcomes can vary. Some patients are more sensitive to hyaluronidase, and certain fillers dissolve more readily than others. For example, superficially placed fillers are easier to dissolve than those injected more deeply. Thicker fillers like Juvéderm Voluma® may require more sessions to break down, while softer fillers like Belotero® tend to dissolve more easily.
Who Is a Good Candidate for Hyaluronidase?
Hyaluronidase treatment is a safe and effective option for patients who want to correct poorly placed hyaluronic acid filler or reduce unwanted lumps, puffiness, or asymmetry. You may be a good candidate if:
- You are not pregnant or breastfeeding
- You are in generally good health
- You are unhappy with the results of your dermal filler—such as overfilling, uneven texture, or unnatural appearance
If you’re experiencing complications from filler or simply want to restore a more natural look, hyaluronidase may be the right solution. A consultation with a qualified specialist can help determine if this treatment is appropriate for you.
Who May Not Be a Candidate for Hyaluronidase?
You are pregnant or currently breastfeeding
You have a known allergy to hyaluronidase or ingredients derived from bee products
Your filler is not made of hyaluronic acid (e.g., Radiesse®, Sculptra®, or silicone fillers)
You are expecting perfectly preserved volume—partial dissolving isn’t always precise due to individual responses
A consultation with Dr. Debra Jaliman in NYC will help determine whether hyaluronidase is the right treatment for your specific concerns and goals.
Preparing for Hyaluronidase Treatment
Before undergoing hyaluronidase treatment to dissolve unwanted dermal fillers, it’s important to have a consultation with a licensed, experienced injector—preferably a board-certified dermatologist like Dr. Debra Jaliman in NYC. During this visit, your provider will review your medical history, assess your previous filler treatment, and create a personalized plan to safely achieve your desired results.
You may be advised to stop taking certain medications or supplements (such as blood thinners) before treatment to reduce the risk of bruising. Be sure to inform your doctor about any allergies, sensitivities, or prior adverse reactions to injectable products or bee-derived enzymes.
On the day of your appointment, arrive with clean, makeup-free skin to help minimize the risk of infection. A topical numbing cream may be applied to keep you comfortable during the injections.
Frequently Asked Questions
What is Vitrase?
Vitrase is a brand of hyaluronidase, an enzyme used to break down hyaluronic acid-based dermal fillers. It was commonly used. However, Vitrase has been discontinued in the United States and is no longer available for use.
What is Hylenex?
Hyaluronidase is a product worth considering if you want to have your hyaluronic acid fillers removed. Hylenex, an FDA-approved injectable hyaluronidase, is one option. Other brands like Vitrase, Hydase, and Amphadase can also be used, but Hylenex stands out because it is the only hyaluronidase product without any animal-derived materials. This makes it the go-to choice for those allergic to animal-derived hyaluronidase, as it's a human recombinant product.
Hyaluronidase is the perfect solution for people who are dissatisfied with the results of their previous filler treatments. The effects of the product can be adjusted according to each person's needs, whether they want to reverse the effects of overdone or unwanted fillers or simply want to remove all traces of their previous treatments before undergoing a new one.
Will hyaluronidase affect Botox?
No, hyaluronidase does not affect Botox. Hyaluronidase only breaks down hyaluronic acid fillers and does not interfere with neuromodulators like Botox, Dysport, or Xeomin.
Can I get new fillers on the same day as hyaluronidase treatment?
It's understandable that patients might want to address more wrinkles or enhance other areas affected by aging and volume loss. However, it's advisable to refrain from injecting additional hyaluronic acid into the face on the same day as dissolving the filler. Doing so could lead to the new hyaluronic acid dissolving as well. It's recommended to wait at least a week before proceeding with any extra hyaluronic acid filler injections.
How long does a hyaluronidase treatment session take?
The duration of each treatment lasts about 20 to 30 minutes, depending upon the number of filler areas that need to be dissolved.
What aftercare is needed following hyaluronidase injections?
Avoid products with fragrance and acids after to avoid irritation. Make certain to clean your hands before touching the area to prevent an infection. We recommend that a mild cleanser be used to clean the skin or micellar water, which is very gentle. It is important to keep it clean to prevent infection. Sun exposure should be avoided and SPF 30 or above sunscreen should be used. We will provide you with information about post-procedure care. It is best to avoid strenuous physical activities right after the injections. The next day you can continue your daily activities and go on with your life as usual.
Will hyaluronidase affect my skin?
These injections will not dissolve your own skin. The injections only dissolve the hyaluronic acid filler. Sometimes you may notice wrinkling or a fine line on the overlying skin, but this will resolve in a few days.
Can Kybella be used to dissolve filler?
Kybella cannot be used for filler injections. Its only action is to dissolve fat.
Is it safe to have other treatments after dissolving filler with hyaluronidase?
It is best to wait a week or more after hyaluronidase injections before having a facial or peel or any other facial procedures.
Is it safe to dissolve filler with hyaluronidase during pregnancy?
It is best to take added precautions and avoid cosmetic procedures during pregnancy.
How long does hyaluronidase stay active in the body?
As soon as hyaluronidase is injected, it instantly starts breaking down hyaluronic acid dermal fillers, which can also lead to the reversal of their effects. You may experience swelling after getting treated with hyaluronidase injections, which is normal and can last for a few days. However, hyaluronidase can continue working for up to 48 hours after injection.
Thus, it is recommended to wait at least one week before getting new hyaluronic acid dermal filler injections after being treated with hyaluronidase to ensure optimal results. It allows any swelling to subside and the residual effects of hyaluronidase to fade away, guaranteeing the effectiveness of the newly placed dermal filler.
Hyaluronidase Injections in NYC to Correct Unwanted Filler
If you’re unhappy with the results of your dermal filler—whether it’s overfilled lips, puffiness under the eyes, or asymmetry in the cheeks or jawline—hyaluronidase injections offer a safe, effective way to dissolve hyaluronic acid-based fillers and restore natural facial contours.
At her Upper East Side dermatology practice, Dr. Debra Jaliman is a recognized expert in filler correction using hyaluronidase. Patients from across New York City seek her out to reverse poor results from treatments like Juvéderm®, Restylane®, and Belotero®, especially those performed by less experienced injectors.
Why Choose Dr. Jaliman for Hyaluronidase in NYC?
- Board-Certified Expertise – With decades of experience and in-depth knowledge of facial anatomy, Dr. Jaliman uses precise injection techniques to dissolve only the filler—safely and selectively.
- Customized Treatment Plans – Every consultation is tailored to your facial structure, filler history, and goals. Whether you want complete correction or partial reduction, she’ll design the right approach.
- Minimally Invasive with Fast Results – Most patients see visible improvement within 24 to 48 hours, with minimal downtime.
- Trusted by NYC Patients – Dr. Jaliman has built a reputation for natural-looking, refined results and honest, compassionate care.
If you’ve had a filler treatment that left you with unwanted lumps, puffiness, or distortion, hyaluronidase injections can quickly reverse those effects—returning your face to a more natural, balanced appearance.
Dr. Jaliman’s Patient-Centered Approach
What sets Dr. Jaliman apart is her individualized patient care. Whether you need filler correction or are interested in other cosmetic treatments like Botox®, lasers, or chemical peels, she ensures that every patient is well-informed, comfortable, and confident in their treatment decisions.
Her philosophy: Educate first, treat second. This empowers patients to understand all options before moving forward.
Ready to Correct Your Filler? Schedule a Consultation Today
If you’re looking for filler correction in NYC, trust Dr. Debra Jaliman to deliver expert care and natural-looking results with hyaluronidase injections. Whether you’re correcting under-eye filler, lip overfilling, or misplaced cheek filler, she’ll guide you every step of the way.
Call to schedule your personalized consultation.
Rediscover your natural beauty—with safe, expert care.
