Cheek fillers are one of the most popular face enhancing techniques that temporarily smoothens fine lines and wrinkles while restoring volume to sunken areas of the face. It helps improve and boost the shape and firmness of your cheeks. The best thing about this treatment is that it uses a natural-stimulating collagen substance to ensure safe, easy, and effective procedure.

This natural-stimulating collagen substance is otherwise known as hyaluronic acid. This substance is common to most types of cheek fillers. It works by attracting and absorbing water to keep the skin supple and hydrated.

Although cheek fillers provide cosmetic facial enhancements that are close to perfection, certain mishaps may happen while waiting for the fillers to integrate with your cheek tissues. In which case, you may resort to dissolving cheek fillers as a quick and effective solution. Dissolving cheek fillers need a special agent known as hyaluronidase or hyaluronan.

What is hyaluronidase?

Hyaluronidase is a substance with a high protein enzyme that can be used to dissolve hyaluronic acid found in cheek fillers. It is designed to break down the hyaluronic acid substance into molecules that the body naturally absorbs. As it disrupts the composition of hyaluronic acid, it increases the permeability of the skin tissue while promoting the natural cellular process of diffusion. Thus, dissolving and disintegrating the fillers inside your cheeks.

In essence, hyaluronidase flushes down the fillers from your cheek. It hampers the effect of cheek fillers at an accelerated pace to ensure that your unwarranted filler results may be prevented from pursuing.

Why are we dissolving cheek fillers?

The popularity of cheek fillers has induced the emergence of many filler brands. Some of these are inauthentic and have failed dermatological tests. Some even did not pass FDA approval. Moreso, unlicensed and inexperienced individuals claim to be legitimate providers of cheek fillers. The major downside of these cheek fillers and providers resulted in having adverse reactions to the injected cheek fillers.

Some of the reasons why there is a need to dissolve cheek fillers include the following:

Cheek Filler Migration

Cheek filler migration happens when there is filler spreading to other parts of the face outside of the cheek area. Signs and symptoms of cheek filler migration include prolonged periods of pain and discomfort, swelling, and irritation around the eyes, nose, lips, jaw, and neck. The worst-case scenario results in conditions such as infection, granulomas, occlusions, and orbital complications.

Cheek filler migrations take place when fillers are administered in the wrong injection points, hence, distorting the face. It may also occur when aftercare regimens are not properly followed like unknowingly sleeping on your newly “filled” cheeks. When extreme pressure is applied to the cheek filler, it may be dislodged and tissue integration will happen at the wrong part of the face.

In some rare cases, the human anatomy may have an adverse reaction to “foreign bodies” that are placed inside the cheeks. In which case, the tissue integration may not take place and may result in filler complications such as occlusions, leakage, and skin lumps.

Some body tissues have more laxity and may not be able to support or keep the cheek filler in place. The texture and softness of the filler make it moveable in place. Thus, patients should wait for at least forty-eight hours before doing strenuous activities that cause muscular contractions leading to the displacement of the cheek fillers.

Early detection of cheek filler migration can be settled with the administration of hyaluronidase. It can help dissolve the displaced filler or fillers are that injected outside the cheek area. It is best to dissolve the filler before it has begun integrating with your skin tissues.

Lumps and Bumps

Lumps and bumps on the cheek area where cheek fillers are administered may be mild to severe lumps. Similar to cheek filler migration, fillers may have been injected into the wrong place in the face causing bumpy and lumpy texture.

Some resolve this issue by gently massaging the lumps and bumps away. However, massaging your newly enhanced cheeks may lose the lifting and volumizing effect of the fillers. Massaging may also result in dislodging the filler and causing filler migration.

The best way to do away with lumps and bumps is to inject small amounts of hyaluronidase into the affected areas. Immediate treatment of lumps and bumps can prevent more complex complications like granulomas and occlusions.

Although cheek filler treatments are relatively simple procedures, lumps and bumps that develop after the procedure should not be taken lightly. It is not enough to massage them or to take anti-inflammatory medicine to reduce seemingly swollen skin. It is best to consult your cosmetic doctor to receive the appropriate treatment.

A dose of hyaluronidase may help relieve your face from unwarranted lumps and bumps. Keep in mind that cheek fillers are enhancement techniques that promote smooth, healthy, and young-looking skins. Thus, lumps and bumps are not exactly a good sign of an effective result.

Emergency Reversal 

An emergency reversal happens when more serious complications occur like occlusions. Occlusions are indicated by blockage on a major artery or blood vessel. This results from unknowingly injecting the cheek filler into the artery or blood vessel. In some cases, a blockage may happen when the cheek filler causes extreme pressure to a nearby artery or blood vessel.

When a blockage to the artery or vessel ensues, blood flow is hampered which will cause the skin tissues to lose vitality and may lead to skin and tissue necrosis. Thus, an emergency reversal must be done. To acheive an emergency reversal, a good dose of hyaluronidase can help quickly dissolve the cheek filler that is causing the blockage.

When mild bruises are starting to darken while hollowing, and pain is becoming severe, it is best to consult your cosmetic doctors to make sure that there is no vessel blockage in the affected area.

Effect of Dissolving Cheek Filler

How long until I see the effects of hyaluronidase?

Hyaluronidase provides a quick and effective relief to improperly administered cheek fillers. Once an ample dose of hyaluronidase is administered to the affected areas, it immediately breaks down the hyaluronic compound. Thus, the effect will be manifested within the next two days.

After forty-eight hours from injecting the hyaluronidase, you will notice that the appearance of the cheek fillers has completely reduced to zero. However, the effects of hyaluronidase may take longer to materialize when the cheek fillers have started integrating with the skin tissues. In which case, multiple doses of hyaluronidase should be administered in several sessions.

Although we rely on hyaluronidase in dissolving cheek fillers that are improperly injected, it may not be the perfect solution just as cheek fillers are not the best cheek enhancer in all cases. Other solutions may be resorted to depending on the severity of the complications. Some cosmetic surgeons may recommend surgical treatments for more austere cases of occlusions, lumps, and filler migrations.

Dissolving cheek fillers can be prevented when you choose experienced and licensed cosmetic doctors to provide safe, effective, and reliable cheek filler treatments. Professional cosmetic surgeons underwent extensive training to ensure that they inject the cheek fillers into the right injection points. They are also trained to know how much cheek filler is needed to acheive the volume that you desire.

In summary, while hyaluronidase is often used to adjust aesthetic results, it is best to administer the appropriate cheek filler than resorting to an emergency antidote. The goal is to do the procedure right the first time all the time to avoid cramming for an antidote.

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