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Sometimes the most beautiful result begins by taking something away. But dissolving is a medical procedure with consequences, not a reset button.
Sometimes the most beautiful result begins by taking something away. But dissolving is a medical procedure with consequences, not a reset button.
Product that has moved beyond the border, producing a shelf above the upper lip or a shadow visible in certain light. Lips that project forward of the face in profile. Asymmetry that never settled. Firmness or nodules. Or simply a mouth that has been topped up for years and no longer resembles the patient’s own.
Dissolving agents are not selective. They act on hyaluronic acid in the treated area, including product placed correctly and, to a degree, on the tissue’s own hyaluronic acid. Dissolving everything to correct one region frequently leaves a lip flatter and older-looking than before, and rebuilding then starts from a worse position.
There is also an allergy consideration with the enzyme itself, which is why history is taken and why the procedure is performed in a setting equipped to manage a reaction. This is a medical procedure, not a cosmetic undo.
Where removal is appropriate, it is often partial and performed across more than one session, with time between to assess what the lip actually looks like underneath. Multiple sessions are frequently needed where product is old or has migrated, and that is discussed at the outset.
Where treatment is recent, the correct first step is usually to wait. Product is still settling for two weeks and integrating for longer. Dissolving early risks removing something that would have looked correct.
After dissolving, the tissue needs a settling period before it can be honestly assessed. Rebuilding then follows the same sequence as any plan, structure first, staged, with reviews. Corrections take longer than first-time treatment because there is more to assess at every stage.
Extremely common, and not an obstacle. Where records are unavailable, assessment proceeds on examination and the plan is built more conservatively as a result. Note that non-hyaluronic-acid products cannot be dissolved, which is one reason establishing what is present matters.
Not everything should be dissolved. Some of it is doing useful work.
Suitability for Lip Filler Correction & Dissolving depends on the diagnosis, anatomy, tissue quality, medical history, medications, previous procedures and the result you are trying to achieve.
Correction is reviewed only after dissolving-related swelling has settled and the underlying lip shape can be assessed again. Any later filler is planned from the new baseline rather than from the amount that was dissolved.
Individual results vary. Photographs are of Dr. Nivine’s own patients, shown with written consent and unretouched.
Planning for Lip Filler Correction & Dissolving includes anatomy at rest and in movement, asymmetry, previous injectable treatment, tissue support and the areas that should remain untreated. The target result is defined first, then product characteristics and dose are matched to it.