“There's an art to sculpting things down just as much as there is to filling them up.”
Beyond allowing time for swelling to subside, delaying further treatment for “at least four to six weeks from the date of dissolving” gives patients a chance to adjust to their new face and prevents knee-jerk refilling, says, a board-certified dermatologist in Dallas. “Once they get used to what they look like [without filler], they may opt for not refilling in that area we dissolved.”
Ordinarily, Dr. Frank has patients wait at least two weeks to refill after dissolving — unless the unwanted filler wasplaced and hasn’t had time to alter the tissues. “If someone comes to me and says, ‘Oh, God, I went to this med-spa. I had my eyes done for the first time. I look like I have pillows under my eyes,’ I can melt it down, and four days later they can come back [for fresh filler].”
The dissolving process can be unpleasant, Dr. Cabin warns: “People are sometimes surprised that it’s more painful than getting filler.” The shots tend to burn, due to the solution’s pH, and bruising is common, since the enzyme leaves vessel walls weak. “You may look more beat up after the dissolving than you did after the filling,” Dr. Cabin points out. “But if you don’t bruise and you get past the discomfort of the injections themselves, it’s a pretty benign recovery.
While some patients are satisfied after a single round of dissolver, others require multiple sessions for best results. Says Dr. Talei, “The more [filler] you have in the face — and the longer you’ve had it — the harder it’s going to be to manage.” Moreover, people are sometimes surprised to learn that they can’t refill on the heels of dissolving. “If someone’s had puffy eyes for four years and that tissue’s been stretched, they may no longer be a candidate for filler,” says Dr. Frank. “I may have to send them for a blepharoplasty [upper and/or lower eyelid surgery]. I may have to do CO2 laser resurfacing [to tighten the skin]. Or I may have to do a bit of both.”Dissolving generally starts around $400, but can climb into the thousands.
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