Dissolving Lip Fillers
Dissolving Lip Fillers in Newcastle with Ultrasound Guidance
Lip fillers have become an extremely popular treatment thanks to the quick, effective and non-permanent results they can offer. For many people, the fact that the treatment can be reversed safely is just as important as the enhancement itself.
Because Dr Matla uses hyaluronic acid lip fillers, your results are fully reversible if you ever change your mind or experience problems. Although the body will naturally break down hyaluronic acid fillers over time, hyaluronidase injections can provide a quick, controlled way to dissolve previous filler and restore a more natural lip shape. At Dr Matla Aesthetics in Newcastle, this is done using ultrasound (USS) guidance for maximum safety and precision.
Many people have heard about lip filler dissolving treatments due to high-profile celebrities such as Kylie Jenner and Molly-Mae Hague reversing their lip enhancements. If you’re considering dissolving your own lip filler, understanding how the treatment works and the benefits of ultrasound-guided filler removal can help you make the right decision.
What Are Hyaluronidase Injections?
Hyaluronidase injections are used to dissolve lip fillers that are made from hyaluronic acid. Hyaluronidase is a soluble enzyme that the body naturally produces to help break down hyaluronic acid. When used in a concentrated form, it breaks the bonds that hold the hyaluronic acid molecules together, allowing the filler to disperse and be reabsorbed by your body.
At Dr Matla Aesthetics, hyaluronidase is injected under ultrasound (USS) guidance. High-resolution ultrasound imaging allows Dr Matla to:
- See exactly where the filler is sitting in the lips and surrounding tissue
- Map the depth and volume of any unwanted or migrated filler
- Avoid important structures such as blood vessels and nerves
This means the enzyme can be placed directly into the unwanted filler pockets, using less product while improving accuracy and safety. The result is a more predictable outcome and a smoother return to your natural lip shape.
Why Might You Choose to Dissolve Lip Filler?
There are many reasons why you might want to dissolve your lip fillers. Hyaluronidase injections may be recommended if you are unhappy with the aesthetic result, want to reduce the volume of your lips, or wish to go back to a more natural appearance. They are also an important tool for correcting poorly performed or unsafe treatments.
You may opt for lip filler dissolving if:
- You’ve had poorly placed lip fillers, resulting in uneven, “botched” lips.
- Filler has been injected too superficially, causing visible bumps, ridges or hard lumps.
- Your lips feel bruised, discoloured or painful due to overfilling or poor technique.
- Filler has migrated above the lip line, blurring your lip border and making the lips look heavy or distorted.
- Your taste or facial features have changed, and you now prefer a softer, more natural look.
Ultrasound guidance is especially valuable in these situations, as it helps Dr Matla identify and target migrated, deeply placed or difficult-to-see fillers that may not be obvious on the surface.
The Importance of Choosing the Right Practitioner
We cannot stress enough how important it is to choose who you allow to carry out your lip filler and dissolving treatments.
At present, in the UK, practitioners do not need a medical degree or formal medical training to administer dermal or lip fillers. This has led to a rise in unregulated providers offering low-cost treatments in non-clinical settings, often without the skills or equipment to manage complications or dissolve filler safely.
By choosing a medically qualified practitioner like Dr Matla, you benefit from:
- Advanced knowledge of facial anatomy, blood vessels and nerves
- Experience in using hyaluronidase safely, including patch testing and dosing
- Access to ultrasound (USS) guidance, considered the gold standard for precise filler removal
- The ability to assess your overall facial balance and advise whether further filler is needed to correct unevenness
A doctor-led aesthetics clinic, such as Dr Matla Aesthetics, can not only remove poorly placed filler but also rebuild a softer, more harmonious lip shape if you decide to have treatment again
The Lip Filler Dissolving Process with Ultrasound Guidance
A consultation with Dr Matla is essential to ensure you fully understand the treatment and that you’re a suitable candidate for lip filler dissolving.
1. Consultation and Ultrasound Scan
At your appointment, Dr Matla will:
- Assess your lips and the surrounding area
- Review your medical history and any previous filler treatments
- Use an ultrasound (USS) scan to locate the filler, checking its depth, distribution and any migration
On the ultrasound screen, filler typically appears as darker areas within the tissue. This mapping step allows Dr Matla to plan exactly where the hyaluronidase needs to be placed.
2. Patch Test
A patch test is required to check for allergy to hyaluronidase. This can usually be done on a suitable day before your appointment or on the day of treatment itself, depending on your circumstances and medical history.
3. Targeted Hyaluronidase Injections
Once it is safe to proceed, extremely fine needles are used to inject hyaluronidase into the lips and any areas where filler has migrated. Under ultrasound guidance, Dr Matla can watch the needle in real time and deliver the enzyme precisely into the unwanted filler pockets.
Because the treatment is targeted, less hyaluronidase is usually needed compared to “blind” injections. This helps minimise potential side effects and reduces the risk of dissolving any desirable filler in nearby areas. The injection process generally takes around 5–10 minutes. Dissolving often starts within minutes, and on ultrasound, the filler can take on a softer, “cotton wool” appearance as it breaks down.
4. Results and Healing
Due to swelling, which is a normal side effect, your lips may look fuller immediately after treatment. This settles as the swelling goes down and the filler continues to dissolve. Initial results are usually visible within 24–48 hours. Full results are typically seen within one to two weeks. Most patients need only one session of hyaluronidase, but in more complex cases or where there is a large volume of filler, additional sessions may occasionally be required.
Dissolving Lip Fillers FAQs
Is dissolving lip fillers with hyaluronidase and ultrasound guidance safe?
At Dr Matla Aesthetics, lip filler dissolving is designed to be as safe and precise as possible. Hyaluronidase is an enzyme the body naturally uses to break down hyaluronic acid, and we use it in a controlled way to dissolve unwanted filler in the lips. Before treatment, Dr Matla takes a full medical history and performs a patch test to check for allergy to hyaluronidase. During the procedure, he uses high-resolution ultrasound (USS) to map exactly where the filler sits, avoid key blood vessels and nerves, and place the enzyme directly into the unwanted filler pockets. This targeted, ultrasound-guided approach usually means less product is needed than with “blind” injections, helping to minimise side effects and support a predictable, natural-looking result.
What happens during ultrasound-guided hyaluronidase injections to dissolve lip filler?
Your treatment starts with a one-to-one consultation with Dr Matla, where he examines your lips, reviews any previous filler treatments and discusses your goals. An ultrasound (USS) scan is then used to identify the position, depth and amount of filler, including any areas of migration. After a patch test for hyaluronidase, extremely fine needles are used to inject the enzyme into the targeted areas while Dr Matla watches the needle and filler in real time on the ultrasound screen. Because the injections are so precise, the process itself usually takes around 5–10 minutes. Dissolving often begins within minutes, and on ultrasound, the filler can be seen breaking down into a softer, “cotton wool” appearance as it disperses.
How quickly will I see results after ultrasound-guided hyaluronidase injections, and when can I have new lip filler?
It’s normal for the lips to look a little fuller straight after treatment due to temporary swelling. As this settles and the hyaluronidase continues to work, you’ll usually see initial improvement within 24–48 hours, with full results becoming clear over the next one to two weeks. Most patients only need a single session, though very large or long-standing amounts of filler may occasionally require further treatment. If you decide you’d like fresh lip filler after dissolving, Dr Matla usually recommends waiting around two weeks. This allows swelling to resolve, gives your lips time to recover and ensures the enzyme has finished working, so any new filler is not broken down prematurely. Where helpful, ultrasound can again be used to check that there are no significant residual filler deposits before re-treating.
After dissolving my lip fillers, what other filler treatment options are available with Dr Matla?
Once your lips have settled after ultrasound-guided hyaluronidase treatment, you can discuss a range of other filler options with Dr Matla if you decide you’d like further facial rejuvenation. His clinic offers doctor-administered dermal fillers for key areas such as the cheeks, lips, jawline, chin, nose and tear troughs, allowing you to restore volume, refine contour or soften lines in a very targeted way.
If you prefer a more natural approach, Plasma Gel / Bio-Filler is also available, a regenerative filler created from your own blood plasma to restore lost volume and improve skin quality without synthetic products. Dr Matla additionally offers biostimulating fillers, which work by stimulating your own collagen to deliver subtle, long-lasting improvement in volume, firmness and skin texture.
During your consultation, he will assess your features, discuss your goals and advise whether lip fillers, traditional dermal fillers, Plasma Gel / Bio-Filler or biostimulating fillers, or a combination, is the most suitable option for you after dissolving.
Is Lip Filler Dissolving Painful?
Hyaluronidase treatment is not completely pain-free, but any discomfort is usually short-lived and very manageable. The injections may cause a brief stinging sensation; however, the process is so quick that this subsides rapidly.
Dr Matla will discuss ways to keep you comfortable throughout, and the use of fine needles plus a gentle technique helps minimise discomfort as much as possible.
What Is the Cost for Hyaluronidase Injections?
The price for lip filler dissolving with hyaluronidase at Dr Matla Aesthetics is £250 per treatment. During your consultation, Dr Matla will advise whether a single session is likely to be sufficient or if staged treatment may be needed, especially in cases of significant overfilling or long-standing migrated filler.
Aftercare Following Lip Filler Dissolving
After your injections, good aftercare helps reduce swelling and support smooth healing. Dr Matla recommends:
- Avoid “active” skincare for 3 days, such as retinols, vitamin C, BHAs (Beta Hydroxy Acids) and AHAs (Alpha Hydroxy Acids).
- Avoid rubbing, scrubbing or massaging the face for 24 hours.
- Avoid makeup around the treatment area for 12 hours.
- Avoid direct sunlight, sunbathing and sunbeds for 24 hours.
- Avoid strenuous exercise and swimming for 1–2 days.
- Remain upright for 3 hours after treatment.
- Avoid excessive alcohol for 24 hours.
You’ll also receive personalised advice in clinic, and Dr Matla will let you know what to expect over the first few days following treatment.