15/01/2026
🩺 Management of misplaced filler
This patient presented with previously placed chin filler from another practitioner, with evidence of:
• Misplacement
• Migration
• Superficial product
• Excess volume affecting contour and obscured projection
💉 Why hyaluronidase (Hyalase)?
Hyaluronidase is an enzyme used to selectively break down hyaluronic acid–based dermal fillers. When administered appropriately, it allows for controlled dissolution of unwanted or poorly integrated filler, restoring baseline anatomy.
⏳ Why we wait at least 2 weeks before re-filling
A minimum two-week interval is clinically important to:
✔️ Allow post-dissolve inflammation and oedema to resolve
✔️ Permit tissue recovery
✔️ Allow the body to naturally replenish its own hyaluronic acid
✔️ Accurately reassess true anatomical structure and volume deficit
💉 Re-treatment (if indicated)
Once tissues have stabilised, filler can be reintroduced conservatively and anatomically to achieve:
• Improved contour and projection
• More predictable outcomes
• Reduced product requirement
• Enhanced safety
⚠️ Immediate re-filling post-dissolution risks distortion, compromised placement, and suboptimal results.
Anatomy, timing, and safety should always guide aesthetic practice.