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Hyaluronic acid filler dissolving in Kew, Melbourne

Dissolving & Ultrasound Melbourne

Doctor-performed hyaluronic acid filler dissolving: the reset button when filler has migrated, lasted too long, looks unnatural, or needs to be removed before fresh work begins.

Reviewed by Dr Rakib Uddin AHPRA MED0001936872

  • Performed by Dr Rakib and his team
  • Personalised assessment first
  • Clear advice, including when not to treat
Dr Rakib Uddin performing an ultrasound-guided treatment at Aesthetic Doctors Australia
Performed by Dr Rakib

What it is

What is dissolving & ultrasound?

Filler dissolving uses hyaluronidase, an enzyme that breaks down hyaluronic acid, to remove unwanted HA filler. It's the reset button: when product has migrated, lasted too long, looks unnatural, caused a vascular concern, or simply needs to come out before fresh work.

Only hyaluronic acid fillers can be dissolved. Biostimulators (collagen biostimulator, collagen biostimulator) and permanent fillers cannot. The treatment is straightforward in skilled hands but requires clear pre-discussion: the area will look 'less' before it looks 'right'.

  • Most resolution

    24–48 hours

    Dissolved product clears quickly once the enzyme is placed.

  • Sometimes needed

    Multiple visits

    Heavy or migrated filler may need staged dissolving.

  • Before re-treating

    2 weeks wait

    Tissue settling, then fresh planning, then fresh work.

What it treats

What does dissolving & ultrasound treat?

Dissolving & ultrasound is most often planned for migrated filler, over-filled appearance, unnatural shape, complications, preparation for re-treatment. The treatment only makes sense when it matches the cause of your concern; here is where it fits.

  • Migrated or over-filled lips

    Explore this concern

    Why it happens

    Excessive volume or wrong-plane placement makes filler drift above the lip line over years. Many patients only realise on photographs.

    Treatment role

    Dissolving resets the lip to baseline. Re-treatment after 2 weeks builds back conservatively: almost always with a better final result.

  • Filler that hasn't aged well

    Explore this concern

    Why it happens

    Old filler may persist for many years in pockets, distorting facial proportions or interacting badly with natural ageing.

    Treatment role

    Dissolving older product clears the canvas before new structural work, often a better outcome than layering more product over the old.

Results

Each case is a single composite photographed at the practice: the concern that brought the patient in, the treatment performed, and the point at which the result was reviewed. Outcomes vary from person to person. This is clinical context, not a promise.

Every consented case across all treatments
Before and after composite of the chin and jawline following ultrasound-guided dissolving of migrated product
This result is specific to this patient and will not necessarily reflect another person's outcome.
Concern
Migrated chin volume leaving the lower face unbalanced
Treatment
Ultrasound-guided dissolving

Images are real patients treated by Dr Rakib Uddin and are used with consent. Individual outcomes vary depending on anatomy, medical history, technique and aftercare; results shown are not a guarantee of yours.

How it works

How does dissolving & ultrasound work?

Filler dissolving treatment in progress at Aesthetic Doctors Australia Step 01

01 / 03

How hyaluronidase works

The enzyme breaks the bonds in hyaluronic acid chains, dissolving cross-linked filler back into smaller components the body resorbs naturally. The process is fast: most product clears within 24–72 hours of injection.

Doctor-level filler dissolving by Dr Rakib at Aesthetic Doctors Australia Step 02

02 / 03

Why it matters which doctor

Dissolving heavy or deeply placed product takes anatomical knowledge of where the filler is, what plane to target, and how much enzyme is required. Insufficient dissolving leaves a partially-collapsed area; aggressive dissolving in the wrong plane can affect surrounding tissue. Doctor-level work pays off.

03 / 03

Vascular emergency role

Hyaluronidase is also the emergency treatment for vascular complications from HA filler. We carry it onsite for every filler patient and any doctor performing HA filler should. Its availability is part of why filler is safer than non-medical alternatives.

Whether it suits you

Is dissolving & ultrasound right for you?

The two lists below are where that answer starts; it is confirmed in person, never assumed. Balanced information protects you.

May be suitable for

  • Migrated lip volume enhancement
  • Over-filled appearance from previous work
  • Tear-trough or facial filler causing irregularities
  • Preparation for fresh, refined treatment
  • Vascular emergencies during filler treatment

May not be suitable for

  • Biostimulator products (collagen biostimulator, collagen biostimulator). These cannot be dissolved
  • Permanent fillers: not enzymatic-removable
  • Allergy to hyaluronidase
  • Active infection at the site

The assessment

What happens at a dissolving & ultrasound consultation?

Expertise shows in process. Before any recommendation, your consultation examines:

Book your assessment
  1. 01

    What filler is there: type, brand if known, age

  2. 02

    What you actually dislike about it (sometimes dissolving isn't the answer)

  3. 03

    Whether all or some product needs to come out

  4. 04

    Plan for re-treatment after, including the 2-week wait

  5. 05

    Realistic expectations about how the area will look immediately after

What to expect

How long does dissolving & ultrasound take to work?

The short version: 24–72 hours for most resolution; full result and reassessment at 2 weeks. Stage by stage:

  1. Day 0

    Dissolving day

    Enzyme placed; mild swelling begins, may look puffy initially.

  2. Days 1–3

    Resolution

    Product breaks down; visible volume reduction.

  3. Week 2

    Settled baseline

    Tissue settled; clear-eyed reassessment of your natural shape.

  4. Week 2+

    Re-treatment if planned

    Fresh treatment can be planned from the clean baseline.

Aesthetic medicine

In practice
Sometimes the right next step is to undo, not to add.

A consultation philosophy of restraint, anatomical precision and natural-looking outcomes: applied to dissolving & ultrasound planning.

Aesthetic Doctors Australia
by Dr Rakib

On the day

What happens during a dissolving & ultrasound appointment?

  1. 01

    Consultation

    Your concern, history and goals: discussed before anything else.

  2. 02

    Assessment

    Anatomy, suitability and alternatives examined properly.

  3. 03

    Planning

    A personalised plan with costs, staging and realistic outcomes.

  4. 04

    Procedure

    Performed by Dr Rakib or a clinician working to his plan, with comfort prioritised.

  5. 05

    Recovery

    Clear aftercare and direct access to the clinic with questions.

  6. 06

    Review

    Results checked against plan; refinements made where needed.

Recovery

What is recovery like after dissolving & ultrasound?

Typical downtime: possible swelling, bruising and short-term volume loss. The specifics:

What's normal afterwards

  • Swelling and possible bruising for several days
  • Temporary volume loss and visible 'before' state
  • Mild tenderness

What to avoid

  • Strenuous exercise for 24 hours
  • High heat and alcohol for 24 hours
  • Massaging or pressing treated area

Risks and limits

What are the risks of dissolving & ultrasound?

No effective treatment is risk-free, and no treatment does everything. Knowing both sides is part of informed consent.

Possible side effects

  • Swelling, bruising, tenderness
  • Initial appearance often worse than pre-treatment as everything settles
  • Rare allergic reaction to hyaluronidase
  • Possible dissolving of natural HA in tissue (transient effect)

Limitations to understand

  • Only HA filler: not biostimulators, not permanent fillers
  • Sometimes needs multiple visits for complete removal
  • Cannot bring back something that ageing or weight loss removed naturally
  • The right answer sometimes is 'leave it' rather than 'dissolve'

What it costs

What does dissolving & ultrasound cost?

You receive an itemised written quote at consultation, before committing to anything. The consultation is $75 for 45 minutes with Dr Rakib Uddin, redeemed against your treatment if you go ahead.

Confirmed at consultation. Vascular complications during our own treatments are managed at no additional charge.

What determines your quote

  • 01 How much area is being dissolved
  • 02 Single vs multiple visits required
  • 03 Whether vascular emergency (always at no charge for our own patients)

You commit to nothing in advance: the consultation costs nothing and the quote is written before anything is booked. If the recommendation is not to treat, that advice is the whole appointment.

Afterpay acceptedZip accepted

Afterpay and Zip are available for treatment fees at the clinic, subject to each provider's own approval and terms.

Dr Rakib Uddin, cosmetic doctor and founder of Aesthetic Doctors Australia

Your doctor

Dr Rakib Uddin

Cosmetic Doctor & Founder

  • MBBS (Qld)
  • BMedSci (Hons)
  • Dip. Surgical Anatomy
  • Fellow ACCSM

AHPRA MED0001936872

Whatever is recommended at your consultation is planned by Dr Rakib and performed by him or a clinician on his team: never by a non-medical injector.

Dr Rakib Uddin is a Melbourne-based cosmetic doctor with formal surgical-anatomy training and over a decade in medicine. He performs every consultation, treatment and review at Aesthetic Doctors Australia personally, and trains other doctors in advanced injectable technique at Derma Medical Academy.

“If a treatment isn't right for you, I'll tell you. Every plan is built around your anatomy, not a template, and the goal is always a refreshed version of you, not a new face.”
  • Listen to your concern in full
  • Comprehensive medical and aesthetic assessment
  • Step-by-step treatment plan: single session or staged
  • Full discussion of risks, limitations and alternatives
  • Decline to treat when a procedure would do more harm than good
About the practice

Expert questions

The questions worth asking about dissolving & ultrasound.

The questions that come up in the room, answered the way Dr Rakib answers them.

Will I look worse before I look better?

Yes, often, for two weeks. The area looks emptier than your natural baseline immediately after dissolving, swelling complicates the picture, and even patients who hated their filler sometimes panic in the first 48 hours. We talk this through carefully before any dissolving.

Can you tell what filler is in my face?

We can assess where filler is and roughly when it was placed, but we cannot identify brand or type without records. If you've had treatment elsewhere, request your records from the original provider before we plan dissolving.

What if my old filler isn't hyaluronic acid?

Then it can't be dissolved: only managed conservatively or surgically. This is why we ask carefully about treatment history. Patients with unknown injectables receive a candid 'we cannot help with this' if appropriate.

Will dissolving harm my own tissue?

The enzyme transiently affects natural HA in tissue but the body replenishes it quickly. The effect is short-term and clinically not significant in skilled hands. Sustained tissue damage from properly-performed dissolving is rare.

Do I need to re-treat after dissolving?

Not always. Many patients who dissolve old filler discover they prefer their natural baseline and don't re-treat. Others come back at 2 weeks for cleaner, smaller-volume work. The plan is yours.

Why does it sometimes take multiple visits?

Heavy filler, multiple layers, or wide areas may need staged dissolving: partly because enzyme efficacy is dose-dependent and partly because seeing the result at 2 weeks tells us if more is needed.

Consultation first

Book a personalised consultation.

Discuss dissolving & ultrasound with Dr Rakib Uddin: your anatomy, suitability, alternatives and realistic outcomes, before any decision is made.

1167 Burke Road, Kew VIC 3101

Important treatment information

All information on this page is general in nature and is not a substitute for a medical consultation. Any before-and-after images shown are for illustrative purposes only and do not guarantee individual outcomes. Treatments performed by Dr Rakib Uddin (AHPRA MED0001936872) vary based on each patient's unique anatomy, medical history and needs. All cosmetic injectable treatments carry risks; a consultation is required prior to any treatment to assess suitability, discuss risks and alternatives, and establish realistic expectations.

Consultation Dissolving & ultrasound
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