Filler Dissolving at MAKI: The Ultrasound Advantage

MAKI • August 19, 2025

When Beauty Plans Change: Understanding What Filler Dissolving is

Life is full of changes—including our aesthetic preferences. What felt right for your appearance last year might not align with your vision today. At MAKI Med Spa, we believe that your beauty journey should always remain in your control, which is why we offer advanced filler dissolving services using our signature ultrasound-guided technique.


Dermal fillers have transformed countless faces with their ability to add volume, smooth lines, and enhance features without surgery. Yet sometimes, the results don't match your expectations, or your aesthetic goals evolve. Whether you're experiencing unwanted outcomes from treatments elsewhere or simply wish to reset your appearance, our specialized approach offers the safety and precision you deserve.


Why Consider Dissolving Your Fillers?

Every face tells a story, and sometimes that story takes unexpected turns. Our clients seek filler dissolution for many different reasons, all equally valid:


Filler Migration happens when product moves beyond its intended placement area—creating an unintended fullness around the lips, unusual bulges near the eyes, or asymmetry in the cheeks. This migration can occur due to facial movements, improper placement, or simply the natural properties of certain fillers in your unique tissue.


Visual Irregularities like lumps, bumps, or unevenness might develop over time as filler interacts with your tissues or is placed too superficially. What looked smooth initially might reveal textural changes that don't align with your aesthetic goals.


The Overfilled Effect often develops gradually, as repeated treatments are performed before previous filler has fully metabolized. This layering can create an appearance that looks unnatural or doesn't reflect your true self.


Changing Aesthetic Preferences are perhaps the most common reason for dissolution. The fuller lips or prominent cheeks that felt fashionable previously might not suit your current style. Your beauty journey is yours to direct, and sometimes that means a fresh start.


Preparation for New Approaches to your aesthetic enhancement might require clearing away old product. Like creating a clean canvas before painting a masterpiece, dissolution can prepare your face for more refined or differently focused treatments.


The MAKI Difference: Dissolving with Ultrasound Precision

Filler dissolution is both science and art—requiring an expert understanding of facial anatomy, product composition, and the delicate relationship between them. At MAKI, we've elevated this process through our specialized ultrasound-guided approach.


Seeing What Others Can't

Traditional filler dissolution relies heavily on visual assessment and touch to identify product location. This approach, while sometimes adequate, lacks the precision that ultrasound visualization provides. Our advanced imaging technology allows us to:


  • See exactly where filler material resides beneath your skin—even when it's not visible from the surface
  • Distinguish between different types of fillers that may have been placed over time
  • Identify product that has migrated from its original position
  • Visualize your unique underlying anatomy for safer treatment
  • Monitor the dissolution process in real-time to ensure effective results


This visual precision transforms what is typically a somewhat blind procedure into a guided, intentional process that respects your tissues and targets only what needs to be addressed.


Beyond Guesswork: The Science of Accurate Dissolution

Hyaluronidase—the enzyme used to dissolve hyaluronic acid fillers—is highly effective but should be used with precision. Without ultrasound guidance, practitioners often must use more product than necessary to ensure complete dissolution, which can affect your natural tissues as well.


Our ultrasound approach allows for:

  • Precise targeting of only the unwanted filler material
  • Minimal use of dissolving enzyme, reducing potential side effects
  • Protection of your natural facial structures
  • Confirmation of complete dissolution without guesswork
  • Documentation of your before and after state for comparison


This science-backed approach takes the uncertainty out of the dissolution process, giving you confidence in both the procedure and the results.\


Your Dissolution Journey at MAKI

When you choose MAKI for filler dissolution, you're selecting a thoughtfully designed experience that prioritizes your comfort, safety, and satisfaction at every step.


Your Comprehensive Consultation

Your journey begins with a thorough consultation where we:

  • Listen carefully to your concerns and what's motivating your decision
  • Review your history of filler treatments (if records are available)
  • Perform detailed ultrasound imaging to assess what's present beneath the surface
  • Create digital documentation of your current state
  • Develop a customized dissolution plan based on our findings
  • Discuss realistic expectations and timeline for results


This consultation is both educational and reassuring—giving you clear information about what's possible and how we'll achieve it together.


The Dissolution Experience

On the day of your treatment, you'll experience our signature approach to care:

First, we prepare your skin with gentle cleansing and may apply topical numbing for your comfort. Using our ultrasound technology, we precisely identify the location and depth of filler material to be dissolved. This visual confirmation ensures we're targeting exactly what needs to be addressed.


Our medical practitioners then inject small amounts of hyaluronidase with extraordinary precision, guided by real-time ultrasound visualization. This approach allows us to use the minimum effective amount of dissolver, protecting your natural tissues while ensuring the unwanted filler is addressed.


Throughout the procedure, we monitor the dissolution process visually, ensuring the enzyme is effectively breaking down the targeted filler. The entire treatment typically takes 30-45 minutes, including preparation and monitoring time.


Your Recovery and Results

The dissolution process begins immediately, with visible changes often appearing within hours. Here's what to expect after your treatment:

  • Initial mild swelling in the treated area (typically peaking within 6-12 hours)
  • Gradual reduction in the previously filled areas over 24-48 hours
  • Complete dissolution typically achieved within 3-5 days
  • Follow-up ultrasound assessment to confirm results


Most clients find the recovery process straightforward, with minimal discomfort managed easily with cold compresses and gentle care. We'll provide you with specific aftercare instructions tailored to your treatment areas and the amount of filler dissolved.


Common Questions About Filler Dissolution

Will dissolving my filler hurt? Most clients report minimal discomfort during the dissolution process—typically less than they experienced during the original filler injection. Our use of topical numbing and precise injection technique helps ensure your comfort throughout the procedure.


How quickly will I see results? The dissolution process begins immediately, with noticeable changes often visible within hours. Most clients see substantial dissolution within 24-48 hours, with final results apparent after any treatment-related swelling subsides (typically 3-5 days).


Can all types of filler be dissolved? Only hyaluronic acid-based fillers can be dissolved with hyaluronidase. This includes popular brands like Juvederm, Restylane, and their various formulations. Non-hyaluronic acid fillers like Radiesse (calcium hydroxylapatite) or Sculptra (poly-L-lactic acid) cannot be enzymatically dissolved. During your consultation, we'll use ultrasound imaging to identify what type of filler is present.


Is it possible to dissolve just some of my filler? Yes! With our ultrasound-guided precision, we can often target specific areas of filler while leaving others intact. This selective approach allows for refinement rather than complete reversal when desired.


How long should I wait after dissolving before getting new filler? We typically recommend waiting at least 2-3 weeks after dissolution before considering new filler treatments. This allows time for complete resolution of the dissolution process and any swelling. For optimal results with new treatments, some clients benefit from waiting 4-6 weeks, particularly if significant dissolution was performed.


Will dissolving affect my natural tissues? Hyaluronidase can potentially affect the naturally occurring hyaluronic acid in your tissues, but this effect is typically minimal and temporary. Your body quickly replenishes its natural hyaluronic acid. Our ultrasound-guided approach helps minimize impact on natural tissues by targeting only the filler material.


Your Fresh Start Begins at MAKI

Filler dissolution represents not an ending, but a new beginning in your aesthetic journey. Whether you're seeking to address unwanted results from previous treatments or simply wish to reset your appearance for a fresh approach, our expert team at MAKI Med Spa & Wellness is here to guide you with the most advanced techniques available.


Our ultrasound-guided dissolution offers the precision, safety, and results that discerning clients deserve. We understand that changing direction in your beauty journey takes courage, and we honor that decision with exceptional care and expertise.


Ready to discuss your options? Contact us at 407-278-8212 to schedule your consultation, and take the first step toward reclaiming control of your aesthetic journey.


MAKI Med Spa & Wellness provides ultrasound-guided aesthetic treatments, including filler dissolution, at our Winter Springs location. Our expert team serves clients throughout Central Florida, including Oviedo, Lake Mary, and Lake Nona.

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