
Filler dissolution uses hyaluronidase, an enzyme that safely breaks down hyaluronic-acid volumizer, to correct over-filled, lumpy, or migrated results, or simply to reset. At SOM Aesthetics in Encinitas, treatment is performed by dermatologist-trained providers following the SOM Method.
Filler dissolution at SOM Aesthetics in Encinitas typically costs about $300–$600 per area, confirmed in consultation. It uses hyaluronidase, an enzyme that dissolves hyaluronic-acid (HA) volumizer, to correct over-filling, lumps, migration, or to reset before re-treatment. Results are often visible within a day or two; some areas need a second pass. It only dissolves HA fillers, not Sculptra or Radiesse. Treatment is performed by dermatologist-trained SOM providers following the SOM Method.
~$300–$600
1–2 typical
15–30 min
1–2 days
HA filler only
9–12 months
15–30 minutes
1–2 days
1–2 sessions
Minimal swelling
HA filler only
Dermatologist-trained provider
Every case is documented by the SOM team. Dissolution softens over-filled or lumpy areas, best seen once swelling settles. One selected case also includes MOXI treatment; results are not attributable to dissolution alone.
Filler dissolution uses hyaluronidase, a natural enzyme that breaks down hyaluronic-acid (HA) volumizer. It is the same tool used to correct over-filling, lumps, asymmetry, or migrated filler, and to manage rare vascular complications quickly.
It works only on HA fillers (like Juvéderm, Restylane, RHA), not on biostimulators such as Sculptra or on Radiesse. Most areas resolve within a day or two, and re-treatment can follow once the area settles. A dermatologist-trained provider assesses what is present first.
Dermatologist-trained SOM providers perform filler dissolution following the SOM Method.
Fixes over-filling, lumps, or migration, or starts fresh.
Dermatologist-trained providers follow the SOM Method.
Hyaluronidase is also the emergency tool for HA complications.
We confirm what volumizer is present before dissolving.
• Over-filled or pillowy HA filler
• Lumps, bumps, or uneven volumizer
• Migrated filler (e.g., lip border)
• Want to reset before re-treatment
• Tear-trough volumizer that looks puffy
• Had HA filler (not Sculptra or Radiesse)
• Your volumizer is Sculptra or Radiesse (not HA)
• Allergy to hyaluronidase or bee venom
• Pregnant or breastfeeding
• Active infection in the area
• Unsure what volumizer you have (we assess first)
• Want a permanent volumizer removed (not HA)
A consultation with a dermatologist-trained provider confirms what is present and the right dissolution plan.

Dermatologist-trained SOM providers plan and deliver Filler Dissolution through the SOM Method, with consultation, candidacy review, individualized treatment planning, documentation, and follow-up.
Confirmed in consultation
Available after first visit
Vascular-safety dissolving is prioritized urgently
Final pricing is confirmed in consultation. 0% APR financing through Cherry and CareCredit for qualifying patients.
A dermatologist-trained provider assesses the area and confirms the volumizer type and amount to dissolve.
A history or test check for hyaluronidase sensitivity, when appropriate.
About 15 to 30 minutes. Hyaluronidase is placed precisely where needed.
The area softens over 1 to 2 days; a second pass or re-treatment can follow.
For filler dissolving with hyaluronidase, there is little prep, but pausing blood thinners (ibuprofen, aspirin, fish oil, vitamin E) for 48 hours helps limit bruising. Arrive with clean skin and tell us when and where your original filler was placed.
• Pause blood thinners ~48h before
• No alcohol 24h prior
• Clean skin on the treated area
• Share details of your original filler
• Expect possible swelling for a day

The appointment is quick, about 15 to 20 minutes. A dermatologist-trained SOM provider injects hyaluronidase, an enzyme that breaks down hyaluronic-acid filler, into the treated area. You may feel light stinging. Dissolving begins within hours, and you can leave right after.
• 15–20 minute visit
• Hyaluronidase injected
• Breaks down HA filler
• Light stinging possible
• Dissolving starts within hours

Mild swelling or redness can occur for a day or two. The area may look smaller or uneven at first as filler dissolves; this settles within a few days. If you plan new filler, we typically wait about 2 weeks before re-treating.
• Mild swelling/redness 1–2 days
• May look uneven at first
• Settles within a few days
• We screen for rare allergy first
• Wait ~2 weeks before new filler

• Apply ice gently if the area is tender
• Expect softening over 1 to 2 days
• Return for reassessment before re-treating
• Wait about 2 weeks before new volumizer
• Tell us of any allergy history first
• Call us right away with any unusual symptoms
• Do not assume all volumizer is HA (we confirm)
• Do not expect it to dissolve Sculptra or Radiesse
• No alcohol or intense exercise for 24 hours
• Do not re-fill the same day
• Do not skip the allergy check
• Do not replace medical review with online advice
Hyaluronidase dissolves hyaluronic-acid (HA) volumizers such as Juvéderm, Restylane, and RHA. It does not dissolve biostimulators like Sculptra or calcium-based Radiesse.
Most areas soften within a day or two. Larger or older volumizer may need a second pass to fully resolve.
It is a quick injection; we can numb the area. Most patients tolerate it well, with mild stinging as the enzyme works.
Hyaluronidase can act on naturally occurring hyaluronic acid as well as injected HA filler. The tissue response and appearance after treatment vary, so discuss swelling, allergy risk, and realistic expectations before elective dissolution.
New filler is usually considered only after swelling has resolved and the original problem has been reassessed. Around two weeks may be a review point for an uncomplicated elective case, but complications or persistent swelling can require a longer wait.
Yes. Dissolving migrated or over-filled lip filler is one of the most common reasons patients come in, and a common first step before re-treating.
Compare other facial filler and volume treatments.
SOM Aesthetics is at 25 E E St, Encinitas, CA 92024, accessible from Del Mar, La Jolla, Carlsbad, Solana Beach, and Rancho Santa Fe. Call (760) 766-7546.