In the world of aesthetics, sometimes less is more. And sometimes, starting over is the best way to move forward. If you are looking for a filler dissolving service in 2026, you are likely dealing with a result that didn’t go as planned. Perhaps your lips have migrated into a “ducky” shelf, your under-eyes look puffy and blue, or you simply feel like your face has lost its natural contour.

At LIV Clinic in Koh Samui, we want you to know that these results are not permanent. We specialize in corrective aesthetics, offering a safe, medical-grade solution to reverse unwanted Hyaluronic Acid (HA) fillers. Under the expert care of Dr. Narathai Vichienkalayarut, we can help you hit the “reset button,” dissolving old product to restore your natural canvas before rebuilding it correctly.

Why Trust LIV Clinic to Fix Your Fillers?

Correcting someone else’s work is often more difficult than injecting a fresh canvas. It requires a deep understanding of facial anatomy, ultrasound mapping to locate the old filler, and precise dosage calculation of the dissolving enzyme.

This is not a treatment to be taken lightly. We see many patients who visit us after “botched” treatments from other clinics or unverified practitioners. At LIV Clinic, we prioritize safety above all else. We perform patch tests to check for allergies, use ultrasound guidance when necessary to avoid blood vessels, and never rush the process. Our goal is not just to remove the filler, but to restore your confidence.

What is Filler Dissolving? The Science of Hyaluronidase

The magic ingredient in our filler dissolving service is an enzyme called Hyaluronidase. This enzyme occurs naturally in your body, but in concentrated medicinal form, it acts as a “key” that unlocks the chemical bonds of Hyaluronic Acid fillers (like Juvederm, Restylane, or Neuramis).

Once injected, the enzyme works immediately to break the filler down into water and sugar, which your body then naturally metabolizes and excretes. It is highly specific—it targets the filler without harming your natural collagen, provided it is administered by a skilled physician.

5 Signs You Need to Dissolve Your Filler

How do you know if it’s time to dissolve? Here are the most common red flags we see at LIV Clinic.

1. Filler Migration (The “Moustache”)

This is most common in the lips. Over time, or due to poor technique, filler can seep outside the pink border of the lip into the skin above, creating a shadow that looks like a moustache or a “shelf.”

2. The Tyndall Effect (Blue Under Eyes)

If filler is placed too superficially under the eyes, it scatters light, creating a bluish or grey hue. This makes dark circles look worse, not better.

3. Hard Lumps and Nodules

You should not be able to feel distinct hard balls of filler in your face months after treatment. If massage doesn’t fix it, dissolving is the only medical solution.

4. Facial “Puffiness” or Distortion

Overfilling the cheeks or jawline can distort your natural features, making the face look swollen or “pillow-like” rather than defined.

5. Vascular Occlusion (Emergency)

If a recent filler injection blocks a blood vessel (causing extreme pain and skin whitening), Hyaluronidase is the emergency antidote used to save the skin from necrosis.

The Process: Step-by-Step Correction

We approach dissolving with a systematic medical protocol to ensure your comfort and safety.

1. Consultation & Patch Test: We assess the area and inject a tiny amount of Hyaluronidase into your arm to ensure you don’t have an allergic reaction (especially if you are allergic to bee stings).

2. Numbing: We apply a strong topical anesthetic, as the dissolving liquid can sting slightly more than filler itself.

3. The Injection: Dr. Narathai injects the enzyme precisely into the pockets of old filler.

4. Immediate Softening: The filler begins to break down instantly. You will feel the lumps softening while you are still in the chair.

Comparison: Dissolving vs. Natural Metabolism

Many patients ask, “Won’t it just go away on its own?” While HA fillers are temporary, they can last much longer than marketed.

Feature	Natural Metabolism	Professional Dissolving
Speed	6 – 24 Months	Immediate (24-48 Hours)
Precision	Random (fades unevenly)	Targeted (removes specific lumps)
Migration	Migrated filler often stays longer	Removes migrated filler entirely
Cost	Free (Wait and see)	Starts at ~3,500 – 5,000 THB
Best For	General fading over time	Correction, Emergencies, Lumps

The “Refill” Timeline: When Can I Inject Again?

Patience is key. You cannot dissolve and refill in the same appointment (except in rare emergency cases). The Hyaluronidase continues to work for 24-48 hours and causes temporary swelling.

• Wait Period: We strictly require a 2-week waiting period between dissolving and refilling.

• Why? This allows your natural tissue to settle, the swelling to subside, and ensures the new filler isn’t immediately dissolved by leftover enzyme.

Is It Safe? Understanding the Risks

While highly effective, Hyaluronidase is a potent medication.

• Allergic Reaction: A small percentage of people are allergic. This is why the patch test is non-negotiable at LIV Clinic.

• Temporary Hollows: You might feel like your skin looks “deflated” or wrinkly immediately after. This is usually temporary dehydration and resolves as your natural Hyaluronic Acid replenishes itself within a few days.

• Bruising: As with any injection, minor bruising is possible.

Aftercare for Dissolving Treatment

• No Makeup: Avoid applying foundation to the area for 12 hours to prevent infection.

• Cold Compress: Use ice packs to manage swelling, which is common in lips after dissolving.

• Antihistamines: If you have significant swelling, an over-the-counter antihistamine can help.

• Hydrate: Drink plenty of water to help your lymphatic system flush out the broken-down filler particles.

Frequently Asked Questions

Does dissolving hurt?

It can be uncomfortable. The enzyme causes a stinging sensation upon injection, often described as a “bee sting.” However, the process is very quick (less than 5 minutes), and we use premium numbing agents to manage the pain.

Will it dissolve my natural collagen?

Hyaluronidase targets the specific bonds in the cross-linked filler. While it can temporarily lower your natural HA levels, your body regenerates this very quickly (within 24-48 hours). It does not “eat” your collagen or permanent tissue.

Can you dissolve permanent fillers like Silicone?

No. Hyaluronidase only works on Hyaluronic Acid fillers (Juvederm, Restylane, Belotero, etc.). It cannot dissolve Silicone, Radiesse, or Sculptra. If you have permanent filler issues, surgical removal may be required.

How much does it cost?

The price depends on the number of vials needed. A small lump might take 1 vial, while a full lip dissolve might take more. Prices typically start around 3,500 – 5,000 THB per vial.

I have a lump from 5 years ago. Can it still be dissolved?

Yes! We have successfully dissolved filler that has been sitting in the tissue for over 5 years. Old filler often becomes compressed and integrated, but the enzyme is still effective.

Contact Us

Don’t live with results you don’t love. Contact us today to schedule a corrective consultation with Dr. Narathai.

• Phone: +66 65-996-4242

• Whatsapp: (+66) 65 996 4242

• Line Official: @Livclinic

• Email: Livclinic.samui@gmail.com

• Address: 1/63 Bophut, Koh Samui, Suratthani, Thailand, 84320

• Website: https://liv.clinic/

References

1. Cleveland Clinic. (2024). Dissolving Lip Filler: How It Works & What To Expect. Retrieved from https://my.clevelandclinic.org/health/treatments/dissolving-lip-filler

2. Journal of Aesthetic Nursing. (2023). The Use of Hyaluronidase in Aesthetic Practice. Retrieved from https://www.aestheticnursing.co.uk/

3. National Library of Medicine. (2021). Guideline for the Safe Use of Hyaluronidase in Aesthetic Medicine. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC8570661/

4. American Society for Dermatologic Surgery. (n.d.). Hyaluronidase for Soft Tissue Filler Complications. Retrieved from https://www.asds.net/