Doctor listening to a client's concerns at a filler review appointment on Koh Samui

The first and best advice is almost always the hardest: wait two weeks before deciding anything.

What should I do if I’m unhappy with my filler result? Wait until about two weeks have passed, since swelling distorts early results, then raise it clearly with your injector at a review — options include adjusting, dissolving hyaluronic acid filler with an enzyme, or simply allowing it to resolve naturally.

Quick answer: Wait about two weeks — swelling distorts early results. Then raise it clearly at a review. Options: adjust, dissolve hyaluronic acid filler with hyaluronidase, or let it resolve naturally. Report severe pain, blanching or vision changes immediately rather than waiting. Results vary.

First: distinguish concern from complication

Urgent symptoms cannot wait

Severe or increasing pain, skin turning white, dusky or mottled, or any vision change should be reported immediately — these are rare but need prompt attention.

Aesthetic disappointment can

If the issue is how it looks rather than how it feels, waiting is almost always the right first step.

Why two weeks matters

Swelling distorts everything

Filler looks markedly different at day two than at day fourteen. Judging early leads people to request corrections they would not have wanted.

Asymmetry often settles

Uneven swelling is common in the first days and frequently resolves on its own as the product settles.

How to raise it well

Go back to your injector first

Book a review rather than going elsewhere. Your injector knows what product was used, how much and where — which matters for correction.

Be specific

Describe exactly what bothers you and bring photographs from before treatment if you have them. ‘It looks wrong’ is harder to act on than ‘the left side sits higher’.

The options for correction

Option When it suits
Wait longer Minor asymmetry still settling
Small adjustment Slight under-correction or imbalance
Dissolve partially One area overfilled or lumpy
Dissolve fully Result disliked overall; restart later
Let it resolve naturally Willing to wait months

Hyaluronic acid filler gives you genuine options here.

Dissolving as a safety net

How it works

The Cleveland Clinic describes hyaluronidase dissolving hyaluronic acid filler, with full results in about two weeks.

Then reassess

After dissolving, waiting about two weeks before any new treatment lets the area settle so a fresh plan can be made — see dissolving old filler before new.

If the filler is not hyaluronic acid

No dissolving option

Biostimulators and permanent fillers cannot be dissolved, so correction options are more limited and time is often the main remedy.

Why this matters at consent

It is a strong argument for choosing reversible filler for first treatments — see whether biostimulators can be reversed.

If you are not getting a good response

If your clinic dismisses a genuine concern:

  • Ask for a face-to-face review rather than messages
  • Ask specifically what product and how much was used
  • Request that your concern is documented
  • Seek a second medical opinion if needed
  • Choose a licensed doctor-led clinic for any correction

How to handle an unhappy result

A practical sequence:

  1. Report severe pain, blanching or vision changes immediately, without waiting.
  2. Otherwise wait about two weeks for swelling to settle.
  3. Book a review with your original injector.
  4. Describe specifically what bothers you, with photos if possible.
  5. Discuss adjusting, dissolving or waiting as options.
  6. Allow two weeks after dissolving before any new treatment.

Review appointments at LIV Clinic Koh Samui

At LIV Clinic, treatment includes a review with Dr. Narathai, and concerns are assessed in person. Explore our dermal filler services, or book a consultation.

Frequently asked questions

What should I do if I’m unhappy with my filler result?

Wait about two weeks, since swelling distorts early results, then raise it clearly with your injector at a review. Options include adjusting, dissolving or letting it resolve naturally.

How long should I wait before judging filler?

About two weeks. Filler looks markedly different at day two than at day fourteen, and uneven swelling in the first days frequently resolves on its own.

Can filler be removed if I don’t like it?

Hyaluronic acid filler can be dissolved with hyaluronidase, with full results in about two weeks. Biostimulators and permanent fillers cannot be dissolved.

Should I go back to the same injector?

Usually yes, first. They know which product was used, how much and where, which matters for correction. Seek a second medical opinion if your concern is dismissed.

What symptoms should not wait two weeks?

Severe or increasing pain, skin turning white, dusky or mottled, or any vision change. These are rare but need immediate attention rather than waiting.

What if my clinic won’t help?

Ask for a face-to-face review, ask what product and quantity was used, request your concern is documented, and seek a second opinion at a licensed doctor-led clinic.

Safety and consultation

Dermal filler is a medical procedure and, like any injectable treatment, carries some risk — common temporary effects can include redness, swelling, bruising or tenderness, and less common reactions are possible. Results vary from person to person, and no specific outcome can be promised. This article is general information, not medical advice.

At LIV Clinic, every treatment begins with an in-person assessment by Dr. Narathai Vichienkalayarut, M.D., who reviews your skin, medical history and goals before recommending a personalized plan. Book a consultation to find out whether this treatment suits you.

LIV Clinic — “Live Your Life Young”

Doctor-led aesthetic and wellness clinic on Koh Samui and Koh Phangan, serving both international visitors and local residents.

Koh Samui (Bophut): 1/63 Thaweeratpakdee Rd, Bo Put, Koh Samui, Surat Thani 84320 · Tel 065-996-4242

Koh Phangan: 116/16 Moo 1, Koh Phangan, Surat Thani 84280 · Tel 093-254-5259

LINE: @Livclinic · Book a consultation

Explore our dermal filler and Botox and wrinkle services.

ฆสพ.สฎ. 78/2567

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