Ultrasound-Guided Filler Dissolution with Hyaluronidase

At The Retreat in Berlin, we offer advanced filler removal using Hyaluronidase (Hylase)—a highly effective enzyme that breaks down unwanted or excessive hyaluronic acid-based fillers. Using ultrasound-guided injection techniques, our medical team ensures precise targeting for maximum safety and optimal aesthetic results.

Whether you’re seeking correction due to overfilling, asymmetry, or lumps, our approach delivers reliable and natural-looking outcomes with minimal downtime.

Key Benefits

Safely dissolve excess filler for precise corrections.

Refine and restore facial symmetry to enhance natural beauty.

Address lumps or irregularities for a smooth appearance.

Reduce discomfort caused by overfilled areas.

Achieve quick, effective results with minimal downtime.

Treatment Information

Duration: Approximately 15–30 minutes
Pain: Minimal to moderate; numbing cream can be applied for comfort
Cost: Starting from €280*

*The pricing for our lipolysis treatments is based on the private medical service fees outlined in the German Medical Fee Schedule (GOÄ) and the amount of product used.

Benefits of Ultrasound-Guided Hylase:

Safe Filler Removal: Hyaluronidase safely dissolves HA-based fillers without damaging surrounding tissues.
Ultrasound Precision: We visualize filler placement in real time to ensure accurate and targeted treatment.
Restore Facial Harmony: Correct asymmetry or irregularities and return to your natural contours.
Quick and Comfortable: Fast-acting results with topical numbing for your comfort.
Medical Expertise: All treatments performed by licensed physicians using CE-certified products.

Experience the benefits of ultrasound-guided Hylase treatment for safe and effective filler corrections. Book your appointment today!

Frequently Asked Questions

What is Hyaluronidase (Hylase) and how does it work?

Hyaluronidase is an enzyme that breaks down hyaluronic acid (HA)—the main component in most dermal fillers. It catalyzes the hydrolysis of HA chains, making them smaller and more water-soluble, allowing the body to absorb and eliminate them naturally.

Hyaluronidase is widely used in aesthetic medicine not only for aesthetic corrections, but also in medical emergencies, such as vascular occlusions from filler injections.

If you’re unsure whether your filler is based on HA, we can scan the area using ultrasound to assess the type, location, and density before proceeding.

Why use ultrasound guidance for filler removal?

Most filler dissolutions are done blindly, meaning the practitioner injects without visualizing where the filler actually is. This can lead to incomplete results, damage to surrounding tissue, or in rare cases, vascular complications.

We use high-frequency ultrasound imaging to:

Precisely locate the filler and avoid vital structures like arteries or veins
Assess the depth and spread of the product
Monitor dissolving progress live during the procedure

This evidence-based approach improves both safety and aesthetic outcomes.

Is the treatment safe? What are the risks?

When performed by a trained medical provider, ultrasound-guided Hylase treatment is considered very safe. Common side effects include mild redness, swelling, or tenderness at the injection site. Rare risks include allergic reactions, especially in patients with known sensitivity to bee stings, as hyaluronidase is also found in bee venom.

We always perform a detailed medical history and can offer a skin test for hypersensitivity if needed.

How long does it take to see results after treatment?

Most patients see visible improvement within minutes after treatment, especially in superficial areas like the lips or tear troughs. However, full results develop over 24–72 hours, as the body metabolizes and clears the broken-down hyaluronic acid.

In cases of long-standing filler or cross-linked products, additional sessions may be required for complete resolution.

Can I get filler again after dissolving?

Yes—it is safe to get filler again after Hylase treatment, but we recommend waiting 7 to 14 days to allow swelling to subside and the tissue to normalize. This ensures that the new filler will integrate more evenly and naturally.

We do however, recommend skin-regenerating therapies such as PRP (Platelet-Rich Plasma)/ PRF or Biostimulators to enhance collagen for natural volume creation.

Who should not get Hylase?

Avoid Hyaluronidase if you:

Have a known allergy to hyaluronidase or bee venom
Are pregnant or breastfeeding
Have an active infection in the treatment area

In rare cases, those with autoimmune conditions or recent surgery may also need to wait. Book a consultation to review your personal health status.