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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 filler dissolving 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!

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Frequently Asked Questions

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.

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.

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.

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.

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.

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.

Joint controllership with Meta — the essence of our arrangement

If you have consented to advertising measurement, The Retreat HC GmbH & Co. KG, Mauerstr. 78, 10117 Berlin ("The Retreat") and Meta Platforms Ireland Limited (Merrion Road, Dublin 4, D04 X2K5, Ireland; "Meta") are joint controllers under Art. 26 GDPR for the collection of certain data on our booking page and its transmission to Meta, on the basis of Meta's standard "Controller Addendum". Meta's subsequent processing of the data is not part of the joint controllership; for it, Meta is an independent controller. In essence:

- What is jointly processed: pseudonymised contact identifiers (email address and mobile number as SHA-256 checksums), advertising click identifiers (fbc, fbp), and a generic booking event — to measure and improve The Retreat's advertising. Your treatment selection, your concern, and any other health information are not transmitted to Meta.
- Scope of the joint controllership: it covers the collection of the data named above on our booking page and its transmission to Meta. Meta's subsequent processing is not carried out under joint controllership but under Meta's own responsibility as an independent controller.
- What The Retreat is responsible for: the lawful collection and transmission of this data (including obtaining your consent), informing you about it (this page, the privacy policy), and answering your data-subject rights insofar as they concern collection and transmission.
- What Meta is responsible for: the security of the joint processing and your data-subject rights with respect to the data Meta stores after transmission. Meta's subsequent processing for its own purposes is Meta's sole responsibility. Details: Meta's Privacy Policy and Meta's own explanation of the addendum.
- Your rights (access, rectification, erasure, restriction, objection, portability) can be exercised against either The Retreat or Meta. First point of contact: privacy@retreatgermany.com. You may withdraw your consent at any time with effect for the future.
- US transfer: data may be transferred to Meta Platforms, Inc. (USA) — on the basis of the EU-US Data Privacy Framework, alternatively the EU Standard Contractual Clauses plus supplementary measures.
- Right to lodge a complaint with a supervisory authority, e.g. the Berlin Commissioner for Data Protection and Freedom of Information.

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