
Hylase Treatment in Berlin – Correcting Wrinkle Injections
Are you unhappy with the result of a wrinkle injection or a lip injection with hyaluronic acid and would like to reverse and correct the result? Even though hyaluronic acid is now used daily in many practices to inject wrinkles, smooth out irregularities, and make dark circles invisible, the treatment can sometimes go suboptimally – the hyaluronic acid can settle differently than expected or your doctor has used inferior hyaluronic acid.
Therefore, in very rare cases, you may be unhappy with the result of a wrinkle injection with hyaluronic acid. But you don't need to worry, because a Hylase treatment – to correct the wrinkle injection – can help. Hylase breaks down hyaluronic acid, minimizes swelling, and is therefore used to correct faulty wrinkle injections with hyaluronic acid.
In our specialist practice in Berlin, we will be happy to advise you regarding a Hylase treatment, so that you can quickly forget your unwanted wrinkle injection.
What is Hylase?
Hyaluronidase – or Hylase for short – is an endogenous enzyme that daily breaks down the body's own hyaluronic acid. It converts the hyaluronic acid into a watery substance, which is then broken down by the immune system. Injected Hylase is significantly more concentrated than the body's own Hylase, which is why you should only be treated by an experienced doctor.
Hylase Application
Even strongly cross-linked hyaluronic acid does not remain in the body forever – therefore, it is advisable to wait for smaller irregularities until the body breaks down the hyaluronic acid itself. Depending on the preparation and your individual disposition, the breakdown of hyaluronic acid takes six to 18 months.
In cases of gross treatment errors and irregularities where you feel that your face looks disfigured or in the event of rejection reactions such as nodules or granulomas after a hyaluronic acid treatment, Hylase can be used to correct these more quickly. Hylase can reduce swelling, balance asymmetries, dissolve nodules, and correct irregular wrinkle injections.
Hylase Treatment Berlin – Procedure
Before the treatment, we at Dottore Caletti conduct a detailed anamnesis and discuss your wishes and fears. But you don't need to worry: Hylase treatment is not dangerous. In addition, we examine whether swelling or nodules are actually due to previously administered hyaluronic acid and whether a complete removal of the hyaluronic acid is necessary for the desired result.
To determine the dose, you should find out which hyaluronic acid product was used before the treatment. The required amount of Hylase can vary depending on the brand and amount of hyaluronic acid.

The Hylase is administered with a thin needle in small doses into the affected areas. If larger areas are affected and need to be corrected, other techniques are used to avoid frequent injections. If you are very sensitive to pain, we can apply an anesthetic cream to prevent this.
Hylase treatment is outpatient and takes between 20 minutes, depending on how long the previous consultation and anamnesis take. You are immediately socially presentable again after the correction of a wrinkle injection with Hylase in our Berlin specialist practice. After the procedure, you should avoid alcohol and nicotine, as well as sports, sauna, and massages in the treated area.
Swelling and bruising may occur after the treatment – to reduce these as quickly as possible, you can cool the affected areas. If you experience pain, you can take a mild pain reliever after the Hylase treatment.
Hylase Treatment before – after: When are results visible?
You can see the first results after a correction of a wrinkle injection with Hylase in our specialist practice in Berlin after just one day. You can see the final result approximately one week after the treatment, when all swelling and any hematomas have subsided. If unwanted swelling due to hyaluronic acid is still present, another dose of Hylase can be injected. In contrast to a hyaluronic acid treatment, which is broken down by the body after some time, the result of Hylase treatment is permanent.

Hylase Treatment Costs
The price of a Hylase treatment depends on the number of sessions required, typically starting from 180 Euros per session. Depending on your individual case, several sessions may be necessary to achieve the desired result. Therefore, we cannot give you a flat rate, but we will inform you about the costs in our detailed consultation. It is important that you do not choose your doctor based on the price, but that you feel comfortable with the treating doctor and are satisfied with the result of the Hylase treatment.
Hylase Treatment Risks and Side Effects
Treatment with Hylase is a low-risk procedure. Redness at the injection site and slight swelling may occur.
However, Hylase not only breaks down injected hyaluronic acid but also the body's own hyaluronic acid. This means that your doctor should only use enough Hylase to dissolve the incorrectly injected hyaluronic acid. The use of too much Hylase, on the other hand, can lead to unsightly indentations and depressions in your face.
But even if a small indentation should occur, which should not happen with professional medical treatment, this is not a long-term consequence of the Hylase treatment. The body should quickly compensate for the loss of its own hyaluronic acid. Due to these risks, you should definitely consult an expert in aesthetic surgery for such a treatment.
It should also be noted that Hylase should only be used as an emergency helper and not for arbitrarily modeling the face, as the result of a Hylase injection is not as predictable as the injection of hyaluronic acid.
When should Hylase treatment not be performed?
If you are allergic to components of Hylase, no treatment can be performed. Hylase treatment should also not be performed if you are taking antibiotics, acetylsalicylic acid, and blood-thinning medications before treatment, during pregnancy and breastfeeding, in cases of congenital heart defects, and infections in the injection area.
Patient well-being comes first
The Caletti practice for plastic surgery in Berlin will not treat you without first having conducted a detailed consultation. In this consultation, you can express all your fears, wishes, and questions regarding the upcoming treatment. Your well-being is our top priority.
FAQ - Frequently Asked Questions
Yes, such nodules can be permanently eliminated by a Hylase treatment. Hylase dissolves the injected hyaluronic acid and thus helps to dissolve any knots or deformities that have arisen. Hyaluronidase is also an endogenous substance that is responsible for breaking down hyaluronic acid, which also occurs naturally in the body.
Yes, hyaluronic acid can be reinjected after a Hylase treatment. However, there should be one week between the dissolution of the hyaluronic acid and a new hyaluronic acid injection in the same facial area to avoid unwanted reactions.
However, you should not have Hylase and hyaluronic acid injected alternately to model your face. Hylase is primarily intended as an emergency solution for nodules and gross treatment errors.
Slight nodules under the skin are normal in the first few days after a hyaluronic acid treatment. However, these should disappear on their own – in rare cases, it can happen that the body sees the injected hyaluronic acid as a foreign body and encapsulates it. This leads to so-called granulomas. To determine whether it is a granuloma or a hyaluronic acid nodule, you should have yourself examined by a doctor.
Skin impurities or inferior hyaluronic acid can also cause granulomas. To prevent their formation due to inferior products, you should discuss with your doctor before treatment which hyaluronic acid products will be used.
After a hyaluronic acid treatment for lip augmentation, in rare cases, granulomas – nodules in the lip – form. Such a granuloma develops after such a treatment when tissue settles around the foreign body – in this case, around the hyaluronic acid. This happens when the body does not recognize the injected hyaluronic acid as an endogenous substance and consequently initiates a defense process. During this process, the body forms tissue around the foreign body.
We, the Caletti practice for plastic surgery in Berlin, recommend that you refrain from alcohol 48 hours before the treatment and, after consulting your doctor, discontinue blood-thinning medications. If you suffer from allergies, it is best to bring your allergy pass with you. Eat and drink sufficiently before the treatment and ideally come to our practice without make-up.
The exact dose of Hylase depends on your individual case. For large facial areas where the previously injected hyaluronic acid is to be dissolved, more Hylase must be used than for smaller ones. Here at Dottore Caletti, we prefer to proceed cautiously with Hylase – it can sometimes turn out that the injected amount of Hylase was not quite sufficient to dissolve the hyaluronic acid. In these cases, a smaller dose of Hylase can be reinjected.
The Hylase treatment is not very painful. During the injection, you may feel a slight burning sensation and some pressure at the injection site. Anesthesia is generally not necessary, but we can apply an anesthetic cream if you fear pain. The dissolution of hyaluronic acid is not associated with any particular strain on the body.

Do you have questions about Hylase treatment?
I would be happy to advise you without obligation on whether a Hylase treatment is suitable for you.