Understand first, then correct
If a previous filler treatment no longer feels right, a careful examination is the first step. Hyaluronidase, often called Hylase, can break down hyaluronic acid fillers. During your consultation with me in Berlin, I will establish which material is present, what is causing your symptoms and whether a targeted correction is appropriate.
The findings and extent of treatment determine your individual treatment process.
Treatment at a glance
Key information about hyaluronic acid filler correction. These details explain the duration, recovery and costs to help you plan.
The aim is a correction with a clear rationale, not repeated dissolving and refilling without good reason.
The enzyme breaks down hyaluronic acid; it does not have the same effect on other filler materials.
The examination and review of your treatment history may require more time.
Pain relief depends on the sensitivity of the area and the planned approach.
Allow for redness, bruising and temporary changes in shape.
An early change is not necessarily the final result.
The amount of material, degree of cross-linking and tissue response may mean several appointments are needed.
Filler correction · per session. The starting price applies to one planned session. Examination, material requirements and any further appointments are itemised in your personalised cost plan.
Timings are a guide. A personal examination will establish what applies to you.
Understanding what changes
Hyaluronidase accelerates the breakdown of hyaluronic acid. It can affect both the injected gel and the body's own hyaluronic acid. This makes diagnosis, limiting the extent of correction and follow-up assessment essential.
The material, injection area and timing are considered alongside the current findings.
A targeted plan also takes account of the body's own hyaluronic acid and the limits of predictability.
Further steps depend on progress; immediate treatment with new filler is not automatic.
If possible, please bring details of the product used, the amount, the date and the areas treated. I will also ask about previous corrections and allergic reactions. Swelling or a small nodule does not automatically mean overfilling; inflammatory changes must also be considered.
For a purely aesthetic irregularity, observation or a staged correction may be appropriate. The extent to which filler can be broken down cannot be predicted to the exact millimetre. The appearance before the original filler treatment cannot reliably be restored.
Use for aesthetic filler dissolving falls outside the licensed indication. I will explicitly discuss this off-label use and the possible alternatives with you. Acute problems with blood flow following filler treatment, however, require immediate medical care.
Correction requires a clear diagnosis. The visible change depends on the material and the tissue response. Breakdown cannot be entirely predictable.
Hyaluronidase is not a universal antidote for Sculptra, Radiesse, silicone or other fillers. If the product is unknown, the material must be identified before an aesthetic correction. Records from the previous treatment can help.
Known reactions to hyaluronidase and relevant insect venom allergies should be discussed at the initial consultation. An allergic reaction can be severe. A negative test does not reliably rule out a later reaction.
Is this right for me?
Your wishes are the starting point. I assess whether the findings, your health and the expected benefit align.
Unevenness or overcorrection that bothers you and is caused by a known hyaluronic acid gel can be assessed.
Unknown material, an acute infection or inflammatory nodules first require a careful differential diagnosis.
Different causes need different solutions. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesPlanning further treatment is only appropriate once healing is complete and a fresh assessment has been made.
Explore the optionsNot every contour concern is caused by excess hyaluronic acid.
Explore the optionsYour treatment journey
I examine the area, review your treatment history and discuss whether waiting or a different approach would be more appropriate.
After the information and consent discussion and preparation, the enzyme is applied in a targeted way. I determine the amount required.
Once the swelling has settled, we review the shape and symptoms together. A further appointment may be needed, but this does not automatically mean further treatment.
Before you leave, we will agree on a direct way to contact me for aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Swelling and redness may mask the initial result. The agreed guidance on care and activity will help with aftercare.
The breakdown may become visible early on. The final appearance of the area can only be assessed once temporary reactions have subsided.
If any irregularities remain, the cause is reassessed. Repeat treatment and later refilling are separate decisions.
These timeframes are a guide, not a firm promise. Your individual progress may vary.
Talking openly about risks
Even an outpatient treatment can have unwanted effects. Your individual risks, whether treatment is appropriate and an achievable goal all form part of the decision.
Seek medical help immediately if you experience shortness of breath, circulatory problems or rapidly increasing swelling; call 112 for severe symptoms. Visual disturbances, severe pain or skin discolouration following a filler injection also require urgent assessment.
Understand the costs and decide in your own time
Hyaluronic acid filler correction in Berlin: from €250. The starting price applies to one planned session. Examination, material requirements and any further appointments are itemised in your personalised cost plan.
Starting price
from €250
Filler correction · per session
The starting price applies to one planned session. Examination, material requirements and any further appointments are itemised in your personalised cost plan.
Unknown filler material or persistent symptoms may require additional diagnostic assessment.
The extent, product and degree of cross-linking affect the clinical work required.
A staged approach may be appropriate; the starting price does not cover a complete course of treatment.
Your individual quotation will specify which services are included in the total amount.
A course of treatment or a later top-up is not automatically included in the price of one session. Additional diagnostic assessments or corrections are also discussed separately. Clarify any potential reimbursement with your insurer before treatment begins; aesthetic treatments are usually self-funded.
An examination and a shared plan give you clarity on costs. You will receive your personalised cost plan before deciding whether to proceed with treatment.
The specialist personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
A website can offer guidance. We will discuss your personal situation during your medical consultation.
Ask your questionNo. Hyaluronidase breaks down hyaluronic acid. It cannot correct calcium hydroxylapatite, poly-L-lactic acid or permanent fillers in the same way.
This cannot be promised. Fillers, time and tissue reactions alter the starting point. The enzyme can also affect the body's own hyaluronic acid.
No. A temporary reaction following a recent injection, inflammation and overcorrection each require different steps. The cause must be assessed first.
A change may be noticeable early on, sometimes within the first day. A final assessment must wait until swelling has settled and the subsequent progress can be evaluated.
Refilling is planned separately, once the tissue has settled sufficiently and the findings are clear. Setting a fixed date or automatically refilling is not appropriate.
Costs start from €250 for filler correction per session. The starting price applies to one planned session. Examination, material requirements and any further appointments are itemised in your personalised cost plan. You will receive this plan before making your decision.
Further clinical information on the procedures described, their limitations and risks.
Expert consensus on dissolving hyaluronic acid fillers, allergy risks and complications; not a German AWMF guideline.
Risks vary according to the material and treatment area, particularly vascular occlusion, nodules and swelling. This authority's approval information relates to the USA.
Contact & directions
My team will be happy to help with questions about your appointment and how to get here.
Let's begin with a conversation
Tell me what matters to you.
I will take time for your questions.
