Reset, Refine, and Start Fresh 

Even though hyaluronic acid fillers are temporary, a poorly placed product can linger in ways that affect your expression, symmetry, or facial movement. Dr. Allison Coombs offers expert filler dissolving in her Upper East Side practice, helping patients correct overfilling, asymmetry, and migration with care and precision.

As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Coombs understands the underlying anatomy and knows how to dissolve product strategically, without compromising surrounding structures or natural volume.

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Why Patients Choose to Dissolve Fillers

There are many reasons someone may want to undo previous filler treatments, especially if the results feel unnatural or no longer align with their aesthetic vision. Examples of concerns patients often want addressed include the following:

  • Correction of work performed elsewhere.
  • Refine overdone features.
  • Address discomfort or distortion.
  • Reestablish a natural look.
  • Prepare for revision or surgical treatment.
  • Remove migrated filler that worsens aging or asymmetry.

Whether you’re dissolving for the first time or exploring a revision plan, Dr. Coombs provides honest guidance and steady hands.

Why Choose Dr. Coombs for Filler Dissolving?

Dissolving filler is not just about injecting hyaluronidase—it’s about understanding how and why the original filler altered your features. Dr. Coombs combines an aesthetic eye with deep surgical knowledge of facial layers, ensuring that dissolving is done conservatively and precisely.

You’ll never be rushed or pressured. Instead, Dr. Coombs will evaluate your anatomy, listen to your concerns, and design a thoughtful plan—whether that means stopping at dissolving or rebuilding with more natural filler techniques in the future.

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Common Areas Treated

  • Lips (for migration or overfilling)
  • Tear troughs (for puffiness, Tyndall effect, or irregularity)
  • Cheeks (to correct heaviness or contour distortion)
  • Nasolabial folds (to reduce bulk or correct asymmetry)
  • Chin and jawline (for overprojection or uneven shape)

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Who Is a Candidate?

Anyone who has had hyaluronic acid filler placed is a potential candidate for reversal using hyaluronidase. The following are ideal candidates:

  • Patients with visible lumps, swelling, or puffiness from filler
  • Those unhappy with the results from other providers
  • Individuals who want to revise or pause further treatments
  • Patients with migration or distortion affecting facial movement
  • Those not allergic to hyaluronidase (rare)

Your Consultation

Dr. Coombs will review your filler history, examine the treated areas, and determine if dissolving is the best course of action. If you’re unsure what product was used, she may perform a test dose to confirm the filler is dissolvable. A personalized plan—including whether and when to re-treat—will be discussed in detail.

Cost of Filler Dissolving

Cost depends on the amount of hyaluronidase required and the number of treatment areas. On average, pricing ranges from $300 to $600 per session. Some cases may require more than one treatment. You’ll receive a full estimate during your consultation.

The Treatment Process

  • Topical numbing may be applied for comfort.
  • Dr. Coombs injects small amounts of hyaluronidase into the targeted areas.
  • The enzyme begins to break down filler immediately, with visible changes in 24–48 hours.
  • You may be scheduled for a follow-up to assess results or begin new treatment.

After the Procedure

  • Swelling, bruising, or tenderness may occur and typically resolve within a few days.
  • Results are often noticeable within one to two days.
  • Final assessment occurs around one week post-treatment.
  • You may wait two to four weeks before reinjection if planning a revision.
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Dr. Allison V. Coombs


Complementary or Follow-Up Treatments

  • Refill with properly placed filler – Once the area is cleared, filler can be reapplied with a more natural result.
  • Skin resurfacing – Improves texture or pigment after filler distortion.
  • Tear trough correction – If overfilling caused under-eye puffiness, this may be re-treated carefully later.
  • Facial balancing – Strategic filler placement to restore symmetry after dissolving.

FAQ Dissolving Filler

Will I look deflated or saggy after dissolving?

Possibly—but only if too much filler was present. In many cases, patients look more natural and refreshed after it’s removed.

Can I dissolve filler done years ago?

Yes. Hyaluronic acid filler can persist for years and can still be dissolved.

Does it hurt?

A mild stinging is possible, but numbing cream is used to improve comfort.

Is hyaluronidase safe?

Yes, though rare allergic reactions can occur. A patch test may be performed if you’ve never had it before.

How soon can I get new filler?

Most patients wait two to four weeks, depending on healing and treatment goals.

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