Ultrasound-guided hyaluronic acid dissolution at GLIF Medical is a filler-correction treatment performed under real-time ultrasound guidance, offered by Dr Peguy Télusma, MD, in Montreal, to correct or remove a hyaluronic-acid dermal filler.
How the treatment works
The treatment involves injecting hyaluronidase, an enzyme that dissolves hyaluronic acid, directly into the area where a dermal filler was placed during a prior treatment. Real-time ultrasound is used to precisely locate the product to be dissolved before injection, a level of precision that connects to the ultrasound-guided musculoskeletal medicine also practiced by Dr Télusma, who trained in orthopaedic imaging through continuing education at Harvard Medical School. This prior ultrasound mapping sets this approach apart from a simple blind injection and allows the exact area to be corrected to be targeted.
Who it’s for
This treatment may be indicated in cases of unsatisfactory aesthetic results, overcorrection or excess volume, asymmetry noticed after an injection, product migration, nodules or irregularities linked to a hyaluronic-acid filler, or to assess older fillers whose exact location remains uncertain. It may also simply be considered to remove a filler that is no longer wanted, without there necessarily being a complication to correct. A medical consultation is required to confirm the presence of hyaluronic acid in the area concerned before considering any dissolution, since hyaluronidase only acts on this type of product and not on other dermal fillers.
What to expect and recovery
The consultation begins with a clinical evaluation of the area concerned, followed by an aesthetic ultrasound to precisely locate the filler to be dissolved. The hyaluronidase injection is then performed under real-time ultrasound guidance, directly targeting the product identified. Depending on the complexity of the area treated, the session generally lasts between 30 and 60 minutes. Results are often visible within a few days of the injection, although the exact pace of resorption varies with the amount of product dissolved and the area concerned.
Expected results
Dissolution can, depending on the case, correct excess volume, asymmetry or an irregularity linked to a prior filler, with effects often observable within a few days. The extent of the result depends on the amount and type of product originally injected, the area treated and individual response to hyaluronidase; a personalized follow-up plan is established after the initial evaluation. As with any corrective procedure, no precise result is guaranteed in advance, and some situations may require more than one session depending on the amount of product to be dissolved and how it responds to the enzyme. Once dissolution is complete, a new dermal filler can, if desired, be considered at a separate, later session, once the treated area has returned to its baseline state.
Pricing
The price of this treatment varies depending on the area treated and the amount of product to be dissolved. The current price grid, as shown at the time of booking:
- Consultation and ultrasound mapping: $200
- Guided dissolution (1 area): from $500
- Complex guided dissolution: $750 to $1,200
The exact price for your situation is confirmed during the consultation, once the area and amount of product have been assessed by ultrasound.
Precautions
A prior medical consultation is required to confirm the presence of hyaluronic acid in the area concerned and to determine the appropriate treatment plan; this treatment does not apply to other types of dermal filler. Guided dissolution is part of the dermal fillers family offered at GLIF Medical, alongside Sculptra, Skinboosters and non-surgical rhinoplasty.