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Facial filler injections can create stunning outcomes when performed by a talented injector. From fuller lips to reshaping noses and chins, when placed in the hands of a plastic surgeon or another experienced medical professional, filler injections can achieve great results. Unfortunately, not all injectors have the same skills and expertise, which can result in less desirable outcomes. If you have experienced a filler disaster, you may want to seek hyaluronidase injections.

The most popular ingredient in facial fillers is hyaluronic acid. This is a substance that collects moisture and instantly plumps under the skin. Some of the best-known facial or dermal fillers contain hyaluronic acid, including Juvederm®, Belotero®, and Restylane®. Once injected under the skin, these fillers can provide volume for six months up to two years, depending on the product.

If a hyaluronic acid injection migrates or appears lumpy, it can distort lips and other facial features. This can occur due to a variety of factors. In some cases, the injector placed too much filler or used poor techniques during the procedure. In other cases, the patient contributed to the distortion of the filler. Rubbing the area or putting pressure on the treatment spot right after the procedure can move or change the filler. This can result in an unnatural appearance that can last for several months or longer without treatment.

Reversing Hyaluronic Acid Fillers

Unlike Botox and other types of dermal fillers, hyaluronic acid treatments can be reversed. A natural-occurring substance called hyaluronidase can break down hyaluronic acid to help remove it faster from the treatment area. When injected into the area containing hyaluronic acid, the enzyme hyaluronidase can begin to dissolve the filler immediately.

Hyaluronidase injections are very effective for reversing the unwanted effects of some filler injections. In most cases, the filler is dissolved in about two days. This can “un-do” a botched lip filler treatment or liquid nose job, giving you a clean slate again. Hyaluronidase injections can be used to completely remove the filler or to create a less puffy or over-stuffed appearance.

Preventing Filler Disasters

The best way to prevent the need for hyaluronidase injections is to only use an experienced injector for treatments. Plastic surgeons like Dr. Maia are an excellent choice as they have extensive experience working with fillers and know how to complete these injections correctly. The second aspect is following the post-treatment instructions. You should be careful not to massage the area or lie on that portion of your face for at least six hours and follow all other recommendations for the best results.

You do not need to live with lumpy or overly puffy filler results. If you had a hyaluronic acid filler treatment that turned out horrible, contact our team at Maia Plastic Surgery. We offer hyaluronidase injections to fix filler disasters. Call our office in Tysons Corner, VA, or Chevy Chase, MD, to schedule an appointment.

Posted on behalf of Maia Plastic Surgery

8100 Boone Boulevard Suite 730 Tysons Corner
Tysons, VA 22182

5530 Wisconsin Ave # 1208
Chevy Chase, MD 20815

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Our Patient Reviews

Maia Plastic Surgery

4.9 / 5.0

Based on 86 reviews

Caroline H.

Dr Maia truly loves what she does. She is invested in making you the version of yourself you want to be. She listens attentively to what you want and makes relevant suggestions. She did not try to introduce anything unnecessary into my treatment plan. The results I achieved during my first treatment keeps me coming back. Her staff is excellent and works to accommodate your schedule. I have recommended Dr. Maia several times and each time I get the same positive feedback.

Karen D.

Selecting a surgeon: After having two children and weight fluctuations over the years I was left with complete loss of volume in my breasts. I had four consultations with other surgeons but after comparing their photos to Dr Maia’s and meeting her in person, I knew she was my doctor. We talked about my lifestyle - being a mom and a professional, I didn’t want to be too big, but I’m curvy so I didn’t want to go too small for my frame either. She let me try on sizes and once I selected she agreed it was a good fit for my frame. Post op recovery: I was a smoker and had quit prior to surgery but she was very honest and adamant in telling me how important it was that I did not smoke. (I honestly needed the lecture and the transparency about what could happen if I did start smoking before surgery and post-op.) Because I was formerly a pretty heavy smoker, it did cause some issues after surgery with wound closing and she was SO diligent and on top of it seeing me once and week and squeezing me in for appointments between surgeries and patients. She prescribed different things to address the would closure issues before they really became a problem. Being able to have text message access to the office was great when I had questions and she even accommodated my schedule when I couldn’t be seen in person to send progress photos so that she could check on me. 3 months post op: I’m so happy with the results of my surgery and am so glad I waited to find the right doctor. She’s an artist! They look natural, fit my body shape and they haven’t even fully “dropped and fluffed” yet. Would highly recommend… comparing her patient photos to other surgeons will end your search. I feel so much better in my body thanks to Dr Maia.

Justine A.

This is my second time at Dr. Maia’s office and I am so pleased with my experience here. The staff is so friendly and caring. Dr. Maia is the best Dr in the DMV area, she knows exactly what she is doing and you will be happy with the results! I am so glad I found her! I recommend anyone who’s looking for a very personable doctor to come and see her! Thank you Dr. Maia & staff!

inhye k.

I’m not sure where to begin when attempting to explain the positive experience I had with Dr. Maia and her team. It was important for me to find a woman doctor and she comes with so much experience, an eye for detail and aesthetically on point! I felt so well taken care of, even after 2 months post op they still make me feel taken care of. Not only am I thrilled about the physical results, I am also blown away by their care and follow through. I follow Dr.Maia in IG and literally obsessed with her work!


Dr. Maia is truly amazing! She is an artist and somewhat of a magician! She takes the time to listen to you and walk you through the procedure every step of the way! I even texted after with questions and she and her team were very responsive! I was extremely impressed with the work she did around my eyes. Several people now tell me my 20 year old daughter looks just like me….I never heard that prior to the procedure!

Taylor H.

I had one of the most pleasant healthcare experiences I’ve ever had in my life! I came in for excessive underarm sweating and Dr. Maia recommended Botox. She carefully explained everything to me, which I really appreciated as it was my first time ever getting Botox treatment. Her medical assistants were very attentive to my additional questions and made me feel very comfortable while prepping for the treatment. Dr. Maia took her time with me, none of the 5-minute appointments you often get with doctors these days. Everyone was very welcoming and the office is bright and clean. Dr. Maia was referred to me by a family meme we and I’m so glad I went to see her. I absolutely recommend Dr. Maia to anyone and I plan to come back for additional future treatments.

Cynthia S.

I had a tummy tuck, lipo, and a prominent osteoma removed from my forehead. Although I was nervous about the procedures, Dr. Maia and her staff put my fears to rest. Even after the surgery, her professional staff called to check on me during my recovery, which helped put me mind at ease. Dr. Maia and her staff were always professional, responsive, and listened when I had concerns. After the procedures, I was back at work two weeks later and could not be happier with my results. I had a great experience and Dr. Maia will be my first call for any other procedures.

Wanda G.

Dr. Maia is great! She is very knowledgeable! I recommend her to anyone looking to do a cosmetic procedure, breast augmentation, facial lift, etc. Look her up on Instagram so you can see the amazing results from some of her patients!!!!

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