Always a treat when I get to see Katie. She was the first injector to ever treat my face and she never disappoints! I'm in love with my new lips and my tox is spot on. Can't wait to see her again."

Filler dissolving in Scottsdale
a fresh start, with care
Filler dissolving in Scottsdale offers a gentle way back when a result no longer feels like you. Hyaluronidase breaks down hyaluronic acid filler within days, whether we placed it or another provider did. No records are required, and you'll be cared for from the first conversation.
- Treatment type
- Hyaluronidase enzyme injection
- Appointment
- 20–30 minutes
- Results
- 24–48 hours, settled at 2 weeks
- Rebuild after
- 2–4 weeks, if you want to
How hyaluronidase
dissolves filler
Hyaluronidase is an enzyme that breaks down hyaluronic acid. Your body already produces it naturally; the injectable form is a concentrated version. Placed into an area of filler, it breaks the gel apart within hours, and your body clears the fragments over the following days.
This is a large part of why hyaluronic acid is the most widely used filler: very little else in aesthetics can be reversed. If a result doesn't feel right, whether it's too full, in the wrong plane, migrated, asymmetric or not what you pictured, you don't have to wait a year for it to fade.
Hyaluronidase works on hyaluronic acid only. Sculptra, Radiesse, permanent fillers such as PMMA, silicone and fat transfer don't respond to it. Identifying what you have is the first step of every consultation, and if it isn't hyaluronic acid, we'll talk through your options before any treatment.
- ✓An enzyme that breaks down hyaluronic acid filler specifically
- ✓Fast — most of the change happens within 24 to 48 hours
- ✓Available for filler placed by any provider
- ✓Also the emergency treatment for vascular occlusion
- ✕Effective on Sculptra, Radiesse, PMMA, silicone or fat
- ✕Selective: it dissolves the filler throughout the area, not only the part you dislike
- ✕Instant; the final result takes about two weeks to settle
- ✕Anything to feel self-conscious about
Priced by the session,
and often just one
Dissolving is priced per session, based on how much product is present and how widely it has spread. Most patients need one session; older filler layered over several years sometimes needs two or three. At your complimentary consultation we assess the area and share what we expect, including when one visit is all you'll need.
We welcome filler placed by any provider. No records or receipts are required.
Nine reasons patients
choose to dissolve
These concerns are common, and none of them are your fault. If you recognize yourself below, it's something our team treats most weeks.
Migrated lip filler
Filler that has moved above the vermilion border, creating a shelf or shadowed roll that reads as puffiness rather than fullness. It's the correction we perform most often, and a very rewarding one to resolve.
Overfilled lips
Lips that have grown past the point where they suit your face, usually from repeated top-ups before the previous filler had cleared. Dissolving fully and starting again from your own anatomy is often better than trying to reduce.
Overfilled midface
Cheeks filled to compensate for skin laxity rather than volume loss, which can widen the face rather than lift it. Very common, and it tends to build with each added treatment.
Tyndall effect
A blue-gray tint where filler sits too superficially, most often under the eyes. It's a light-scattering effect rather than a bruise, and it won't fade on its own, so dissolving is the solution.
Puffy under-eyes
Tear trough filler that has drawn in water and swollen, or settled in the wrong plane. It can look more noticeable in the morning and again in hot weather.
Lumps and nodules
Palpable or visible lumps from uneven placement or product that has clumped. Usually simple to resolve once identified.
Asymmetry
Sometimes the most elegant fix is dissolving one side rather than adding to the other, which keeps the face balanced and avoids overfilling.
You just do not like it
Wanting a change is a completely valid reason. Some results are technically fine and still don't feel like you.
Before a rebuild
Occasionally we dissolve intentionally to start from a clean baseline and rebuild thoughtfully, particularly where years of layered product have built up.
What happens
to the gel
The mechanism is simple, which is why it works so quickly. The expertise lies in how much to use and where.
We identify what is there
Which product, roughly when it was placed, how much and in what plane. If you aren't sure, we assess by feel and appearance. This is also where we confirm it is hyaluronic acid, since hyaluronidase only works on hyaluronic acid.
We review your allergy history
Hyaluronidase is derived from several sources, and allergic reaction, while uncommon, is possible. We take a full allergy history and can patch test beforehand whenever there's reason for concern.
The enzyme is placed into the filler
Injected directly into the areas holding product. Dosing reflects the volume and how long the filler has been in place; older, more integrated filler generally needs more.
The gel breaks apart
Hyaluronidase breaks the bonds holding the gel together within hours. Most of the visible change happens in the first 24 to 48 hours, which is remarkably fast for an aesthetic treatment.
The tissue settles
Swelling from the injection itself resolves over a week or so, and the area continues to settle for about two weeks. We review before considering any rebuild.
Twenty minutes,
beginning with a conversation
A relaxed conversation
You share what you'd like to change and anything you know about what was placed. Records aren't needed, and the conversation stays focused on your goals.
Assessment and allergy history
We assess what is present, where and in what plane, and take a full allergy history. If it doesn't appear to be hyaluronic acid, we'll discuss that with you before anything else.
Your quote and expectations
How many sessions we expect, what the area will look like afterwards, and what your options are for rebuilding. Nothing proceeds until you have agreed.
Injection
Ten to fifteen minutes, with topical numbing available. You'll notice some immediate swelling from the injection itself, which settles quickly and isn't the final result.
Review before any rebuild
We see you again once things have settled. If you'd like product back in, we wait at least two to four weeks so the tissue has fully returned to baseline first.
Filler dissolving
before and after



Individual results vary. All photographs are of KORA patients, unretouched, in identical lighting and framing, shared with written consent. Filler shown was placed by another provider unless stated.
Dissolving timeline, day by day
Hyaluronidase begins breaking down hyaluronic acid filler within hours, with most of the visible change occurring in the first 24 to 48 hours. The area fully settles at about two weeks, and any rebuild is best delayed until 2 to 4 weeks afterwards.
Dissolving before an event? Allow at least three weeks. The area often looks flatter than expected for the first week or two before the tissue retracts.
Hyaluronidase only works
on hyaluronic acid
Hyaluronidase breaks down hyaluronic acid and nothing else. Sculptra is poly-L-lactic acid and does not respond. Radiesse is calcium hydroxylapatite and does not respond. Bellafill and other PMMA fillers are permanent and cannot be dissolved by anything. Silicone and fat transfer are likewise not removable this way. If you aren't sure what you had, we'll assess by feel, appearance and timeline. If we believe it isn't hyaluronic acid, we'll explain that at your consultation and talk through your options before any treatment.
- ✓Dissolves: all hyaluronic acid fillers
- ✓Does NOT dissolve: Sculptra, Radiesse, PMMA, silicone, fat
- ✓Confirmed at consultation, before any payment
The area may look
flatter before it looks right
Two things happen at once. Hyaluronidase temporarily breaks down some of your own natural hyaluronic acid alongside the filler, and that recovers within a day or two. Tissue that has been stretched by filler for months or years also needs time to retract, so for a while the area can look flat, hollow or lax. This is temporary and completely normal, and we'll walk you through it in advance. It's also why we recommend waiting before any rebuild: placing filler before the tissue has returned to baseline can bring back the original concern.
- ✓Your own hyaluronic acid recovers within 24–48 hours
- ✓Stretched tissue needs 2–4 weeks to retract
- ✓We wait for it before any rebuild
The same enzyme
reverses an occlusion
Hyaluronidase is also the emergency treatment for vascular occlusion, when filler enters or compresses a blood vessel. It's a rare but serious complication of any filler treatment, and managing it well depends on recognizing it quickly and having hyaluronidase ready on hand. We keep it on site at every appointment. If you're experiencing blanching, increasing pain, dusky skin or any change in vision after filler, please contact your injector or go to an emergency department right away.
- ✓Kept on site at every KORA appointment
- ✓Ready the moment it's needed
- ✓Occlusion is time-critical: seek help immediately
No records needed,
just your goals
Much of the dissolving we do is on filler placed by another provider, and we're glad to help. You don't need paperwork, a product name, a receipt or the name of the person who treated you. They're helpful if you have them and entirely unnecessary if you don't. We'll assess what is there, share what we believe it is, and talk through how we can help. Our aim is a comfortable, unhurried visit and a result that feels like you again.
Will hyaluronidase work on what you have?
It's helpful to confirm this before you book. Hyaluronidase dissolves hyaluronic acid and nothing else. If you had Sculptra, Radiesse or a permanent filler, it won't have an effect, which is why identifying your filler is the first step of every consultation.
| Compare | DissolvesHyaluronic acid filler | Does not dissolveSculptra | Does not dissolveRadiesse | Does not dissolvePMMA, silicone or fat |
|---|---|---|---|---|
| Best for | Juvéderm, Restylane, RHA, Revanesse and all HA gels | Poly-L-lactic acid biostimulator | Calcium hydroxylapatite | Bellafill, permanent fillers, fat transfer |
| What it does | Hyaluronidase cleaves the gel apart | Stimulated your own collagen; there is no gel to remove | Not hyaluronic acid; hyaluronidase has no effect | Permanent or surgically placed; removal is a surgical question |
| Onset | 24–48 hours | — | — | — |
| Typically lasts | Permanently removed | Remodels over 1–2 years | 12–18 months, then absorbs | Permanent |
How much does it cost to dissolve filler
in Scottsdale?
| Area | Typical sessions | Priced | Estimated cost |
|---|---|---|---|
| Dissolve unwanted filler | Per session | Per session | Starting at $300+ |
| Consultation & assessment | — | — | Complimentary |

Three nurse practitioners,, one thoughtful approach
KORA Aesthetics was founded by Katie Manhardt, MSN, FNP-C, a board-certified family nurse practitioner and national clinical trainer who teaches injection technique and facial anatomy to medical professionals across the country. She is joined by Audrey Bakken, NP, with more than 23 years in medicine and over a decade in aesthetics, and Dana Nichols, NP, whose years in the ICU shape her calm, detail-oriented care.
Every dissolving treatment is performed by one of our board-certified nurse practitioners, never delegated to a technician. It begins with a careful assessment, followed by a plan built around your anatomy and goals, for a natural result that feels like you.
Filler from any provider
Much of our dissolving is on filler placed by another provider. We do this most weeks, and you need no records at all.
Clear about what will respond
Hyaluronidase has no effect on Sculptra, Radiesse or permanent fillers. We identify what you have before treating, and there is no charge if dissolving isn't the right option.
What Scottsdale says about corrections at KORA
Katie is the only person I trust with my face!! I have been to her a handful of times and I won't go anywhere else. Not only does she have the skills, but she is also friendly, gentle, and educated. She has done my botox, PRP, lip filler, undereye filler, and touched me up in areas with filler at her discretion.
How to prep & what to expect after
Helpful, but not required
- Bring any product names, dates or records if you have them. If you have none, come anyway — we assess by feel, appearance and timeline.
- Tell us about any allergies, particularly to bee stings, or any previous reaction to hyaluronidase. We can patch test where there is reason for concern.
- If medically appropriate and cleared by your physician, stop blood thinners, NSAIDs, fish oil and vitamin E for 48 hours.
- Allow at least three weeks before any event. The area often looks flatter than expected for the first week or two.
- Tell us if you have a cold sore history and lips are being treated — we may prescribe antiviral cover.
- Reschedule if you have an active infection in the area.
- Let us know if you are pregnant, trying to conceive or breastfeeding.
The first week
- Expect some immediate swelling from the injection itself. This is separate from the filler and settles within a few days.
- Ice intermittently for the first 24 hours and sleep with your head elevated for two nights.
- Most of the dissolving happens in the first 24 to 48 hours. The difference is usually obvious by the second morning.
- The area may look flat or hollow for a week or two while stretched tissue retracts. This is temporary and expected.
- No strenuous exercise, sauna or hot tub for 48 hours.
- Avoid alcohol for 24 hours.
- Please wait at least two to four weeks before any rebuild, so the tissue can return to baseline and the original concern doesn't recur.
- Call us for spreading redness, heat, hives, wheezing, swelling of the tongue or throat, or any difficulty breathing. Allergic reaction to hyaluronidase is uncommon but needs immediate attention.
Dissolving questions, answered clearly
Basics
How do you dissolve lip filler?+
With hyaluronidase, an enzyme that breaks down hyaluronic acid. It is injected directly into the areas holding filler, cleaves the gel apart within hours, and your body clears the fragments over the following days. Most of the visible change happens in the first 24 to 48 hours.
What is hyaluronidase?+
An enzyme that breaks down hyaluronic acid. Your body already produces it; the injectable form is concentrated. It is used both to correct unwanted filler and as the emergency treatment for vascular occlusion.
How long does it take to dissolve filler?+
Most of the change happens within 24 to 48 hours, which is unusually fast. The area fully settles at about two weeks, and any rebuild should wait 2 to 4 weeks after that.
Does filler dissolve on its own?+
Hyaluronic acid filler does break down naturally over 6 to 24 months, depending on the product and area. If you're unhappy with a result, hyaluronidase can resolve it in days rather than a year.
Cost
How much does it cost to dissolve filler?+
Filler dissolving at KORA starts at $300 per session, depending on how much product is present and over what area. Most patients need one session, and we confirm your quote at consultation.
Previous treatment
Will you dissolve filler placed at another clinic?+
Yes, and we do it most weeks. You don't need records, receipts, product names or the name of your previous injector. Bring what you know and we'll take care of the rest.
Limits
What fillers cannot be dissolved?+
Hyaluronidase only works on hyaluronic acid. Sculptra is poly-L-lactic acid and does not respond. Radiesse is calcium hydroxylapatite and does not respond. PMMA fillers such as Bellafill, silicone and fat transfer are permanent or surgical and cannot be dissolved. We establish what you have before treating.
Reasons
What is filler migration?+
Filler moving away from where it was placed, most commonly above the lip border, creating a shelf or shadowed roll that reads as puffiness. It can come from superficial placement, overfilling or topping up before previous filler has cleared. Dissolving resolves it.
What is the Tyndall effect?+
A blue-gray tint that appears where hyaluronic acid has been placed too superficially, most often under the eyes. It's light scattering rather than bruising, and it won't fade on its own, so dissolving is the solution.
Recovery
Will my face look deflated afterwards?+
Often, temporarily. Hyaluronidase also breaks down some of your own natural hyaluronic acid, which recovers within a day or two. More importantly, tissue stretched by filler takes two to four weeks to retract. The area can look flat in the interim, and this is normal.
Can I have filler again after dissolving?+
Yes, though we ask you to wait at least two to four weeks so the tissue has fully returned to baseline. Rebuilding too soon can bring back the original concern. It's also entirely optional, and many patients dissolve and stop.
Safety
Is dissolving filler safe?+
Generally yes. The main risk is allergic reaction to hyaluronidase, which is uncommon but possible — we take a full allergy history and can patch test where indicated. Swelling and bruising at the injection site are expected.
Does dissolving hurt?+
Comparable to having filler placed, and usually briefer. Topical numbing is available. Expect immediate swelling from the injection itself, which settles within a few days.
Location
Do you treat patients from Paradise Valley?+
Frequently. Our clinic is on 69th Street just south of Shea — inside Scottsdale, a few hundred yards from the Paradise Valley boundary, usually a five to ten minute drive from most of PV.
Where in Scottsdale are you located?+
10505 N 69th Street, Suite 1300, Scottsdale, AZ 85253 — at 69th Street just south of Shea Boulevard, with free private parking. We are appointment only.
Filler dissolving across Scottsdale, Paradise Valley and the Valley
Our clinic sits at 69th Street just south of Shea — inside Scottsdale, and a few hundred yards from the Paradise Valley town line. Patients travel to us from across the East Valley, frequently for corrections.
After dissolving, if you want to

Dermal Fillers
Restores volume and structure
Explore Dermal Fillers →
Lip Fillers
Adds shape, definition and hydration
Explore Lip Fillers →
Juvederm
Juvéderm in Scottsdale at KORA Aesthetics — from $650 a syringe, placed by a national clinical trainer. Voluma, Volux, Vollure, Volbella and…
Explore Juvederm →Thirty minutes. Focused on you.
Share what you'd like to change. We'll assess what is there, let you know whether it can be dissolved, and there is nothing to pay if dissolving isn't the right option.
Feeling self-conscious about your filler?
There's no need. Migration and overfilling are very common and usually relate to technique rather than anything you did. Our focus is helping you feel like yourself again.
Had it done somewhere else?
We welcome it, and it makes up much of the dissolving we do. No records or product name needed, and only the questions we need clinically.
Do not know what filler you had?
Very common. We assess by feel, appearance and timeline, and let you know at consultation whether we believe it is hyaluronic acid, before any treatment or payment.
Worried you will look worse afterwards?
For a week or two the area may look flatter while stretched tissue retracts. It's temporary and expected, and it's why we recommend waiting before any rebuild.