Eyelid Swelling / Migrated Fillers & Hyaluronidase Dissolving

Hyalase™ is an enzyme which breaks down hyaluronic acid, commonly used to dissolve dermal fillers that have migrated, caused swelling, or led to an unacceptable outcome.

Eyelid Swelling/Migrated Fillers & Hyaluronidase Dissolving illustration

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Eyelid Swelling/Migrated Fillers & Hyaluronidase Dissolving

At a Glance

Duration
15 Minutes
Anaesthesia
Numbing Cream
Down time
Minimal
Final results
24-48 Hours
Course
1-2 Injections
Why choose this treatment

Advantages of Eyelid Swelling/Migrated Fillers & Hyaluronidase Dissolving Treatment

Immediate Result

Perfect for those seeking an instant improvement.

Minimal Downtime

You can return to work straight away.

Unrivalled Expertise

Performed by a leading oculoplastic surgeon and a team trained by her.

What is it?

What is Hyaluronidase?

Hyalase™ is an enzyme which breaks down hyaluronic acid and is commonly called a dissolving enzyme for hyaluronic acid (a component of dermal fillers, but also naturally occurring in the skin and soft tissues).

Hyalase™ (hyaluronidase 1500 units) is licensed and commonly used to boost absorption or dispersal of drugs injected into the skin. However, dissolving dermal fillers is not a licensed indication. There is also no direct scientific equation indicating the exact quantity of hyaluronidase to use, it is a matter of judgment and experience. Occasionally dermal fillers need to be dissolved when the treatment outcome is unacceptable, they have migrated, caused swelling, or when an adverse reaction to the implant has occurred, or there is a possibility of vascular occlusion and/or impending necrosis (tissue death) which could lead to the compromise of healthy tissues.

Watch: Dissolving Under-Eye Filler
Real Patient ProcedureHow Does the Procedure Work?
The Procedure

How Does the Procedure Work?

Dr Sabrina will often use an ultrasound to scan the area prior to the dissolving injection, to ensure a targeted technique is used to dissolve the filler. Often a numbing cream is applied for 15 minutes prior to the procedure.

The hyaluronidase is then injected into the filler pocket using a needle/cannula. Immediately after, a vigorous massage is performed to help break down the filler. The whole procedure takes around 15 minutes.

Dr Sabrina Shah-Desai

Meet the Expert: Dr Sabrina Shah-Desai

Dr Sabrina Shah-Desai is the founder and Medical Director of Perfect Eyes Clinic. With over two decades of surgical and non-surgical experience, she is considered one of the safest, most experienced oculoplastic surgeons in the UK.

Her extensive training, combined with her caring and empathetic nature, makes her a natural choice for patients seeking the very best care. Dr Sabrina appears consistently in Tatlermagazine as one of the UK's “Best Eye Surgeons” and “Top Doctors” since 2019.

Learn About Dr Sabrina
Royal College of Surgeons of England - register of Board-Certified Cosmetic SurgeonsBest Aesthetic Doctor - Safety in Beauty 2023Consultant Surgeon of the YearBest Surgical Result - Aesthetic Awards 2021Tatler Best Eye Surgeon 2019-2026
Transparent pricing

Eyelid Swelling/Migrated Fillers & Hyaluronidase Dissolving Cost in London

Prices are a guide; your surgeon confirms the total during consultation.

  • 1st Dissolve - £600

  • 2nd Dissolve - £400

Important: all cosmetic procedures incur 20% VAT. Fees are estimates and will be confirmed after medical consultation.

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Patient Questions About Eyelid Swelling/Migrated Fillers & Hyaluronidase Dissolving

Frequently Asked Questions

The questions patients ask most often, answered by the clinic. If yours isn’t here, ask us directly - we would be delighted to help.

  • Following the dissolving agent you can expect to see results immediately, but it can take 24-48 hours for the final result.
  • There is minimal downtime with dissolving injections, however you might experience some bruising, redness or swelling in the treated area. If this happens, it usually subsides within a matter of days, and can be easily covered by makeup.
  • No, as a numbing cream is usually applied beforehand.
  • Most often 1-2 dissolving injections are required. Rarely, for dissolving large volumes of certain types of dermal fillers, more than 2 injections may be required.
  • Following treatment, an irregularity in skin contour, incomplete improvement, or an "overcorrection" with a hollow may occur. This can be improved with further treatments like skin tightening, dermal fillers or eyelid surgery. Rare risks include anaphylaxis, which is why Dr Sabrina and her team recommend a patch test pre-procedure and also monitor you for an hour post-procedure.

Call or email us today, we would be delighted to answer your questions.

Ask a Question or Book an Appointment
Patient stories

Rated five stars by patients across the globe

4.8out of 5 from 240+ Google reviews

Desi StevensRated 5 out of 5 on Google
Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.
Kealey HesseyRated 5 out of 5 on Google
Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.
Jo KirbyRated 5 out of 5 on Google
I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.
Shirley FordRated 5 out of 5 on Google
I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.
Radhika RajanRated 5 out of 5 on Google
Top notch surgeon. Dr.Sabrina Shah is the best. Very meticulous and focused. Very experienced and very skillful. Supported by a great team, Irvana at the office is efficient and directs empathy as well towards nervous patients like myself . All in all a great experience.
Tina StonelyRated 5 out of 5 on Google
Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.
Tanya Del FedericoRated 5 out of 5 on Google
Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.
Minda WangRated 5 out of 5 on Google
I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.
Samantha AndrewsRated 5 out of 5 on Google
Amazing. I’m so happy with the results. Sabrina is a master. She also has a wonderful bedside manner. I can’t recommend Sabrina and her team enough. Worth double the money. 👏🏻
Hayley PearsonRated 5 out of 5 on Google
I was lucky enough to first meet Sabrina 9 years ago & have never used anyone else since. She has helped transform my appearance; with natural looking aesthetics. I currently live abroad, however remain dedicated to stay a patient of Sabrina. What’s 3,500 miles when you have found the best in the business!

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