Filler dissolving with Topilase and microneedling

Filler dissolving Topilase cream, combined with microneedling, is an effective treatment for reducing and removing dermal fillers. It can eradicate filler bumps and irregularities, leading to smoother, rejuvenated skin. This can be particularly effective, where the swelling or distortion caused by filler is mild and the patient does not want the risk of adverse outcomes commonly associated with injection hyaluronidase under the skin.

Key Information

PRICE

From £625

TIME OF PROCEDURE

45 min per area

DOWNTIME

24 hrs

DISCOMFORT LEVEL

0 out of 5

AVERAGE SESSION REQUIRED

1-3

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Close up portrait of beautiful woman with natural makeup looking aside and holding hands close to her healthy face isolated over white background

How to dissolve dermal fillers safely?

There are several ways to dissolve and reduce dermal fillers. This might be something a patient wishes to pursue if they are suffering complications after filler treatment, like filler migration, bumps, or excessive amounts of filler. Some filler dissolver methods are invasive, but others, like Topilase cream, are not. Many patients prefer the safety and gentle approach of such a non-invasive option.

Topilase vs. hyaluronidase

Hyaluronidase has long been a leading filler dissolver. Topilase is a more recent addition to the treatment menu. Both treat filler-related problems, but they do so in notably different ways.

The biggest difference between the two is Topilase is a topical cream, while hyaluronidase is administered via injection. The former is non-invasive, while the latter is invasive. This also impacts their effectiveness – hyaluronidase is more immediate and impactful, while Topilase takes effect more slowly and gradually.

Patients may opt for or will be prescribed hyaluronidase when they are in urgent situations that demand rapid care. But others who want a more natural and gentle dissolving of their dermal fillers can elect for Topilase instead.

Another key benefit of using topilase is the reduction in risk. Injectable hyaluronidase is more powerful and therefore is associated with a higher risk of adverse outcomes.

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What is filler dissolving with Topilase?

What is Topilase and how does it work? In straightforward terms, Topilase is a topical cream for reducing and breaking down dermal fillers.

It is made up of a series of enzymes, specifically lipase, protease, and hyaluronidase. It also contains a mixture of natural essential oils, such as lavender oil and aloe vera. The enzymes serve to break down the dermal filler within the skin, while the oils help to provide various soothing effects to limit inflammation and aid skin rejuvenation.

This is similar to how hyaluronidase, injected into the skin, works to break down dermal fillers. However, since Topilase is applied topically, not injected, its effects are more gradual. This leads to a slower and less dramatic change in appearance, which many find to be more natural and easier to adjust to than the more immediate changes of hyaluronidase.

woman undergoing microneedling procedure

Why combine it with microneedling?

Another skin rejuvenation treatment, microneedling involves the use of very fine needles to make light, microscopic injuries on the top layer of skin. This triggers the skin’s natural healing and repair processes. Collagen – an important skin protein – is produced in larger than normal quantities to repair the damage, and this helps the skin look and feel healthier, smoother, and stronger.

A lot of skin treatments are often used in conjunction with a microneedling facial in order to enhance their benefits. This is because the needles form little channels within the skin. The Topilase cream can then flow through those channels and spread out across the skin for better penetration and absorption rate.

This combination of microneedling for wrinkles and Topilase application speeds up filler breakdown, while also stimulating collagen production. The result is improved skin texture and elasticity, plus a reduction in filler visibility and density.

Why may the use of filler dissolving cream be necessary?

There are multiple reasons to use filler dissolving cream, such as:

Swelling: filler sites may swell up due to adverse reactions or overfilling.
Distortion: certain facial features may look abnormal due to improper filler application.
Granulomas: these are hard lumps forming under the skin after filler insertion.
Migration: this is when filler moves away from the intended site to other areas.
Discoloration: if filler is inserted incorrectly, it may cause the skin to take on a blueish tint.
Infections: filler sites may also get infected, though this is rare.
Other complications: in rare cases, patients may experience severe side effects from filler treatment, like necrosis of the skin.

What are the benefits of the treatment?

Advantages of filler dissolver Topilase are:

It is a non-invasive treatment method.
It is a more gradual and gentler alternative to hyaluronidase.
It improves skin texture and appearance, with natural-looking results.
There is a low amount of downtime post-procedure.
It helps with collagen production and general skin healing.
The treatment is adjustable to suit the patient’s needs.
There is a low risk of Topilase side effects.

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a doctor examines the patient's mouth before/after treatment

How is the filler dissolving treatment performed?

Before the procedure

No specific preparation is needed. the skin should be cleaned at home with no make-up worn.

During the procedure

The skin is cleaned and a topical anaesthetic is applied to numb the skin. Microneedling is then performed to create thousands of microscopic skin punctures. The Topilase is then applied to the skin for between 25-45 minutes depending on the indication. The cream is then removed.

Aftercare

Being non-invasive, this treatment does not require a lengthy recovery period or lots of time off work. Indeed, patients can usually leave the clinic and get right back to their usual day-to-day routine, and it is generally safe to drive and work the same day.

However, you may want to take 24 to 48 hours off from any strenuous activity, just to give your skin time to settle and recover. Your care provider will advise you on this and provide their professional recommendation.

it is common to experience some light swelling or bruising post-treatment. You can use cool packs to limit this and avoid exposing your cheeks to extreme heat or pressure.

Try to limit the amount you touch your face, and ensure your hands are clean if you need to do so, in order to reduce the risk of infection.

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FAQ

Are there any Topilase side effects?

Patients may have some redness or sensitivity on the skin after applying Topilase, and there are rare allergic reactions or infections. There is also a risk of adverse outcomes such as hollowness or increased skin lines, although the risks of this are low.

How long does the treatment take?

One hour should be set aside for this procedure.

Does Topilase hurt?

No, since it is a non-invasive treatment. Microneedling, however, may produce some light stinging and sensitivity, but numbing creams help with this.