Different fillers are suitable for particular areas depending  on the texture and thickness of the skin and the depth of the filler required to correct volume loss. Different dermal filler products act in different ways. It is very important if you are having your filler removed that we know what product was injected so we know how to remove it. For complications  arising from the use of permanent dermal fillers surgical removal may be the only option. Extensive knowledge of facial anatomy is required to carry out this complex  procedure.

It is sometimes possible to remove re absorbable  filler such as hyaluronic acid by simply injecting  an enzyme which will destroy it. Other re absorbable fillers can be diluted and “ washed away” by injecting a saline solution.  Permanent filler removal is much more complex. Silicone is undoubtably one of the most difficult  products to remove because it spreads in tissue and can attach to the same tissues. 

Some permanent fillers, like AQUAMID can be removed with a particular technique with a special cannulas , whereas some others , like Dermalive , need a surgical approach with the access like a face lift. Both of these procedures are very difficult and challenging , therefore they  need to be performed by a skilled surgeon with high experience .