Hylase with ultrasound – precise filler correction in Düsseldorf
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- Facelift
- Deep Plane Facelift
- Mid Facelift
- Brow Lift
- Eyelid Lift
- Lower Eyelid Lift
- Neck Lift
- Thread Lift
- Sculptra Facial Rejuvenation
1. Consultation & analysis: We assess the baseline situation, ask about your previous filler treatments, and analyse the treatment area – both clinically and by sonography.
At a glance
- Duration: approx. 30 minutes
- Anaesthesia: Local anaesthesia available
- Device: HD ultrasound, wireless
- Treatment: Ultrasound-guided Hylase injection
- Repeat: possible after a few days if required
What is Hylase?
Hylase (hyaluronidase) is an enzyme that selectively breaks down injected hyaluronic acid . We use Hylase to remove unwanted filler – for example, in cases of overcorrection, asymmetry, or hardening. Hyaluronidase acts quickly: the hyaluronic acid is enzymatically dissolved and metabolised by the body. Combined with ultrasound guidance, we can trigger the effect precisely at the affected sites – without unnecessarily disturbing the surrounding tissue.
Why ultrasound-guided Hylase?
Hylase (hyaluronidase) has traditionally been administered "by feel" – yet not every filler behaves the same way. Some are stubborn, unevenly placed, or have migrated within the tissue, no longer sitting in their original position. Using the high-resolution sonography technology of our wireless ultrasound device, we can visualise the filler within the skin – and deliver the Hylase with pinpoint accuracy to exactly the right location.
Are you unhappy with a filler result and would like to find out more about ultrasound-guided Hylase? Book your personal consultation at Dr. Schuhmann & Colleagues in Düsseldorf.
The result:
- Precise dissolution of unwanted filler
- Preservation of the surrounding tissue
- Prevention of breakdown of the body's own hyaluronic acid
When is a Hylase treatment indicated?
Ultrasound-guided filler dissolution is particularly indicated when:
- filler has been placed incorrectly or inappropriately
- Different laser treatments with various preparations
- the filler is particularly firm, deeply seated, or stubborn
- the filler has migrated or distributed unevenly
- the result appears overcorrected, unharmonious, or overly unnatural
- asymmetries or an unintentionally masculine appearance have developed (e.g. at the chin, jawline , lips, or under the eyes)
- the face feels swollen or "round" due to the filler (the so-called "football effect")
- blurred contours, nodules, or areas of hardening have formed
- a return to the natural baseline is desired
Ablauf
Consultation & analysis
We assess the baseline situation, ask about your previous filler treatments, and analyse the treatment area – both clinically and by sonography.
Visualisation of the filler
Using our high-resolution ultrasound device, we identify the filler structure within the tissue – including deeply situated or irregularly distributed deposits.
Precise injection of Hylase
This is followed by a targeted, pinpoint injection at the sites "marked" by ultrasound. This way, only the unwanted filler is dissolved, not the surrounding tissue.
Review & aftercare
Depending on the product and skin response, a follow-up treatment is sometimes advisable. The interval is generally at least 48 hours.
Benefits
- Maximum treatment safety through visualisation
- Pinpoint, tissue-sparing correction
- No more "blind injections"
- Suitable for difficult cases and stubborn filler as well
- Treatment by experienced doctors with expertise in ultrasound diagnostics
Frequently asked questions
What does the treatment cost?
The cost of the combined procedure is generally €550 (ultrasound costs + Hylase treatment), and without ultrasound (Hylase treatment only) approximately €350 – depending on the complexity and extent of the correction required. In more complex cases or where filler is more deeply situated, costs may vary on an individual basis.
How quickly does Hylase take effect?
In many cases, the breakdown of the hyaluronic acid is visible within just a few hours. The final effect typically becomes apparent within 24 to 72 hours.
How often can the treatment be repeated?
Depending on the depth and firmness of the filler, the hyaluronidase injection may be repeated after approximately 2 to 5 days. Overtreatment should be avoided.
Is a further filler treatment possible?
Yes, a hyaluronic acid injection is possible again after Hylase treatment – though not immediately. We recommend a minimum interval of 2 weeks to allow the tissue to settle.
Is the treatment painful?
No. We use very fine needles and additionally offer a pre-treatment with a topical anaesthetic cream – making the treatment very well tolerated. Many of our patients also report that homoeopathic preparations such as bromelain (applied after treatment) can help to reduce swelling and feelings of tension.
What makes the high-resolution ultrasound technology special?
At artethic® Dr. med. Karl Schuhmann & Colleagues, we work with a wireless high-frequency ultrasound device. The image resolution is impressive – displayable on a tablet and, at up to 20 MHz, ideal for visualising the finest structures in the face.
How does ultrasound-guided Hylase differ from the conventional treatment?
With the conventional Hylase treatment (hyaluronidase), the injection is usually administered "by feel" – without a precise view of the filler deposit. The ultrasound-guided method, by contrast, allows the filler to be localised to the millimetre and dissolved with targeted precision.
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