121 East 60th Street, Suite 8AB New York, NY 10022

Ph. (212) 285-1110

Long Island

901 Stewart Ave, Suite 240 Long Island, NY 11530

Ph. (516) 512-7616

New York City (212) 285-1110

Long Island (516) 512-7616

Botched Filler Corrections – How to Dissolve Fillers

Patients often come to Dr. Rokhsar, who is a double board-certified cosmetic dermatologist, asking him to correct fillers that were wrongly injected by other practitioners. Dr. Rokhsar is a trainer and educator for Allergan, Galderma, and Merz. Additionally, his offices have been named Centers of Excellence by Radiesse1, and he has worked extensively with a wide range of injectables.

Moreover, Dr. Rokhsar has helped many patients throughout Manhattan, Long Island, and the greater NYC area to dissolve fillers, create facial balance and restore a natural look.

Identifying Botched Fillers

While dermal fillers are safe and an effective way to combat the signs of aging, and good results are expected, it is possible for the treatment to go wrong. And in most cases, this occurs when the treatment doesn’t match expectations. So if for instance, the wrong technique is used, injectables are placed into the wrong layer or area, or the wrong types are used, results could be less than expected.

These problems may2 include:

  • An overfilled and unnatural appearance – often visible with a botched lip treatment.
  • Migration to a different area from where it was originally injected.
  • A bulge, redness, or swelling over the injected area. This is an indication of infection.
  • The Tyndall effect3 is a complication that occurs when HA fillers are injected into the superficial dermis or epidermis. It causes a bluish discoloration of the skin. This is commonly seen when inexperienced injectors inject the lower eyelids or the tear trough in the wrong anatomic plane.

When injections are carefully performed by a board-certified and experienced dermatologist, you can get natural results without bumps, lumpiness, discoloration, with minimal bruising, risks, and complications.

Reversing Botched Fillers

Various factors will impact the best approach to “un-do” the botched procedure. And these factors may include the type of dermal filler used and the injection site.

If you can’t wait for the filler to naturally dissolve, Dr. Rokhsar can typically reverse4 the botched results in one of the following ways:

  • Dr. Rokhsar uses an enzyme, hyaluronidase (Vitrase or Hyalenex5) to break down the HA particles. This reverses the effects within 24-48 hours. Although, for injectables from the Juvederm family it may take a second round of treatment. These reversal results will be visible 1 to 2 weeks later.
  • The strategic placement of additional filler.
  • In the case of non-hyaluronic acid fillers such as Radiesse or Sculptra, a steroid injection and saline injections may help reverse the effects.
  • Dr. Rokhsar is among the few doctors who also had extensive experience with dissolving the filler Radiesse. And to do so, he uses a special injection of a substance named sodium thiosulfate.

First, Dr. Rokhsar will discuss the options available to you after he has performed a complete examination of the botched area. Next, he will also ensure that you are well informed of any possible risks and side effects of filler reversal treatment.

Prevention Is The Best Alternative

For the best results from facial fillers, do your research and find a provider who is experienced, board-certified, and specializes in cosmetic dermatology. In addition, you should ask for before and after photos and be sure to have realistic expectations. When selecting a provider, all of these factors are equally important. You should not go into this blindly, as doing so, may result in long-lasting negative outcomes in severe cases.

Dissolve Fillers With Dr. Rokhsar

When visiting our offices in LI and Manhattan, you will be in the care of a world-renowned cosmetic surgeon and dermatologist. Dr. Rokhsar is a sought-after trainer and speaker who consistently delivers aesthetically pleasing results with his dermal filler reversal treatments.

Dr. Rokhsar has reversed and fixed many botched filler jobs and suggests to those considering correction, to choose their service provider carefully. Schedule your appointment with his Manhattan or Long Island office today.


Upper East Side Manhattan
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110
Map It

Long Island
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616
Map It

Request an Appointment

1 Centers of Excellence by Radiesse. Available:
2 Dermal Fillers. Available:
3 Hyaluronidase to Treat the Tyndall Effect. Available:
4 Can You “Un-Do” Dermal Fillers?. Available:
5 Vitrase or Hyalenex. Available:

About author - Dr. Cameron Rokhsar

Dr. Cameron Rokhsar

Dr. Cameron Rokhsar is the founder and owner of Cosmetic Laser Skin & Surgery Center. With degrees from Harvard University and NYU, along with multiple publications and media features, the double board-certified dermatologist and laser surgeon proudly shares his expertise with patients in Garden City, Manhattan, and those who fly in to receive treatment at his offices. Dr. Rokhsar has worked extensively with Vbeam laser, Thermitight, Coolsculpting, and Fraxel laser technology, as well as Allergan and other injectable brands. He pioneered the Non-Surgical Nose Job and continues to be a leader in his field.

Learn more about Dr. Rokhsar | Dr. Rokhsar's Google Scholar