Hello!
I am Director Bo-hwang Jeong of Cleor Clinic Gangnam.
"I got fillers, but one side looks swollen, so it bothers me every time I take a photo."
"I'm worried because the filler at the tip of my nose seems to have spread sideways over time."
"I got lip fillers, but the volume is too much, making my expression look awkward."
These are stories I often hear in the consultation room.
When you are unhappy with the filler once it has been injected,
the heaviest concern is likely the question, "Can it be reversed?"
To start with the conclusion, Hyaluronic Acid (HA)-based fillers
can be refined using a dissolving enzyme.
Today, for those looking into Gangnam filler removal,
I will honestly explain Hylax, a high-purity liquid Hyalase.
What is Gangnam filler removal?
When people think of removing fillers, some might imagine
a surgical procedure involving incisions.
In reality, it is a method of dissolving the filler without incisions by injecting
a dissolving enzyme called Hyaluronidase into the area where the filler is located.
To use a simple analogy, it is similar to
pouring water on a hardened lump of clay to slowly dissolve it.
The Hyaluronic Acid where the enzyme touches is broken down into small pieces
and is naturally absorbed and excreted through the body's metabolism.
Why can Hyaluronidase dissolve fillers?
Most cosmetic fillers are based on Hyaluronic Acid (HA).
Hyaluronic Acid is a component that already exists in our bodies.
Since Hyaluronidase is an enzyme that breaks down this Hyaluronic Acid,
the Hyaluronic Acid injected as filler is dissolved in the same way.
You can think of it as a lock-and-key relationship that fits perfectly.
What is Hylax, the high-purity liquid Hyalase?
At Cleor Clinic Gangnam, for Gangnam filler removal,
we use 1cc of Hylax, a high-purity liquid Hyalase.
Hylax is a liquid Hyaluronidase product released by BMI Korea.
It is a pharmaceutical product approved by the MFDS
and is a proven product that has been used in medical fields for many years.
Difference from conventional Hyalase
Conventional Hyaluronidase has used raw materials extracted from sheep testes.
This method carries the possibility of containing foreign proteins derived from sheep, which could lead to local reactions such as redness or itching,
and the possibility of rare but strong allergic reactions has been pointed out.
Also, as a freeze-dried product, it had the inconvenience of requiring a reconstitution process before use.
Distinctive features of Hylax
Hylax is known as a product that compensates for these limitations.
It improved safety by replacing low-purity raw materials with high-purity (over 99%) materials,
and it has the advantage of being ready for immediate use without a reconstitution process due to its successful liquid formulation.
To use an analogy, it is similar to evolving from
dissolving instant coffee powder in water every time to ready-to-drink liquid coffee.
In what situations is Gangnam filler removal considered?
Here are the most common reasons heard in the consultation room:
When asymmetry is a concern
When the two sides are positioned differently or only one side looks swollen.
When the volume is excessive
When the volume is too high, making the impression look heavy or awkward.
When the shape has spread sideways
When it has migrated sideways from its original position over time.
When a lumpy sensation is felt
When a hard lump is felt in the area where the filler is located.
Side effects caused by fillers
When there are medical issues such as vascular compression, nodules, or inflammatory reactions.
In this case, it is a situation that requires medical refinement rather than cosmetic purposes.
Cleaning up existing fillers before getting new ones
When you want to completely clear out old fillers and receive a new procedure.
The recommended approach varies depending on the reason, so we will confirm this during the pre-consultation.
Advantages of Gangnam Filler Removal
1) Non-surgical method
It can be refined with a single injection without incisions, so the recovery burden is relatively low.
2) Option to reverse incorrect fillers
The fact that there is an option to refine fillers when you are unhappy with them after injection.
It can be seen as acting as a safety net for cosmetic procedures.
3) Hylax's high-purity liquid formulation
It is known as a product with improved safety compared to conventional freeze-dried products.
4) Partial refinement possible
Instead of dissolving everything, it is possible to just correct asymmetry
or partially refine only certain areas.
5) Return to daily life immediately after the procedure
The recovery burden is relatively low, making it possible to return to daily life the next day.
❗ Points to Note in Advance
There are things you should know beforehand about Gangnam filler removal.
Only Hyaluronic Acid-based fillers can be dissolved
All Hyaluronidase products, including Hylax,
act only on Hyaluronic Acid (HA) components.
Collagen boosters (PLLA such as Sculptra, Olidia, etc.)
Hydroxyapatite (CaHA such as Radiesse, etc.)
Permanent fillers such as silicone or PMMA cannot be dissolved.
We first check what ingredients were in the filler you received during the pre-consultation.
Possibility of allergic reactions
Since allergic reactions to Hyaluronidase itself can occur,
we perform a skin reaction test before the procedure.
If there is an adverse reaction in the test results, the procedure may be difficult to perform.
Temporary effect on the body's own Hyaluronic Acid
While Hylax dissolves the Hyaluronic Acid injected as filler,
the body's own Hyaluronic Acid originally in the same area may also be temporarily affected.
This is known to recover naturally within a few days.
It may not be completely removed in one session
If the amount of filler is large or it has been in place for a long time, one session
may not be enough, and additional procedures may be required.
Individual differences in results
The degree of dissolution may vary depending on the type of filler, cross-linking degree, location, and amount.
We will confirm this directly during the pre-consultation.
❗Recommended for the following people
Those concerned about asymmetry where one side looks swollen
Those whose filler has migrated sideways, making the shape look awkward
Those who feel a hard lump when touching the area
Those whose impression has become heavy due to excessive filler volume
Those who want to clean up old fillers and receive new ones
Those who want to return to a natural impression
❗ Pain and Recovery
Since it is a method of precise injection using a fine needle,
the level of stimulation is generally tolerable for most people.
If necessary, we proceed after applying anesthetic cream.
Appearance immediately after the procedure
Slight redness, mild swelling, and fine bruising may appear.
Most subside within a few days, but recovery speed varies from person to person.
Gradual filler dissolution
The process of the filler dissolving as the enzyme acts
begins immediately after the procedure and progresses gradually over several days.
It is best to understand that changes are not all visible at once,
but rather the area is slowly refined over 3 to 7 days.
Cases that must be confirmed during pre-consultation
If you are pregnant or breastfeeding
If you have active inflammation or a history of herpes in the treatment area
If you have had an allergic reaction to Hyaluronidase
If you have a history of sheep meat allergy (possibility of cross-reaction)
If you have been diagnosed with an autoimmune disease
If there are non-hyaluronic acid-based fillers in the treatment area
If you are regularly taking anticoagulants
Depending on skin condition and medication history, the procedure
may not be suitable, so we will confirm this during the pre-consultation.
⚠️ Post-Procedure Precautions
Please avoid saunas, jjimjilbangs, strenuous exercise, and alcohol on the day of the procedure.
An increase in body temperature may prolong irritation in the treated area.
Please refrain from strong massage or pressure on the treated area for a few days.
Observe changes in the area while the filler dissolves over a few days, and confirm with additional consultation if necessary.
If reactions such as persistent severe pain, allergic rash, or difficulty breathing occur, please visit the clinic immediately.
❓ Frequently Asked Questions
Q. Is the filler completely removed in one session?
It depends on the type of filler, the amount injected, and the depth.
In some cases, it is refined in one session, but for large amounts or old fillers, additional procedures may be necessary.
We will confirm this directly during the pre-consultation.
Q. When will I see the effects?
Dissolution begins immediately after the procedure, and changes appear gradually over several days.
Usually, the extent of change becomes most apparent between 3 to 7 days, though there are individual differences.
Q. Does the Hyaluronic Acid in my own skin also dissolve?
The body's own Hyaluronic Acid in the same area may be temporarily affected.
It is known to recover naturally within a few days.
Q. Can I get fillers again after filler removal?
You can receive fillers again after a certain period has passed since Hylax dissolved the previous filler.
The recommended interval varies depending on the treatment area and amount, so we will provide guidance during the pre-consultation.
Q. What is the difference from other procedures?
Unlike the method of surgically removing fillers through incisions, this is a non-surgical injection method that dissolves them.
The biggest difference is the low recovery burden.
However, there is a limitation in that it only works on Hyaluronic Acid-based fillers and does not dissolve fillers made of other ingredients.
Q. What are the possible side effects?
Temporary redness, swelling, bruising, and tenderness may occur in the treated area.
Rare cases of allergic reactions, itching, and rashes have been reported,
so we perform a skin reaction test before the procedure and observe the progress afterward.
When you are unhappy with the filler once it has been injected,
the moment you feel it is irreversible must have been the most distressing.
If it is a Hyaluronic Acid-based filler, there is an option to refine it using a dissolving enzyme.
Hylax, the high-purity liquid Hyalase used for Gangnam filler removal,
is a liquid product with improved safety compared to conventional freeze-dried products
and is a pharmaceutical product approved by the MFDS.
Since it may not be fully removed in one session and there is a possibility of allergic reactions,
pre-consultation and skin reaction tests are important.
If you are concerned about fillers you received in the past, please feel free to contact Cleor Clinic Gangnam.
※ This content is for general informational purposes, and results may vary depending on the individual.
Please decide on an accurate diagnosis and whether to proceed with the procedure through a consultation with a specialist.