กรุงเทพ & พิษณุโลก นิติธรรมคลินิก
Restore natural facial harmony with precision. Diagnosed before treatment, dissolving only the necessary areas, and safely restoring your face’s natural appearance. Consult/Book an appointment via LINE: @NitithamClinic
At Nititam Clinic, filler dissolution is performed using Ultrasound-Guided Hyaluronidase Injection, allowing the physician to accurately identify the location, depth, and distribution of existing filler before treatment. This advanced approach improves treatment precision, enhances safety, and preserves surrounding healthy tissues.
Ultrasound and Skin Test are performed before every treatment.
Filler dissolution is a medical procedure that uses Hyaluronidase, an enzyme capable of breaking down Hyaluronic Acid (HA) fillers, allowing the body to naturally eliminate the dissolved material.
The treatment is ideal for correcting unsatisfactory filler results, treating complications, or preparing the face for new filler injections.
This treatment may be suitable for patients who have:
Unlike conventional filler dissolution, we routinely perform high-resolution ultrasound assessment before treatment.
This minimizes unnecessary injections while maximizing precision and safety.
Patient safety is our highest priority. Before administering Hyaluronidase, every patient undergoes a skin allergy test to minimize the risk of allergic reactions.
Skin Test Procedure
Step 1 – The inner forearm is cleaned with antiseptic solution.
Step 2 – A very small amount of Hyaluronidase is injected intradermally.
Step 3 – The area is observed for approximately 15–20 minutes.
Step 4 – The physician evaluates the skin response before proceeding with treatment.
If no abnormal reaction is observed, the filler dissolution procedure can be safely performed.
Gentle, Precise and Minimal Downtime At Nititam Clinic, filler dissolution is commonly performed using a blunt-tip microcannula whenever clinically appropriate.
Compared with conventional sharp needles, a blunt cannula offers several advantages:
Most patients can resume work and social activities immediately after treatment.
Step 1: Consultation
A comprehensive facial evaluation is performed by the physician.
Step 2: Ultrasound Examination
High-resolution ultrasound is used to locate the filler and determine the treatment strategy.
Step 3: Skin Allergy Test
A Hyaluronidase skin test is performed before treatment.
Step 4: Personalized Treatment Plan
Planning the appropriate locations and enzyme dosage tailored to each individual.
Step 5: Precise Filler Dissolution
Dissolving the filler using appropriate techniques according to the planned treatment.
Step 6: Follow-up Evaluation
Treatment results are assessed, and additional sessions are recommended only if necessary.
At Nititham Clinic Operated and supervised by Dr. Nititham Rattakasikorn Attending physician for every case
With attention to every detail of the treatment, the doctor will thoroughly evaluate each patient’s skin condition and concerns to design a personalized treatment plan suited to their specific skin type.
After the treatment, there may be slight swelling, mild redness, or minor bruising (rare when using a Blunt Cannula). Generally, you can apply makeup, return to work, and resume your normal daily activities.
Initial improvement is often noticeable within 24–48 hours, although complete dissolution may take several days depending on:
Some patients may require more than one treatment session.
Yes. Most patients can undergo new filler treatment approximately 2–4 weeks after dissolution, once the enzyme has completely lost its activity and the tissues have stabilized.
Most patients experience only mild discomfort. Local anesthetic may be used when appropriate.
Hyaluronidase only dissolves Hyaluronic Acid (HA) fillers. Permanent fillers such as silicone or PMMA cannot be dissolved with this enzyme.
Yes. When performed by an experienced physician following appropriate assessment and allergy testing, filler dissolution is considered a safe and well-established procedure.
Yes. Thanks to our blunt cannula technique, most patients experience minimal bruising and require little to no downtime.
Accurate diagnosis prior to treatment, targeted dissolving only where necessary, and a step-by-step restoration of a natural-looking facial structure.
Nititam Clinic is overseen by Dr. Nititam Rattakasikorn (Medical License No. 37602), who has over 10 years of experience in dermatology and lasers. He personally provides care and consultation for every case. Services are available at both the Phitsanulok and Bangkok (Silom) branches.
Our Treatment Philosophy
Diagnose Before You Dissolve.
Using high-resolution ultrasound, allergy testing, and minimally traumatic injection techniques, we provide a safer, more precise, and personalized approach to filler dissolution—helping restore natural facial aesthetics with confidence.