
Filler Dissolving: How It Works, What It Costs and When Not To
Filler can be taken out. That single fact is the reason hyaluronic acid became the material the whole industry standardised on, and it is worth…
Dermal fillers · Chiswick and Covent Garden
A safe, medically led treatment that reverses unwanted dermal filler using ultrasound-guided facial mapping and precise hyaluronidase injection.
5.0on Google · Read reviewsDr Harry JamesEvery treatment, personally

In short
Ultrasound-guided filler dissolving at Dr Harry Clinic, Chiswick and Covent Garden. Uses medical ultrasound to identify the exact location and depth of dermal filler. Results typically visible within 24 to 48 hours. Guide price £500. Every treatment is carried out personally by Dr Harry James, MBChB PGDip (CAIT), GMC 7528423, at a CQC registered clinic.
At a glance
Uses medical ultrasound to identify the exact location and depth of dermal filler
Corrects overfilling, asymmetry, migration, or long-standing filler
Helps protect natural tissue, blood vessels, and surrounding structures
Results typically visible within 24 to 48 hours
£500 ultrasound guided · £150 deposit covers the scan
Dr Harry James
MBChB PGDip (CAIT), GMC 7528423
£75, book online
Reviews
★★★★★
Great experience for an ultrasound-guided filler dissolution treatment. Dr Harry was very patient, caring and professional. I really appreciated the thorough consultation and felt well looked after throughout the treatment. Very happy with the results!
KKasey SongCovent Garden · via Google
★★★★★
Dr Harry is absolutely amazing, I can’t recommend him enough. I had my usual skin maintenance treatments yesterday, and for the first time I decided to try a lip booster. Harry was so informative, knowledgeable, and reassuring throughout, and he made me feel completely at ease. I was originally offered standard lip filler, but as I’m in my 60s I wanted something more subtle and natural-looking, the lip booster felt like the perfect choice. I left the clinic with only a little swelling (nothing too bad at all) and my lips already look healthier, more youthful, and beautifully natural. I’m genuinely thrilled with the result and can’t thank him enough. Five-star-plus treatment every time. His prices are very reasonable, and his manner with patients is kind, professional, and wonderful. I’m already looking forward to my next appointment, even if I have to wait a few months because the results last so well. Thank you Dr. Harry ❤️
IIvana SwanCovent Garden · via Google
★★★★★
Dr. Harry is incredibly knowledgeable and really takes his time to talk you through everything, answer any questions, and ensure you’re comfortable throughout the whole appointment. I never felt rushed, and he explained the treatment and expected results clearly, which made me feel really confident in the process. I’m so pleased with my results and wouldn’t hesitate to recommend him.
NNatasha-LaraChiswick · via Google
★★★★★
I visited Dr Harry after having my lips done by a few, other practitioners and my experience was positively incomparable. Harry was extremely thorough with his questioning, support and actual practice, I felt reassured and at ease, alike did my Mum, at the hands of Harry. I had 0.6ml of lip filler and was extremely impressed that he reevaluated my lips afterwards, adding in the remaining filler into specific areas. I did not have 1 single bruise, despite coming up black and blue in the past, and my lips are the most symmetrical they have ever looked. 1 million percent the best investment I have made to my face and I would never recommend going to anybody else! I visited the Chiswick clinic and it was beautiful🫶🏼 thank you Harry
EEmmaChiswick · via Google
★★★★★
I went to Dr Harry Clinic after both a recommendation and doing a lot of research, as this was my first anti-wrinkle injection treatment and choosing someone I truly trusted was really important to me. From the moment I arrived, Dr. Harry immediately made me feel at ease. He was so lovely, professional, and took the time to explain everything in detail. Most importantly, he really listened to what I wanted - especially my preference for a very natural look. Two weeks later, I had my complimentary follow-up appointment and I was already so happy with the results. At the follow-up, Harry was an absolute perfectionist, carefully assessing everything to ensure it was as balanced and natural as possible, with a small top-up where needed. Overall, my experience exceeded all expectations. If it’s your first time having treatment, or you’re looking for a new injector, I genuinely cannot recommend Dr Harry Clinic enough. One of the best decisions I’ve made.
YYasemin AksoyChiswick · via Google
★★★★★
Dr Harry is absolutely amazing, I can’t recommend him enough. I had my usual skin maintenance treatments yesterday, and for the first time I decided to try a lip booster. Harry was so informative, knowledgeable, and reassuring throughout, and he made me feel completely at ease. I was originally offered standard lip filler, but as I’m in my 60s I wanted something more subtle and natural-looking, the lip booster felt like the perfect choice. I left the clinic with only a little swelling (nothing too bad at all) and my lips already look healthier, more youthful, and beautifully natural. I’m genuinely thrilled with the result and can’t thank him enough. Five-star-plus treatment every time. His prices are very reasonable, and his manner with patients is kind, professional, and wonderful. I’m already looking forward to my next appointment, even if I have to wait a few months because the results last so well. Thank you Dr. Harry ❤️
IIvana SwanCovent Garden · via Google
★★★★★
I visited Dr Harry after having my lips done by a few, other practitioners and my experience was positively incomparable. Harry was extremely thorough with his questioning, support and actual practice, I felt reassured and at ease, alike did my Mum, at the hands of Harry. I had 0.6ml of lip filler and was extremely impressed that he reevaluated my lips afterwards, adding in the remaining filler into specific areas. I did not have 1 single bruise, despite coming up black and blue in the past, and my lips are the most symmetrical they have ever looked. 1 million percent the best investment I have made to my face and I would never recommend going to anybody else! I visited the Chiswick clinic and it was beautiful🫶🏼 thank you Harry
EEmmaChiswick · via Google
★★★★★
I went to Dr Harry Clinic after both a recommendation and doing a lot of research, as this was my first anti-wrinkle injection treatment and choosing someone I truly trusted was really important to me. From the moment I arrived, Dr. Harry immediately made me feel at ease. He was so lovely, professional, and took the time to explain everything in detail. Most importantly, he really listened to what I wanted - especially my preference for a very natural look. Two weeks later, I had my complimentary follow-up appointment and I was already so happy with the results. At the follow-up, Harry was an absolute perfectionist, carefully assessing everything to ensure it was as balanced and natural as possible, with a small top-up where needed. Overall, my experience exceeded all expectations. If it’s your first time having treatment, or you’re looking for a new injector, I genuinely cannot recommend Dr Harry Clinic enough. One of the best decisions I’ve made.
YYasemin AksoyChiswick · via Google
Filler dissolving with hyaluronidase is a well-established medical procedure used to reverse or refine hyaluronic acid dermal fillers. What sets this treatment apart is the use of ultrasound imaging to guide decision-making and injection placement.
Ultrasound allows existing filler to be visualised beneath the skin, even years after placement. This is particularly valuable in cases of migrated filler, previous treatments performed elsewhere, or complex anatomy where filler cannot be reliably identified by touch alone.
By combining ultrasound mapping with controlled hyaluronidase dosing, treatment becomes more precise, more conservative, and safer, especially in high-risk areas of the face.



Traditional filler dissolving often relies on clinical judgement alone. While effective, it can involve treating broader areas than necessary.
Ultrasound-guided dissolving allows:
• Identification of exactly where filler is present
• Differentiation between filler, natural tissue, and swelling
• Reduced risk of over-dissolving
• Improved safety around blood vessels
• Better planning for future corrective or restorative treatment
This approach is particularly important for patients with:
• Long-standing filler
• Multiple previous treatments
• Migration or asymmetry
• Concerns about vascular safety
• Desire for partial, not total, dissolving
Hyaluronidase is a naturally occurring enzyme that breaks down hyaluronic acid, the main component in most dermal fillers. When injected precisely into the area of concern, it begins to dissolve the unwanted filler almost immediately, allowing the body to reabsorb it.
This process:
Softens or removes overfilled areas
Corrects asymmetries or product migration
Treats lumps or nodules
Resolves complications like vascular compromise (in emergency cases)
Results are typically visible within a few hours and continue to improve over the next 24 to 48 hours.
Dr Harry’s advanced understanding of filler product types, injection layers, and tissue behaviour allows him to adapt each dissolving treatment to suit the individual product and situation, ensuring efficient, controlled outcomes with minimal risk to the surrounding tissues.
Filler dissolving may be indicated in several circumstances, including:
Unwanted aesthetic outcome, such as overfilled lips, cheeks, or under-eye areas
Asymmetry or product migration, when filler has shifted from the intended area
Overcorrection, resulting in unnatural facial proportions
Lumps or irregularities, due to poor placement or product behaviour
Emergency management, such as vascular occlusion or nodules requiring urgent intervention
Preparation for new treatment, when correcting previous filler before re-treatment
Dr Harry tailors each dissolving treatment to the patient’s needs, whether full removal or partial correction is required. This allows patients to regain confidence and move forward with their aesthetic goals.
Every dissolving procedure at Dr Harry Clinic begins with an in-depth consultation. This includes:
A thorough assessment of the filler site(s)
Identification of the specific filler product, if known
Evaluation of volume, depth, and integration
Discussion of your goals, full reversal or minor refinement
A risk-benefit analysis based on your individual anatomy and skin health
Where necessary, Dr Harry may use ultrasound guidance to identify deeper filler placement or vascular concerns, adding an extra layer of precision and safety.
Hyaluronidase treatment is not a simple “one-size-fits-all” process. The amount, placement, and technique must be tailored to the specific situation. Dr Harry uses conservative, strategic dosing to ensure targeted dissolving without affecting your natural hyaluronic acid stores in the skin.
His approach includes:
Micro-dosing for gradual, controlled results
Precision mapping of the affected area
Use of cannula or needle depending on depth and location
Layered dissolving sessions where appropriate
Follow-up reassessment before re-treatment or re-filling
This careful methodology minimises trauma and ensures the most natural and balanced outcome possible.
Although hyaluronidase is widely used in aesthetics, it must be administered by a highly trained professional to ensure safety and efficacy, especially in complex or delicate areas like the lips, tear troughs, or nose.
Dr Harry’s safety-first approach includes:
Comprehensive understanding of vascular anatomy
Full emergency protocols in place
Medical-grade hygiene and sterile technique
Allergy testing where clinically indicated
Post-treatment support and guidance
If you are experiencing complications from previous filler, such as pain, discolouration, or suspected vascular occlusion, Dr Harry can provide emergency dissolving treatment with immediate priority.
Consultation and mapping: 20 to 30 minutes
Dissolving injections: Usually completed in under 15 minutes
Comfort: Mild stinging or swelling possible, subsides quickly
Downtime: Minimal, but mild redness or puffiness may occur
Results: Noticeable within hours, full effect within 48 hours
Re-filling (if desired): Typically advised 1 to 2 weeks post-dissolving
Dr Harry will provide personalised aftercare advice and follow-up to ensure full resolution of any concerns.
Extensive experience: Trainer-level expertise in both filler and hyaluronidase use
Tailored treatments: Personalised plans based on your needs and goals
Advanced safety protocols: For peace of mind in all circumstances
Natural results: Focused on restoring your unique facial balance, not overcorrection
Discreet care: Compassionate approach to aesthetic correction, without judgement
Whether you’re correcting previous work or simply seeking a fresh start, dissolving with Dr Harry gives you the freedom to refine your aesthetic journey with confidence and clarity.

Meet Dr Harry James
Dr Harry James brings a wealth of experience and clinical precision to our London clinics. As a certified trainer in aesthetic medicine and a finalist in multiple national aesthetic award ceremonies, Dr Harry is recognised for his advanced techniques, patient-focused results, and commitment to setting high standards in non-surgical aesthetics.
His expertise extends beyond delivering treatment, he actively trains other practitioners and remains at the forefront of the field through continuous education and professional development.
Common questions
Yes. Ultrasound-guided filler dissolving is booked with a £150 deposit. The deposit pays for the ultrasound scan, which is done at the appointment to find exactly where the filler is sitting before anything is dissolved, so once the scan has been carried out it is not refundable. The deposit comes off the cost of the treatment when you go ahead.
When performed correctly by an expert, no. Hyaluronidase targets hyaluronic acid filler, not your body’s natural collagen or elastin. However, overuse or incorrect technique can affect natural hyaluronic acid levels in the skin. Dr Harry uses precise, minimal dosing tailored to your anatomy and filler type, ensuring that only the unwanted filler is targeted, preserving the integrity of your natural tissue.
You can usually have filler dissolved as soon as any initial swelling has settled, typically within 5 to 7 days after treatment. In cases of significant complications, such as vascular compromise, dissolving may be performed immediately. Dr Harry always performs a thorough assessment first to ensure safety and the best aesthetic outcome, whether full reversal or partial correction is needed.
Yes, partial dissolving is often performed to fine-tune results or correct overfilling in specific areas. Dr Harry uses targeted micro-injections and controlled dosing to dissolve only what’s necessary, helping to preserve desirable results while correcting imbalances. This precision approach is especially valuable when revising work done elsewhere or refining complex facial areas like the lips or tear troughs.
Discomfort is typically minimal. The hyaluronidase solution may cause a brief stinging sensation during injection, but this passes quickly. Dr Harry uses topical numbing and gentle technique to maximise comfort. You may experience mild swelling or redness in the treated area for a few hours, with full results typically visible within 24 to 48 hours. Downtime is minimal, and most patients resume normal activities the same day.
Your visit
The same five steps for every patient, whatever you come in for.
Book online or call the clinic. A consultation is £75 and is redeemable against your treatment if you go ahead. Two to four weeks is the usual lead time.
A full medical history review, then a detailed assessment of your concerns and goals. Where the skin itself is the question, that includes an Observ 520x scan, which looks under the surface at sun damage, pigmentation and hydration. Unhurried, and with time to ask everything you want to ask. About the skin analysis
Dr Harry talks through the options and what each can and cannot do, then builds a personalised plan. Nothing is decided for you, and there is no obligation to treat on the day.
Carried out by Dr Harry James himself, never handed to whoever is free. You leave with written aftercare and a number to call if anything concerns you.
A follow up to assess how the treatment settled, monitor anything that needs watching and plan maintenance or next steps.
Where to have it
West London
Ultrasound-guided filler dissolving with Dr Harry James at our Chiswick clinic, W4. Six days a week, by appointment.
Dr Harry Clinic, Aesthetic Clinic in Chiswick300 Chiswick High Road, Chiswick, London W4 1NP
★★★★★ Rated 5.0 on Google
Central London
Ultrasound-guided filler dissolving with Dr Harry James at our Covent Garden clinic, WC2. Thursdays and Fridays, by appointment.
Dr Harry Clinic, Aesthetic Clinic in Covent GardenJubilee Hall, 30 The Piazza, Covent Garden, London WC2E 8BE
★★★★★ Rated 5.0 on Google
Ultrasound-guided filler dissolving is available at both clinics, at the same price and with the same practitioner: Dr Harry James carries out every treatment himself. Chiswick clinic · Covent Garden clinic.
From the journal
More in this range

Ready when you are
A £75 consultation with Dr Harry James at Chiswick or Covent Garden, redeemable against your treatment if you go ahead. He assesses, explains what ultrasound-guided filler dissolving can and cannot do for you, and writes a plan. Nothing is decided for you on the day.
Chiswick, W4 and Covent Garden, WC2020 3633 8687