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Non-Surgical Procedure

Filler Removal (Hyaluronidase)

Dermal fillers are a group of injectable products that are made from a naturally occurring sugar like compound called Hyaluronic Acid (HA).

HA is a natural constituent of our connective tissue and hence is the natural choice to replace tissue that is lost with ageing. The preparation comes crosslinked and this means the HA is not broken down readily by the body and thus stays in place for set periods of time.

Importantly, HA dermal fillers are reversible (unlike anti-wrinkle injections). This is achieved by the injection of a naturally occurring enzyme known as hyauronidase which melts the filler into water.

Dr Rory often performs filler removal with hyaluronidase in patients who have had a unfavourable experience with HA dermal fillers.

Non-Surgical Procedure

Filler Removal (Hyaluronidase)

Dermal fillers are a group of injectable products that are made from a naturally occurring sugar like compound called Hyaluronic Acid (HA).

HA is a natural constituent of our connective tissue and hence is the natural choice to replace tissue that is lost with ageing. The preparation comes crosslinked and this means the HA is not broken down readily by the body and thus stays in place for set periods of time.

Importantly, HA dermal fillers are reversible (unlike anti-wrinkle injections). This is achieved by the injection of a naturally occurring enzyme known as hyauronidase which melts the filler into water.

Dr Rory often performs filler removal with hyaluronidase in patients who have had a unfavourable experience with HA dermal fillers.

Your suitability for this treatment will be determined during a full face assessment no-commitment consultation with Dr Rory and he will provide all the necessary details for your particular case.

All treatments are performed in the luxurious state of the art treatment rooms within the clinic either on the day of consultation or after a period of reflection following consultation. The choice is entirely yours.

Depending on the areas treated, no formal anaesthesia is required but you may choose to have some topical anaesthesia (numbing cream applied). The hyaluronidase has local anaesthetic combined with it which means the area is numbed whilst the treatment is being performed.

Dr Rory has a number of other techniques to make your filler removal experience as comfortable as possible.

There is a risk of swelling after the treatment. Despite this, many patients have their treatment and return to work or normal activities that same day with no downtime.

Frequently
Asked
Questions

What is the aim of filler removal treatment?

This involves injection of an enzyme called hyaluronidase to melt the HA filler into water and thereby reducing any unwanted effects from the HA dermal filler treatment.

It is essential to understand that hyaluronidase once injected in the face will spread and ‘selective removal’ of filler can be unpredictable. If you can imagine the enzyme spreads out like an ink droplet in water and so the HA melting effect spreads out after injection therby melting any filler in the region.

How many hyaluronidase injections do I need?

This can very variable and is dependent on the type of HA filler you have been treated with and also its location. This will be determined during your full face assessment consultation with Dr Rory.

It must be emphasised, the number of treatments can be variable dependenet on the response of the HA filler. Often it is unknown what filler has been used. Therefore, filler removal is tailored to each patient for a bespoke treatment.

How long will the results last?

Once this filler has been completely removed and the swelling has subsided the results will be forever and often corrective dermal filler treatment is needed.

The plan of your particular treatment will be explained to your prior to your filler removal with Dr Rory.

What happens on the day of consultation ?

Dr Rory will obtain a full medical history assessing your suitability for the treatment and perform a full facial assessment and explain which areas of your face can be treated hyaluronidase injections and why. He will also give you an estimate of number of treatments needed.

It is important to appreciate hyaluronidase is not suitable for all patients, however this is very rare. They are considered unsafe if you have a severe insect bite or sting allergy or in individuals with previous allergic responses to hyaluronidase. This will be explained during the consultation process.

If you are suitable for filler removal treatment, he will then run through the process of consent and injection techniques with you if you are having these injections for the first time.

You can choose to have your treatment that same day or choose to think about your options and return another day.

If you do choose to go ahead, clinical photographs will be taken and you will be checked in by a nurse to the treatment room and given consent information to read and sign. All your details will be confirmed with you.

Your makeup is removed and numbing cream may be applied if you wish and after a period of time this is cleaned off and your skin is further prepared. A number of techniques are employed to make your experience as comfortable as possible.

In between injections, gently massage of the treatment area is used.

After the treatment, you are then given post injection instructions and can be discharged when you are feeling comfortable and ready to go.

How long will the treatment take?

Treatments can range from five to ten minutes depending on the number of injections used.

This does not include anaesthesia time. In total, the whole procedure may last longer if numbing cream is used.

Will the procedure be painful?

No, one of the primary aims of any procedure performed by Dr Rory is to create a pain free experience and you have the option of having numbing cream.

Other techniques are also employed to make your experience as comfortable as possible.

In terms of recovery, there may be some very mild tenderness and swelling in the injection areas on the day but this is minimized by applying a cold compress after the treatment.

What is the recovery period?

This is essentially a lunchtime treatment and there is no recovery period and you can resume your normal activities pretty much immediately.

There is always a theoretical risk of bruising as a very small gauge needle is being introduced to the skin. This risk increases as the number of areas treated increases.

As the hyaluronidase converts HA to water this will mean there will be transient swelling for twenty four hours. He may also choose to prescribe you some medication to help reduce the risk of swelling.

What should I consider when recovering from the procedure?

You are advised not to drink anything too hot or cold in the first two hours if your lips have been treated as they will remain numb.

No makeup should be applied that day as this may introduce the risk of infection into the injection sites.

Avoid any vigorious exercise, suanas or steam for the first three days to reduce swelling,

The effects of the treatment will be apparent from the day of treatment onwards and some areas such as those around the eye will improve once the swelling subsides.

Any judgements on the treatment outcome should be left your review appointment one week after your last session and any adjustments can be made at this important clinic appointment.

If you are entirely happy and are very experienced with filler removal treatments, then there is no need to attend this review appointment and just book your repeat treatment at your normal interval.

What is the cost of the treatment?

Each filler removal treatment is 1000 AED (excluding VAT).

The final cost is determined on a case by case basis dependent on complexity and additional procedures. Combination treatments may lower the price of individual treatments if done together.

A full facial assessment no-commitment consultation with Dr Rory will provide all the necessary details for your particular case.

What are the risks of the treatment?

These include some discomfort, infection, risk of bleeding, bruising, swelling and the need for repeat treatments depending on the type of HA filler used.

Anything in particularly important I should know about the treatment?

It’s a relatively quick and simple treatment requiring no downtime with very high satisfaction rates and Dr Rory will tailor your treatment to your needs.

The more filler that is dissolved increases the risk of swelling after the treatment, this is especially likely around the eyes and lip areas.

What is the follow up after the treatment?

Typically it involves seeing Dr Rory approximately one week following your last dermal filler injection for review.

If you are entirely happy and are very experienced with filler removal injections, then there is no need to attend this review appointment and just book your repeat treatment at your normal interval

Who is involved in my care?

Dr Rory is the primary physician in charge of all your care. He performs all procedures himself and is meticulous about every aspect of your care.

Once he has performed a procedure on you he is available for you as your on-call doctor.

He will provide you with contact details and will be available for you. If you have any questions or concerns.

He has trained his team around him to an exceptionally high standard from his aesthetic coordinators to aesthetic nurses.

Dr. Rory is an amazing plastic surgeon. Not only he knows the best his job , but also he is very polite and attentive to his patients after treatment too. Highly recommend.

— Ramina B

He explains everything in detail and will not oversell any procedure for the sake of it. His advice and technique are tailored to each patient and you always feel that he is giving you a service above and beyond the norm. I trust his work implicitly.

— Kerry S

Very happy with my breast augmentation results and so glad i chose Dr.Rory as my surgeon. He’s a professional compassionate and very skilled doctor. He was very attentive before and after my surgery. My breasts look natural and not overdone. It was an easy and stress free experience with great results.

— Vlada V

The best plastic in Dubai hands down. Such an amazing experience as a patient from start to finish

— Sarah P

I had been considering Rhinoplasty & Breast Augmentation surgery in Dubai for quite a while, I visited a number of surgeons but the one person that I was eager to meet was Dr Rory, not only had I heard great things about him, I had been left a little dubious about other surgeons I had met here and just never felt comfortable enough to make the decision to book the surgery and go ahead…. I genuinely cannot recommend Dr Rory enough!

— Nathalie H

Dr Rory is an absolute professional. I cannot recommend him highly enough. Always impressed with the personalised services of him and his team.

The facilities at the Lutetia clinic are very hard to beat – the whole experience is very unique.

— Karis K

I had my breast augmentation surgery with Dr Rory as have three of my friends. We all had the same experience. Five stars.

— Chloe W

I am an absolute fan of Dr Rory for his real and matter-of-fact approach to his work and his natural and confident talent at administering it. In a matter of my first visit I knew I was in the hands of a true professional and ever since he has exceeded expectations.

— Eliza S

Dr Rory is an incredible, professional and ethical plastic surgeon who I would recommend to anyone. His warm and welcoming approach instantly puts you at ease in what is often a daunting process.

He offers honest and professional advise/recommendations that will not go beyond your bodies limits leaving you feeling confident, supported and positive in your decision.

— Stacey C

I had some light facial procedures over a 6 month period with Dr Rory and then found the courage to undertake a Mommy makeover with him. It has been the best decision I ever made.

The care I received from him and his team were second to none, he never laughed at my daft questions and really reassured me every step of the way.

The surgery and the aftercare was fantastic. He has done an amazing job and even 10 months on I still look in the mirror completely thrilled. I have absolutely no hesitation in recommending Dr Rory.

— Dominique W

Super knowledgeable, professional & personable – highly recommended!

— Heidi R

Dr Rory is an absolute superstar. He is not only outstanding surgeon but his approach to patients is “human”. He listened to my opinion and what I wish to achieve with the treatment I opted for.

His caring but professional approach before, during and after the procedure made the whole journey ja pleasant one. Would highly recommend him to anyone who considering cosmetic procedure in Dubai.

— Eniko S

I have been a patient of Dr Rory for a couple of years and have been extremely pleased with the results.

He is very professional and caring. He consults with each patient to achieve the desired results for each individual. I would highly recommend Dr Rory for any of your cosmetic needs.

— Kirsty S

The most professional service and a level of care which is exceptional. Absolute pleasure. Big thank you to Dr. Rory and his team.

— Martina T

After 10 years of contemplating breast augmentation surgery I have finally done it! I’m so glad that I decided to finally have my surgery performed by Dr Rory McGoldrick and his wonderful team. I’m so happy with the results and would highly recommend him if you are looking to have this procedure done.

— Lauren M

Dr. Rory is not only one of the best doctors I have met but also one of the most genuine people I have ever met. He takes the time to explain and listen to your wants or concerns.
Not only is he THE BEST but his team of nurses and assistants go out of their way to help in any way possible! Thank you Dr. Rory for always looking after me.

— Kendra L

I have never experienced such a professional consultation before the treatment. He is focusing of getting natural look and i really liked that. It wasnt my first time, but im very impressed the way of communication. Not to mention the result. Thank you so much Dr. Rory, I will honestly recommend you to all my friends and definitely will come back!

— Olga M

I had a reconstructive surgery following mastectomy with Dr Rory and he was beyond amazing. He is extremely professional. He took special care of me considering my situation.
The second I met him I was at an ease. I felt very comfortable discussing all the tiny details with him.

His level of follow up is remarkable. He doesn’t mind contacting him at anytime and responds to all questions patiently. He is a true example of what an outstanding surgeon can be like.

— Zeinab R

I recently had breast reduction surgery with Dr. Rory. I can honestly say it was the best thing I have ever done, after 4 children and turning 50, I feel like a new person.

Dr. Rory was amazing from the moment I walked into his office, until now with my aftercare 2 months later. If you are thinking of having this or any other type of surgery done, he is your surgeon, genuine, understanding and most important he listens to what you want and gives his best guidance. Thank you Dr. Rory for changing my life.

— Kim A

Dr Rory McGoldrick has been my Dr and Surgeon for over a year. I cannot recommend his services enough. He is highly experienced, extremely professional yet empathetic at the same time.

— Kate H

I would never recommend anyone else, his professionalism, knowledge, experience are all spot on and would not trust anyone else in Dubai. He is also a great person and takes the time to listen and adjust his approach based on your needs.

— Nadina T

Dr. Rory takes plastic surgery to a whole new level. Highly professional, amazing supporting staff and a true gentleman. I had a full tummy tuck done a year ago with beyond amazing results.

— Ange A

He is a perfectionist and the best plastic surgeon in Dubai! Cannot recommend him enough.

— Ahmed B

An artist! Absolutely hands down would recommend Dr. Rory to everyone looking for an honest, professional and ethical doctor who isn’t afraid to say no to unrealistic requests but yes to enhancing natural beauty.

Very kind, friendly and patient. 10 stars from me!

— Somaiah D

I cannot recommend Dr Rory enough. In a location we’re we struggle to find certified, competent and capable surgeons finding Dr Rory has been an absolute god send and he has exceeded all expectations I had.

After loosing a significant amount of weight I was left with many areas of my body that had excess skin and needed fixing and a face that required signigant rejuvenating I now have the body and face I’ve always dreamed of.

If you are looking for great results, realistic opinions and a Dr you can trust he’s your surgeon. Thank you Dr. Rory for everything!

— Charlotte BA

Couldn’t ask for anything more from a doctor. Honest, professional, helpful and the best results you could ask for.

I’ve been seeing Dr Rory for about 3 years now and I wouldn’t go anywhere else in Dubai or London. Couldn’t recommend him highly enough.

— Lorraine H

Does not disappoint. Dr Rory is always so professional and honest. He takes the time to explain everything so you know exactly what you are getting.

— Katie S

I recently had surgery (4weeks ago) with Dr Rory and from the moment I met him I felt in safe hands no question was too silly or too small!! Even on the day of surgery his calm, professional manor put me at ease even though I was very nervous!!

After having a very bad experience before I did lots and lots of research and I would have no doubt recommending Dr Rory to anyone that was looking for an amazing surgeon.

— Emily G

Dr Rory is definitely one of a kind. He is not only an expert in his field, he is also a wonderful human being.

I visited Dr Rory for Botox treatment and couldn’t recommend him highly enough. He made me feel at ease during the consultation as well as treatment and explained every step throughout the procedure.

— Katja

Dr Rory is absolutely incredible, made me feel so relaxed about my surgery. His level of care and expertise sets him as one of the best plastic surgeon in the region.

— Alexandra A

Dr Rory is not only a gentleman but a true professional. His surgical approach and results are of the highest standard. In addition, his bedside manner and dedication to his patients is a welcomed change in an already saturated mediocre market.

I cannot recommend Dr Rory enough and have full confidence in his ability and amazing results. Any client pursuing enhancement at any level will not be disappointed.

— Louise D

He is professional, highly competent and his relaxed caring bedside manner instills confidence that you have chosen the well. I have recommended family members and friends to him and they have all been very pleased with their results.

— Jo C

After meeting a few other surgeons, I was not sure I would proceed with my surgery in Dubai. Then I was referred to Dr. Rory from a friend and this changed my mind after the first consultation.

He is professional, patient, and made me feel comfortable and confident in every decision along the way. I am ecstatic with my results and thankful for the expertise of Dr. Rory!

— Lara D

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