- Duration
- On average 30 to 60 minutes, varying by the extent of reversal needed.
- Sessions
- Usually 1 session; a 2nd application may be needed in more extensive cases. There is no guaranteed fixed number — defined at the consultation, case by case.
- Recovery
- Mild, temporary swelling may occur in the first 24 to 48 hours.
- Anesthesia
- Anesthesia is always used — assessed at the consultation, and can be oral medication, local anesthesia and/or applied during microneedling, depending on the treatment indicated. Additional sedation is rarely needed (about 98% of patients do not need it).
The treatment
What is Reverse Protocol
The REVERSE Protocol is our clinic’s exclusive technique for the safe, precise reversal of hyaluronic acid filler that was applied in excess or unevenly.
Widely sought by patients with artificial or disproportionate results, or who wish to return to a more natural look, REVERSE is indicated for areas such as the lips, jawline, under-eye area, and cheekbones, among other regions frequently affected by excess volume.
We use hyaluronidase, the enzyme responsible for breaking down hyaluronic acid, allowing partial or total removal of the previous filler. The procedure is performed with refined technique, respecting each patient’s anatomy and aesthetic needs, ensuring safety, predictability and minimal discomfort.
After removal, the face undergoes a new assessment. In many cases, new filler can be applied days or weeks later, now with a lighter, more precise and natural approach — in line with the clinic’s philosophy, which prioritizes harmonious, elegant and discreet results.
Protocol
How it works, step by step
- 01
Assessment
New facial assessment to identify the excess or disharmony of the previous filler.
- 02
Skin priming
[not specified in the Knowledge Base]
- 03
Application
Application of hyaluronidase, the enzyme that breaks down hyaluronic acid, allowing partial or total removal of the previous filler.
- 04
Follow-up
New facial assessment after the reversal; new filler may be applied days or weeks later, if indicated.
Results
Before and after
Performed by Dr. José Henrique Effgen
Performed by Dr. José Henrique Effgen
Results vary depending on the case, individual response and adherence to follow-up care. Images are of real patients, published with authorization.
Frequently asked questions
What patients usually ask
Can I get filler again after REVERSE?
Yes — in many cases, days or weeks later, with a lighter, more precise and natural approach.
Is it safe to remove old filler?
Yes, when performed with refined technique, respecting each patient’s anatomy.
How many sessions will I need?
In most cases, 1 session is enough; more extensive cases may need a 2nd application. The exact number is defined at the consultation, case by case.
Schedule your evaluation for Reverse Protocol
The recommended protocol depends on an in-person evaluation at SKIMS House clinic, in São Paulo.
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