The Hidden Dangers of Non-Dissolvable Filler & Safe Removal Options
In the quest for youthful, voluminous skin, non-dissolvable filler has been marketed as long-lasting solutions.
However, what many don’t realize is that these permanent fillers come with risks that can surface long after the procedure. In this post, we’ll explore what non-dissolvable fillers are, their associated dangers, removal methods, and safer alternatives to enhance your beauty without the long-term consequences.
What is a Non-Dissolvable Filler?
Unlike temporary fillers such as hyaluronic acid (HA), non-dissolvable fillers do not naturally break down over time. These fillers are designed to stay in the body indefinitely, promising long-lasting results.
However, this permanence can become problematic when complications arise. Let’s look at some of the most commonly used non-dissolvable fillers and what makes them unique.
Polyacrylamide Filler for the Face
Polyacrylamide fillers were once popular due to their longevity and ability to add significant volume to areas like the cheeks and lips. Used frequently in facial contouring procedures, these fillers can last up to 10 years or more.

Unfortunately, this “forever” benefit often turns into a downside when complications arise, as removing these fillers is difficult.
Sculptra
Sculptra, made from poly-L-lactic acid, is technically considered semi-permanent but doesn’t dissolve like HA fillers. Instead, it stimulates collagen production over time.
While this might sound appealing, the filler itself remains in the body and can lead to unexpected issues such as lumps or over-correction.

Radiesse

Radiesse, composed of calcium hydroxylapatite, is another popular filler used for deeper facial wrinkles and volume loss. It also stimulates collagen production, but the calcium microspheres can remain in the tissue long after the visible results fade, making the filler hard to remove if complications occur.
Why are Non-Dissolvable Fillers Dangerous? What Are the Side Effects?
While non-dissolvable fillers may seem like a cost-effective, long-lasting solution, their permanence can make them a risky choice. Over time, the body may react to these foreign materials in unpredictable ways.
Here are some of the most common side effects associated with these fillers:
Infections & Granulomas
Since these fillers are foreign materials, the body may attempt to isolate them, causing granulomas—lumps of inflamed tissue that can become painful and unsightly. Infections can also occur, and when they do, treating them can be challenging because the filler material cannot be broken down or absorbed by the body.

Hardening & Asymmetry
Over time, some non-dissolvable fillers harden, leading to an unnatural, stiff appearance. Additionally, the filler can cause asymmetry, making your face look uneven or distorted, especially as your natural tissues age around the filler.

Filler Migration
Non-dissolvable fillers are notorious for migrating away from the original injection site. Imagine getting cheek fillers only to find the filler has traveled, creating unsightly lumps in nearby areas such as the jawline or under the eyes. Unlike dissolvable fillers, which can be corrected easily with an enzyme, non-dissolvable fillers require invasive methods for correction.

Chronic Swelling &Allergic Reactions
Some patients experience chronic swelling or allergic reactions years after their filler treatment, even if the initial procedure went well. This delayed reaction can lead to discomfort, inflammation, and the need for surgical intervention.
How to Remove Non-Dissolvable Filler: What Are Your Options?
The permanence of non-dissolvable fillers doesn’t mean you have to live with the consequences forever. If you’re experiencing complications or regret your choice of filler, there are removal options available. The right removal method depends on the type of filler used.
Incision-Based Method for Polyacrylamide Fillers
Polyacrylamide fillers often require surgical removal through an incision. A small cut is made near the injection site, and the filler is carefully removed. This method is highly effective but more invasive, and scarring is a potential risk. However, for fillers like polyacrylamide, there are few alternatives since they are thick and difficult to extract.

Non-Incisive Liposuction for Radiesse & Sculptra
For Radiesse and Sculptra, a non-invasive method like filler liposuction may be a better option. This technique involves using tiny cannulas to suction out the filler without the need for large incisions.
In Fresh Clinic we use Ultrasound assistance system as well, to reduce risks of damaging surounding tissues and nerves.
Recovery time is faster, and the risk of scarring is minimized. However, not all cases are suitable for liposuction, so a consultation with a specialist is essential.

Note: It’s crucial to consult a qualified surgeon, like Dr.Hong, for filler removal, as improper techniques can worsen the situation, leading to further complications like infections or tissue damage.
Safer Alternatives to Non-Dissolvable Fillers
If you’re looking for more predictable, reversible options for facial rejuvenation or volume enhancement, here are two safe and effective alternatives to non-dissolvable fillers.
Fat Transfer
Fat transfer, also known as autologous fat grafting, involves taking fat from your own body (typically from areas like the abdomen or thighs) and injecting it into areas that need volume.

Because it uses your natural tissue, there is a minimal risk of adverse reactions, and the results are both natural-looking and long-lasting. Additionally, fat transfer offers the bonus of body contouring in the areas where fat is harvested.
Hyaluronic Acid (HA) Fillers
Hyaluronic acid fillers, such as Juvederm and Restylane, are a popular choice due to their safety and reversibility. If the results aren’t to your liking or complications occur, an enzyme called hyaluronidase can be injected to dissolve the filler within days.

HA fillers also integrate well with your natural tissues, making them a versatile option for both subtle and dramatic enhancements.
Conclusion: The Smart Choice for Your Aesthetic Goals
While non-dissolvable fillers may offer long-term results, the potential for complications makes them a risky option. If you’re experiencing side effects or looking for safer ways to enhance your appearance, consider alternatives like fat transfer or hyaluronic acid fillers. Always consult with a qualified specialist to find the best treatment plan for your unique needs.
Need to Remove a Non-Dissolvable Filler?
If you’ve received a non-dissolvable filler and are experiencing unwanted effects, our clinic specializes in safe, effective filler removal. Book a consultation today to explore your options and restore your natural beauty