Medically reviewed by Dr Sin Yong · Last reviewed · 5 min read
Published 5 November 2026 · Reviewed by Dr Sin Yong

Hyaluronic acid filler dissolves; Sculptra, Ellansé, Radiesse and fat grafts do not; HIFU and threads change the layers beneath the skin. Dr Sin Yong scans with ultrasound before anything is corrected, because correcting the wrong layer is how a second problem starts.
Get assessed →Ultrasound shows the product, its depth and whether it is one pocket or several.
Hyaluronidase placed into the filler seen, reviewed before more is given.
Non-dissolvable lumps, overfilled grafts and fat pads are reduced with the Sculpting mode of Time Freeze Laser LCLR®, without an incision.
Suitability is decided at an in-person assessment. No prices are quoted on this page; fees are given in writing after the assessment. Images and video are illustrative, not patients.
When an aesthetic treatment goes wrong, the first question is what was done and where it now sits: hyaluronic acid filler that can usually be dissolved, a collagen stimulator that cannot, heat or ultrasound that has changed the fat under the skin, or a thread beneath the surface. Each guide below covers one treatment: the problems it can cause, what the assessment checks first, and the options, including waiting.
Find the treatment below. Each guide explains the problems it can cause, what is checked first and which options exist.
Correction starts with finding out what was done. The product or device, the amount, the date and the clinic decide what is possible, so bring whatever you know, including photographs from before the treatment.
Where filler or a collagen stimulator is suspected, Dr Sin Yong scans the area with ultrasound to see how deep the product sits, how much there is and whether it is one pocket or several. After HIFU, radiofrequency or threads, the examination looks at skin thickness, the fat beneath it and how the face moves. Some early problems settle as swelling goes down, so waiting is one of the options discussed.

Cutting a lump out leaves a scar and can injure the nerves that move the face, so it is kept for what cannot be managed another way. Hyaluronic acid lumps are dissolved with hyaluronidase placed into the filler seen on the scan. Lumps from Sculptra, Ellansé, Radiesse or Juvelook do not dissolve; Dr Sin Yong treats these with the Sculpting mode of Time Freeze Laser LCLR®, without an incision. The guide to hard lumps after filler explains how the product type is identified.
“Before anything is corrected, I find out what was put in and where it sits. Correcting the wrong layer is how a second problem starts.”
Dr Sin YongOn correcting another clinic’s work
After filler, skin that turns pale, dusky or mottled, or pain that is getting worse, can mean an artery is blocked. That needs the doctor who injected you, or A&E, now; a change in vision or eye pain means calling 995. The warning signs of vascular occlusion and complication care after treatment set out what to do. Fever, spreading redness or pus after a thread lift or filler also needs prompt review.
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