Bad filler from another clinic. Lumps you can feel. Migration that's changed your face. PH Med is the only practice in The Heights that maps your existing filler with diagnostic ultrasound — and dissolves only what needs to go.
Book a dissolving consultationHyaluronic acid filler doesn't always stay where it was placed. It migrates with facial movement, gravity, and time. It pools in tear troughs years after a cheek injection. It blurs lip borders. It accumulates in places the original injector couldn't see — and the patient feels lumps, swelling, or distortion that wasn't there the day after treatment.
When patients come in to have this filler dissolved, most practices inject hyaluronidase blindly. They guess where the product is, inject in that general area, and hope the enzyme finds it. The result is often worse than the starting point — over-dissolved native tissue, partial resolution, deflation, and a face that's lost structural support along with the filler.
This is the problem PH Med was built to solve. Dr. Bui doesn't guess where the filler is. She sees it.
Before any dissolving begins, Dr. Bui images every region of your face where filler may sit. She maps the depth, location, volume, and migration patterns of every pocket of product — including filler from injections you may have forgotten about.
With the ultrasound transducer in her other hand, Dr. Bui guides the dissolving enzyme directly into each pocket of filler she wants to remove. Adjacent tissue is preserved. Native structure stays intact.
Not every old filler placement is bad. Sometimes the migration is the issue and the original injection was fine. Image-guided dissolving lets us remove only the problem areas — preserving the work that's still serving you.
Re-imaging at 2 weeks and 6 weeks confirms complete resolution. New filler placement isn't scheduled until your anatomy is verified clean — which protects you from layering new product on top of old.
Hyaluronidase, the enzyme used to dissolve hyaluronic acid filler, also affects native hyaluronic acid in your tissue. Inject too much in the wrong place and you can over-dissolve healthy structure — causing temporary deflation that takes months to recover.
The PH Med protocol — diagnostic ultrasound mapping before, image-guided placement during, and re-imaging follow-up — is specifically designed to minimize that risk. Dr. Bui's 1,400+ ultrasound-guided procedures include hundreds of dissolving cases. Zero vascular events. Zero cases of permanent over-dissolving.
If you've been told elsewhere that dissolving is risky, the practitioner was telling you the truth about blind dissolving. Image-guided dissolving is a different procedure with a different safety profile.
Blind dissolving is the cause of most botched dissolving outcomes — over-dissolving native tissue, missing migrated product, destroying adjacent structures the practitioner couldn't see. Ultrasound shows the exact location, depth, and volume of every pocket of filler. Dr. Bui dissolves only what needs to go.
Yes — migrated filler is one of the most common reasons patients come to PH Med. Common migration sites include the tear trough, lip border, and cheek-to-jowl transition. Ultrasound identifies exactly where the product has moved and targets only that.
Most hyaluronic acid filler dissolves within 24–72 hours of hyaluronidase administration. Older, more cross-linked products may require a follow-up session. PH Med re-images at 2 and 6 weeks to confirm complete resolution before new treatment is placed.
The discomfort is comparable to receiving filler. Topical anesthetic is used. Most patients report the dissolving session was easier than the original injections.
Pricing depends on how much filler needs to be removed and how many sessions are required. Single-area dissolving at PH Med starts at $650. Comprehensive whole-face mapping and multi-region dissolving ranges $1,400–$2,800. Every quote is confirmed during consultation after the ultrasound map.
This is exactly the patient PH Med is built for. Bring photos of how you looked before, current photos, and any records from the previous clinic. The consultation includes a full ultrasound map of existing product, an honest assessment of what's salvageable, and a clear plan.
No. PH Med protocol is to dissolve, re-image to confirm resolution, and then place new filler in a separate session — typically 6+ weeks later. This protects you from layering new product on residual old product, which is the cause of many of the cases we end up correcting.
Image-guided dissolving is significantly safer than blind dissolving. Hyaluronidase also affects native hyaluronic acid in your tissue, so misplaced injection can over-dissolve healthy structure. The ultrasound protocol exists specifically to minimize that risk. Dr. Bui has performed hundreds of image-guided dissolving cases with zero vascular events.
If your filler looks wrong, feels wrong, or just isn't you anymore — the first step is a consultation with full ultrasound mapping. We'll show you exactly what's there and what's worth dissolving.
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