When Filler Doesn’t Go Quite as Planned
Filler can be a versatile option. It adds volume, softens wrinkles, and helps you maintain a more youthful appearance without surgery. But sometimes the results don’t feel quite right. Maybe the shape is off, your facial contours look too full, or the filler migrated over time. Fortunately, this is a simple fix, especially when done by an expert team that knows how to work with all types of dermal fillers.
At Franklin Skin and Laser in Franklin, filler removal is a precise, low-downtime treatment. With ultrasound-guided imaging and a personalized treatment plan, we can safely dissolve or adjust filler performed by an outside practice to bring your features back into balance. Dr. Steven Bengelsdorf and our nurse, Carmen, are both highly trained and focus on delivering natural results with care and expertise. They take time to explain everything and won’t pressure you into unnecessary treatments.
Ultrasound‑Assisted Filler Removal at Franklin Skin and Laser
Ultrasound-assisted filler removal allows us to see exactly where the filler is, especially in delicate or complex injection sites like the under-eyes, nasolabial folds, or marionette lines. Dr. Bengelsdorf brings over 18 years of experience as a board-certified surgeon and has an in-depth understanding of facial anatomy, filler treatment protocols, and injectable substances like hyaluronic acid, poly-L-lactic acid, and calcium hydroxylapatite.
This level of precision helps us target specific concerns while preserving your natural beauty. Whether you're located in Franklin or nearby Cool Springs, our facility offers a private, well-equipped environment where you can feel confident about your care.
What Is Filler Removal?
Filler removal typically uses hyaluronidase, an enzyme that breaks down hyaluronic acid fillers, the most common type used in aesthetic medicine. Hyaluronic acid is a naturally occurring substance in the body, which makes it easier to dissolve when needed. Using ultrasound, we can guide the process with greater accuracy, especially in areas with thinner skin or close to facial nerves.
In some cases, patients have received non-HA fillers such as poly-L-lactic acid or calcium hydroxylapatite. These require a different approach, and we’ll go over that during your consultation. Either way, the goal is the same: restore lost volume thoughtfully, support smoother skin, and help you reach your desired outcome without compromising facial features.
Filler Removal Benefits
Filler removal isn’t just about undoing something. It’s a way to fine-tune your results and feel more aligned with how you want to look. Many patients choose this treatment when they want to improve facial symmetry, soften certain lines and wrinkles, or prep for a new treatment plan. Here’s what makes this option a good fit for so many.
What Areas Can Be Treated with Filler Removal?
The most common areas treated include the lips, cheeks, tear troughs, and jawline. We also frequently address filler around the nasolabial folds, marionette lines, and chin, places where lost volume can throw off balance or create stiffness during dynamic facial movements. Because we use ultrasound, we’re able to treat specific concerns without affecting areas that are still giving you good results. This technique minimizes risk and helps us focus treatment exactly where it’s needed.
Who’s a Good Candidate for Filler Removal?
Many patients seek filler removal after noticing volume loss in places where filler has shifted, or if their facial features no longer feel natural. If you've had a filler treatment that didn’t turn out the way you hoped, or if you’re ready to start fresh, you may be a good candidate. We’ll talk through your treatment history, review any filler types previously used, and evaluate how your skin is responding. Individual factors like age, metabolism, and the injection sites all play a role in how we design your personalized treatment plan.
What Issues Can Filler Removal Address?
This treatment is commonly used to dissolve filler that’s become lumpy, created asymmetry, or migrated beyond the original treatment area. Some patients find that certain areas, like under the eyes or around the mouth, just didn’t respond well to filler. Others experience skin changes or stiffness in high-movement areas like smile lines or cheeks. Filler removal can also help correct unnatural facial contours or restore volume in a more targeted way. Whether you're looking to correct past cosmetic concerns or make space for a new approach, removal is a safe step toward more refined results.
Consultation and Preparation
Your consultation is focused on understanding what’s not working and what you're hoping to see instead. We’ll use ultrasound to locate filler deposits, discuss your aesthetic goals, and explain how the treatment works. You may need to avoid blood thinners, alcohol, or certain supplements ahead of time to minimize swelling and bruising. No major prep is needed, and the visit is relaxed, informative, and focused on your comfort.
Results, Recovery, and Aftercare
Filler removal results are often visible immediately, although you might notice even more improvements once the swelling subsides. Most patients experience minimal downtime, typically just a bit of redness or puffiness that fades within a couple of days. You’ll get aftercare guidance to support healing, like avoiding heavy sun exposure and pausing workouts for a short time. Once your skin settles, we’ll talk about your next steps, whether that means re-injecting with a different product, stimulating collagen production, or simply enjoying a refreshed appearance.
How Much Does Filler Removal Cost?
Costs vary depending on the filler type, treatment area, and whether you’re combining removal with other injectable treatments. Your quote will include everything: provider time, ultrasound guidance, the dissolving enzyme, and your post-treatment check-in. We’ll walk you through all the pricing details before we begin. No pressure, no guessing, just straightforward answers based on your goals.
Why Choose Franklin Skin and Laser?
At Franklin Skin and Laser, our philosophy is simple: provide expert care using modern tools, in a space where you feel heard. We use techniques that are backed by experience and science, not trends. Our team focuses on natural-looking results, personalized care, and delivering exceptional results without overdoing it. Whether we’re adjusting a filler treatment from another or helping you build a new aesthetic plan, we work carefully, precisely, and with your long-term outcome in mind. Many patients come to us after trying other providers because they’re looking for refined results that enhance comfort and maintain the natural beauty of their features.
Visit Franklin Skin and Laser to Learn More About Filler Removal Today
We’re here to help you feel confident in every step of your treatment plan, whether that means starting fresh or simply refining what’s already there. Call us at (615) 595-8177 or use our online form to schedule your appointment today.
Risks are low, mostly mild swelling or tenderness around the treatment area. These effects usually fade in a few days.
Discomfort is minimal. We use numbing cream to enhance comfort during the procedure.
Minimal downtime is typical. Most patients return to regular activities within 24 to 48 hours.
Yes, depending on your aesthetic goals. Filler removal can be followed by facial rejuvenation treatments, collagen stimulation, or future filler plans.
It’s often needed when results no longer support your facial anatomy, create cosmetic concerns, or interfere with dynamic facial movements.
Experience the artistry of aesthetic innovation at Franklin Skin and Laser. Our team of skilled professionals is dedicated to helping you unlock your true beauty and embrace your confidence like never before. Whether you seek flawless skin, sculpted contours, or the removal of unwanted tattoos, we are here to exceed your expectations. Take the first step today and schedule a consultation with our experts. Let us craft a personalized plan tailored to your unique needs, so you can embark on a path to radiance. Contact us now to rewrite your beauty story with Franklin Skin and Laser.
