pillow face
pbserum experts | 18 June 2025

Dermal Filler Overuse: How to Correct “Pillow Face” and “Puffy Lips” with Hyaluronidase

What Is Dermal Filler Overuse and How Does It Affect Your Appearance?

Hyaluronic acid dermal fillers have become a popular solution to rejuvenate the face and enhance volume in areas like lips and cheeks. However, when used excessively, they can lead to undesirable effects such as “Pillow Face” and “Puffy Lips”.

What Causes Pillow Face?

Pillow Face occurs when excessive filler is injected, creating an unnatural, bloated appearance that disrupts facial balance and symmetry.

What Are Puffy Lips?

Puffy Lips happen when too much volume is added to the lips, often distorting their natural contour and limiting movement, resulting in an exaggerated or artificial look.

Main Causes of Hyaluronic Acid Overfilling

  1. Overcorrection by the practitioner
  2. Lack of clear communication between doctor and patient
  3. Unrealistic expectations or pressure to “see results”
  4. Repeated sessions without proper assessment intervals

What Are the Risks of Dermal Filler Overuse?

Besides the obvious aesthetic concerns, filler overuse can also lead to:

  • Blood vessel compression (rare but serious)
  • Formation of lumps or nodules
  • Product migration to unintended areas
  • Facial asymmetries

This is why hyaluronidase becomes essential as a reliable solution to reverse the effects safely.

Hyaluronidase: The Best Treatment for Correcting Dermal Filler Overuse

What Is Hyaluronidase?

Hyaluronidase is an enzyme that breaks down hyaluronic acid in a controlled and selective manner. Injected into overfilled areas, it helps dissolve excess product and restore facial harmony.

Key Benefits of Hyaluronidase in Aesthetic Treatments

  • Quickly corrects overfilling and restores natural contours
  • Eliminates filler lumps and reduces inflammation
  • Improves local circulation
  • Allows for targeted correction without affecting desired results in other areas

When Is Hyaluronidase Recommended?

  • Overfilled lips, cheeks, chin, or under-eye areas
  • Artificial or unbalanced results
  • Complications such as nodules or swelling
  • Starting fresh before a new treatment

Is Hyaluronidase Safe?

Absolutely — when administered by a trained medical professional. The correct application of hyaluronidase requires deep knowledge of facial anatomy and filler properties to ensure safe, precise, and effective results.

Conclusion: In Aesthetic Medicine, Less Is More

Hyaluronic acid fillers can provide beautiful, natural-looking results — when used in moderation. When overuse compromises facial harmony, hyaluronidase is the ideal solution to reverse the outcome, restoring authenticity and balance.

Choosing to correct is not a setback — it’s a smart move toward a more refined aesthetic. The real success in cosmetic treatments lies in respecting facial proportion, harmony, and individuality.onía y la individualidad de cada rostro.