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Tansavatdi Facial Plastic & Reconstructive Surgery
805.243.0640

Restoring Confidence by Redefining Filler Correction

As a double board-certified facial plastic and reconstructive surgeon specializing exclusively in the face and neck, Dr. Kristina Tansavatdi combines advanced imaging with surgical-level anatomical knowledge to dissolve filler safely and precisely. By integrating the Clarius high-resolution ultrasound system, we can visualize filler placement in real-time, avoid critical vessels, and deliver targeted treatment that restores smooth, natural facial balance.

How Does Clarius Ultrasound-Guided Filler Dissolving Work?

Ultrasound-guided filler dissolving utilizes a Clarius high-frequency ultrasound device to precisely visualize the location of dermal filler beneath the skin before treatment. This handheld imaging system emits 15–20 MHz sound waves that safely capture detailed, real-time views of soft tissue, blood vessels, and filler placement.

Here’s how the process works:

  • Visualization: The ultrasound identifies the precise location and depth of filler deposits, as well as nearby vascular structures.
  • Targeted Dissolution: Once mapped, hyaluronidase—an enzyme that naturally breaks down hyaluronic acid—is injected directly into the filler pocket, converting it into harmless byproducts that the body absorbs.
  • Verification: Ultrasound imaging immediately confirms that the filler has been fully dissolved while surrounding tissues remain unaffected.

By replacing guesswork with guided precision, this technology dramatically reduces the risks associated with blind injections.

How Does Clarius Ultrasound-Guided Filler Dissolving Work?

Ultrasound-guided filler dissolving utilizes a Clarius high-frequency ultrasound device to precisely visualize the location of dermal filler beneath the skin before treatment. This handheld imaging system emits 15–20 MHz sound waves that safely capture detailed, real-time views of soft tissue, blood vessels, and filler placement.

Here’s how the process works:

  • Visualization: The ultrasound identifies the precise location and depth of filler deposits, as well as nearby vascular structures.
  • Targeted Dissolution: Once mapped, hyaluronidase—an enzyme that naturally breaks down hyaluronic acid—is injected directly into the filler pocket, converting it into harmless byproducts that the body absorbs.
  • Verification: Ultrasound imaging immediately confirms that the filler has been fully dissolved while surrounding tissues remain unaffected.

By replacing guesswork with guided precision, this technology dramatically reduces the risks associated with blind injections.

Filler Dissolving Options

  • Partial Dissolution: Refinement of localized irregularities without removing all filler.
  • Full Dissolution: Complete removal of hyaluronic acid filler for aesthetic reset or correction of migration.
  • Emergency Dissolution: Rapid enzyme-guided intervention for vascular occlusion or ischemia—performed immediately under ultrasound guidance to restore blood flow.

Benefits of Ultrasound-Guided Filler Dissolving

  • Greater diagnostic insight: Real-time imaging allows Dr. Tansavatdi to assess the depth, type, and quantity of existing filler before treatment—crucial for patients uncertain about past injections.
  • Tailored correction: Each hyaluronidase injection is customized to dissolve only the necessary volume, preserving facial balance and desired structure.
  • Comprehensive visualization: By viewing vascular pathways and filler distribution simultaneously, ultrasound minimizes the risk of inadvertent vessel contact and uneven results.
  • Real-time refinement: The ability to monitor enzymatic response on-screen ensures immediate verification of results before the session ends.
  • Comfort-focused care: Imaging-guided precision typically reduces the amount of enzyme and needle passes required, resulting in less post-treatment swelling or tenderness.
  • Confidence in outcomes: Knowing exactly where and how correction occurs reassures patients that their results are deliberate, not left to chance.

Are You a Good Candidate for Ultrasound-Guided Filler Dissolving?

You may benefit from this treatment if you:

  • Have visible or palpable filler irregularities, asymmetry, or overcorrection
  • Experience delayed-onset swelling, nodules, or vascular compromise
  • Have migrated or misplaced filler that distorts natural anatomy
  • Are uncertain which product was used or where it was placed—ultrasound can identify both location and filler type
  • Have intact skin and no active infection in the treatment area
Tansavatdi Facial Plastic Surgery

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Why Choose Tansavatdi Facial Plastic Surgery?

At Tansavatdi Facial Plastic Surgery, each procedure is directly supervised by Dr. Kristina Tansavatdi, a double board-certified facial plastic and reconstructive surgeon with over 15 years of experience dedicated solely to the face and neck. Her expertise in facial anatomy, vascular mapping, and non-surgical rejuvenation ensures every treatment is both safe and aesthetically refined.

As Ventura County’s only female facial plastic surgeon, Dr. Tansavatdi brings a distinct perspective and commitment to facial harmony and patient safety. Her exclusive focus on facial procedures allows her to approach filler correction by maintaining a delicate balance between structure, proportion, and natural movement.

Most importantly, our approach is patient-first in every sense. Every patient is empowered with clear information and personalized recommendations, ensuring confidence in both the process and the outcome.

Dr. Tansavatdi| Thousand Oaks plastic Surgeon

What to Expect Before, During, and After

Consultation

  • We begin with a comprehensive facial analysis and ultrasound scan to locate filler placement and determine whether partial or complete dissolution is needed
  • Costs vary based on treatment complexity and the amount of hyaluronidase used
  • Transparent pricing and CareCredit financing options are available

Procedure

  • Topical or local numbing is applied to ensure comfort
  • Clarius™ ultrasound imaging maps filler deposits and vascular structures
  • Targeted hyaluronidase injections are administered under real-time visualization
  • Ultrasound verification confirms accurate dissolution

Recovery & Results

  • Mild redness or swelling may occur for 24–48 hours
  • Most patients notice improved contour immediately, with continued refinement as swelling resolves
  • A follow-up ultrasound may be performed to verify full correction

You Deserve Clarity and Care

When filler results don’t feel quite right, the solution shouldn’t be guesswork. With Clarius™ ultrasound guidance, Dr. Kristina Tansavatdi brings transparency and control to every step in pursuit of naturally beautiful correction. Schedule your private consultation today to experience the next level of expertise in facial rejuvenation and filler management.

FAQs

How do I know if I actually need filler dissolved?

Not all irregularities require full dissolution. During your consultation, Dr. Tansavatdi performs an ultrasound scan to assess the amount, location, and type of filler present. In many cases, subtle refinement or partial correction can restore balance without removing all volume.

Can ultrasound detect all types of filler?

High-frequency ultrasound (15–20 MHz) can reliably visualize most hyaluronic acid–based fillers and identify their depth and distribution within facial tissue. It also helps differentiate these products from other materials, such as scar tissue or swelling, which is essential for safe and precise correction.

What enzyme is used to dissolve filler, and how does it work?

The procedure uses hyaluronidase, a naturally occurring enzyme that breaks down hyaluronic acid, the main ingredient in most modern dermal fillers. Once injected into the targeted area, it converts the filler into smaller molecules that the body safely absorbs and eliminates.

Is the treatment painful?

Most patients find the process very tolerable. A topical numbing cream or local anesthetic is applied before treatment, and real-time ultrasound guidance minimizes the number of injection passes, reducing discomfort and swelling.

Can I receive new filler after dissolving?

Yes. After the tissue has fully settled and any enzyme activity has subsided—usually within 1–2 weeks—new filler can be placed, ideally under ultrasound guidance for precise and safe enhancement.

Are there any risks or side effects?

While ultrasound guidance improves safety, all injectable treatments carry some level of risk. Possible side effects include temporary redness, swelling, bruising, or mild tenderness. Rarely, allergic reactions to hyaluronidase or uneven dissolution may occur. These risks are minimized through careful imaging, sterile technique, and direct physician oversight.

What makes ultrasound guidance safer than traditional 'blind' dissolving?

Traditional dissolving relies on palpation and estimation. Ultrasound replaces guesswork with real-time visualization, allowing Dr. Tansavatdi to see the filler, avoid blood vessels, and confirm complete correction—significantly reducing the risk of vascular injury or incomplete results.

How do I prepare for my appointment?

Avoid blood-thinning medications and alcohol for 24 hours before treatment, and arrive with clean skin. If you have a history of allergies, cold sores, or prior vascular complications, inform the team in advance so that your care plan can be personalized accordingly.

Sources

WEBINAR Ultrasound in Facial Aesthetics: Vascular Mapping, Evaluating Fillers and Complications
Ultrasound to improve the safety of hyaluronic acid filler treatments - PubMed
11. High-resolution Ultrasound Mapping Of The Facial Artery At The Mandible And Nasolabial Fold To Prevent Filler-related Complications - PMC



Management of Complications Caused by Permanent Fillers in the Face: A Treatment Algorithm - PubMed
Complications of fillers in the lips and perioral area: Prevention, assessment, and management focusing on ultrasound guidance - PubMed

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*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only, and does not replace the need for a formal consultation with a plastic and reconstructive surgeon before undergoing a surgical procedure or skin care treatment.

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