key facts




10-20 minutes


(SCALE 1-10)






€ 390.-
Initial consultation for new patients: € 70


Advance transfer, cash or card payment possible. When paying by credit card, 3% expenses are incurred.



Dr. Rolf Bartsch theaesthetics

Hylase – Hyaluronidase

Do you want a normal lip shape, without nubs, bulges or pain?

Our solution: Hylase to dissolve hyaluronic acid in the lip or other places on the face.




You can reach us for an appointment for an initial consultation in various ways:

You are welcome to contact us by phone: 01 353 55 55 or use our contact form. Please note that the next online appointment is not necessarily the next free appointment, please call us if there is no suitable online appointment available.

Undo lip injection

Injections with hyaluronic acid have become very common in recent years. In addition to corrections to the temples, cheeks, cheekbones or chin, “spraying the lips with hyaluronic acid” has become a very common treatment. Injections with hyaluronic acid are usually uncomplicated, but in rare cases problems can arise. A distinction is made between short-term and long-term problems after hyaluronic acid injections:

SHORT-TERM PROBLEMS after HYALURON injections – these occur a few hours after the injection

  • Bruising – hematoma
  • Swelling
  • Pain
  • Dislocation – Filler has “slipped”
  • Vascular occlusion

LONG-TERM PROBLEMS after HYALURON injections – these occur weeks to years after the injection.

  • Swelling and knot formation
  • Granulomas
  • Dislocation – Filler has “slipped”

Short-term problem – bruising

Bruising and bruising after injections cannot be ruled out 100%. It is important that the patient has not taken any blood-thinning medication. In addition to the long-term medication necessary to thin the blood, medication containing acetylsalicylic acid should be avoided at least 10 days before treatment.

Most bruises and hematomas are caused by treatment with needles. For this reason, we have been using techniques with blunt needles – so-called cannulas – for many years. As a result, bruises can be avoided better and downtimes can usually no longer be expected after a filler treatment.

If there is a bruise after all, creams containing heparin can help.

Short-term problem – swelling and pain

Both swelling and pain are closely related to bleeding under the skin. If these are prevented, swelling and pain after hyaluronic treatments are also rare. High-quality products also no longer have the typical behavior of storing water in the body, which means that swellings can also be expected. Modern hyaluronic acid products from well-known manufacturers also contain a lidocaine powder, which means that the treatment can often be almost painless.

Short-term problem – dislocation – the filler has “slipped”

If hyaluronic acid is injected into the mucous membrane instead of into the lip body, this can lead to lumps, lumps, bumps and, above all, pain. There is also the possibility that the result of a previous treatment may not correspond to the patient’s request. With a substance called hylase, it is possible to dissolve the gel – if it is hyaluronic acid – regardless of the manufacturer.

Short-term problem – vascular occlusion

This complication requires a professional approach by a competent doctor or by a specialist department of a clinic. The signs of vascular occlusion can often be mistaken for bruising. The area of the skin looks marbled and there is often pain in the affected area.

In the worst case, the filler that was injected into the vessel can also migrate to the vessel that supplies the retina. Unfortunately, there are more and more cases of blindness after filler injections. This serious complication has to be treated in a specialist ophthalmology department, since in addition to blood-thinning medication, especially hylase must be injected behind the eyeball.

As a doctor, I have to fear my complications for my patients every day? The answer is “no”. With careful handling of the products, knowledge of the anatomy and a lot of experience, this complication is very, very rare.

Long-term problem – swelling and knot formation

Have you had filler treatment a few weeks and months ago and are new swellings and lumps forming?

If everything was fine initially after the treatment and suddenly new swellings and lumps appear, this can be a delayed T-cell reaction. This is an immune response that is often caused by banal infections from other viruses such as. Flu viruses can be triggered. Some fillers are more prone to these reactions.

The first measure in this case is less hylase, but rather a combination treatment of cortisone and an antihistamine.

Langfristiges Problem – Granulome

Granulome sind schmerzhafte Knoten nach Fillerbehandlungen sie an Größe zunehmen und sich verändern. Diese seltenen Komplikationen sind mit modernen Fillern Gott sei Dank selten geworden. Sollte es sich um ein Granulom handeln, ist oft nur die chirurgische Entfernung die Lösung für das Problem

Long-term problem – dislocation – the filler has “slipped”

One of the reasons why the Austrian Society for Plastic, Reconstructive and Aesthetic Surgery fought many years ago for a ban on permanent fillers is that they mostly cause problems through “dislocation”. A filler that has been sprayed in the right place today can also be in the wrong place in 5 years if the technology is correct. The aging process changes the volume and consistency of the tissue. As a result, permanent fillers can no longer be in the right place and you have the feeling that the filler has slipped.

What is hylase?

Hylase, also called hyaluronidase, is an enzyme for dissolving hyaluronic acid. The product converts the cross-linked hyaluronic acid into a liquid, water-like mass. Used by experienced doctors, it can correct problems such as bulges, bumps and general “over-splashing” after treatment with hyaluronic acid

What happens during hylase treatment?

Hylase treatment is carried out with a very thin needle, which is injected directly into the hyaluronic acid product. The hyaluronic acid dissolves within a few hours. Depending on the treatment region, the puncture can be more or less painful. If e.g. Treated in the lip may be slightly larger in the short term.

How much does a Hylase treatment cost?

Hylase is marketed in ampoules in powder form. Different concentrations – such as 150mg, 300mg or 1,500mg – have to be diluted differently. Up to 150-300mg can be used per treatment. The cost of a treatment at theaesthetics is € 390.-

Experience is particularly important with this treatment, as Hylase dissolves all hyaluronic acid, including the body’s own. Therefore the dosage and the exact application have to be determined exactly.

Does Hylase also dissolve the body’s own hyaluron?

Hylase is a very potent agent that should only be dosed carefully by an experienced doctor. This enzyme is also able to dissolve the body’s own hyaluron – but since there is a constant and natural build-up and breakdown of hylauronic acid every day, the balance is found again.


  • Diese Patientin hat seit einer Unterspritzung der Tränenrinne eine Schwellung und Wulstbildung. Gerade Unterlider sind eine heikle Region für die Unterspritzung. Dies ist der Grund warum die Behandlung mit Hylase hier erfahrenen Behandlern vorbehalten ist. Das Foto zeigt ein vorher nachher Ergebnis nach 2 Behandlungen mit Hylase im Abstand von einer Woche.

    Breast augmentation


Dr. Rolf Bartsch

Again and again I have patients who want to correct their lips with Hylase and want to reverse unwanted side effects of a treatment. If the hyaluronic acid is not ideally placed or the result is different than desired, in most cases this can be resolved with hylase.

Yes, I wanted more lip volume, but after my lip injection with hyaluronic acid, my lips were misshapen, bulky, and nubs formed. I felt very uncomfortable and wished I had never had this treatment. Thank goodness my lips after the Hylase treatment with Dr. Rolf Bartsch back to normal.


Why Dr. Bartsch?

We always say: “the gut feeling must be right”. Let your instinct guide you. But there are some hard facts that can help you make a decision:

  • Experience: Dr. Rolf Bartsch is considered a specialist in the field of body shaping. He has already performed more than 1000 liposuctions with the Vaser technology, works on the 4D concept and now also achieves nice results in Body Contouring with Cool Plasma / Renuvium.
  • Safety: through a professional team, anesthetic outpatient clinic and a specialized clinic
  • Availability: Dr. med. Rolf Bartsch can be reached 24 hours a day via messenger at +4369911222000.

key facts




10-20 Minuten


(SKALA 1-10)






Erstgespräch für neue Patienten: 50 €


Vorab-Überweisung, Bar- oder Kartenzahlung möglich. Bei Zahlung mit Kreditkarte fallen 3% Spesen an.



Dr. Rolf Bartsch theaesthetics