Treatment deep dives Sep 1, 2026 · 3 min read

Dermal fillers: how long they last and whether they’re reversible

Questions about contouring are rarely about how it works—they are about what happens if you don’t like it. Here is what patients ask most at consultations: how long the result lasts, whether the injections hurt, and what to do if you want to undo it

Contouring comes with plenty of worry attached: “will I look like myself,” “what if I don’t like it,” and “how often will I need to repeat this.” Here are the answers patients ask for most—at the consultation and before it.

What contouring actually restores

With age, the face loses volume more than it loses skin: fat pads shift downward, the bone structure thins, and the oval starts to drift. Contouring restores that support with a hyaluronic-acid filler. The goal isn’t to add volume beyond your own—it’s to bring back what was there: the cheekbones, the jawline, filling in tear-trough hollows and nasolabial folds.

How the treatment goes

  • Facial structure assessment—the doctor identifies which areas actually need correction
  • Topical numbing—removes most of the discomfort before injection
  • Filler injected with a needle or cannula—cannula from ₽1,000, chosen by the doctor for the area
  • The whole treatment takes about an hour

Mild swelling and small bruises in the first few days are normal, not a complication. Swelling settles in 2–3 days; the face reaches its final shape at around two weeks.

How long it lasts, and what that depends on

On average, the effect lasts 9–12 months. It isn’t a fixed number: filler in more mobile areas—lips, for example—breaks down faster than in static ones, and metabolic rate varies from person to person, with hyaluronic acid degrading faster for some. Your doctor gives an exact estimate at the consultation, based on the product and area chosen.

If you don’t like the result—it’s reversible

This is one of the key advantages hyaluronic-acid fillers have over other volumizing methods: they can be dissolved. At the clinic this is done with an enzyme treatment, from ₽7,500. It removes the injected filler if the result wasn’t what you expected, or if your preferences have changed.

Who it suits

Patients who want their face to look refreshed, with more harmonious proportions, without surgery: for volume loss in the midface, a pronounced tear trough or nasolabial folds, a blurred oval, or a weak jawline. The final plan is built for your face, in person, at the consultation.

Common questions

How long do dermal fillers last?

On average, 9–12 months. The exact span depends on the product, the area—filler in more mobile areas breaks down faster—and your metabolism, since hyaluronic acid degrades at different rates from person to person. Your doctor gives an exact estimate for your case at the consultation, not before.

When do you see the result?

Volume is visible right after injection—but that’s not the final picture yet: swelling builds up over the first few days and can slightly distort the shape. It’s worth judging the result at the two-week mark, once swelling has fully settled and the filler has integrated into the tissue.

Does it hurt?

A topical numbing cream is applied before the treatment, so most of the discomfort is removed. Filler is injected with a needle or a cannula—a blunt-tipped cannula causes less tissue trauma, and the doctor chooses the tool for the specific area. The treatment itself takes about an hour.

Will my face look “different”?

The clinic’s principle is to restore your own volume, not build a new face. The doctor assesses the whole facial structure—where volume has actually been lost and what is pulling the oval down—and works on those points rather than filling everything. If a request goes beyond a natural-looking result, that’s discussed before the treatment, not after.

Is it reversible if I don’t like the result?

Yes. Hyaluronic-acid fillers dissolve with a specific enzyme treatment (from ₽7,500 at the clinic). This is one of the key advantages hyaluronic-acid fillers have over other volumizing methods: the result can be adjusted or fully undone.

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An article is no substitute for diagnostics

Your doctor will assess your skin and build a protocol around your goal—more precise than any general advice