Recently, the author has seen a lot of news about fake fillers. Some cases require long-term treatment, which makes me think of another thing that always goes together: filler scraping, especially in the chin and nose areas where injections are popular. If you use substandard products or get them injected by a quack doctor, the results may not be as beautiful as you think. Plus, there is a risk of inflammation or deformity. Therefore, filler scraping has become an alternative solution for many people. This article will introduce you to what filler scraping is, does it hurt, and where to get it scraped for the safest and most effective results.
Scrape filler
- What is filler scraping?
- Why do we need to scrape out the filler?
- How is filler scraping different from filler dissolving injections?
- Where can filler be scraped?
- Does filler removal hurt?
- Detailed steps for filler scraping
- Where is a good place to get filler removed?
What is filler scraping?
Filler Scraping is a treatment process for correcting problems caused by complications from substandard filler injections. The medical treatment involves a small surgical opening of the skin. Then, medical instruments are used to scrape and remove the filler. Filler scraping is a treatment method suitable for fillers that are lumpy and hard. Scraping the filler does not remove all of the filler. Only 60-70 % will be removed.
Why do we need to scrape out the filler?
Filler scraping is a surgical procedure that opens the skin to scrape out abnormal fillers. It is suitable for cases where the filler has flowed, moved in the wrong position, or injected in excessive amounts, causing the face to be distorted. It is also used to solve the problem of fake fillers and substandard fillers, because fake fillers contain components such as liquid silicone, vegetable oil, or other synthetic substances, which may cause contamination of dangerous substances or germs, which can cause side effects such as lumps, hardness, inflammation, or fibrosis. In some cases, scraping is required to prepare the skin for new filler injections, in order to achieve a more suitable and safer facial shape.
How is filler scraping different from filler dissolving injections?

| difference | Scrape filler | Filler dissolving injection |
|---|---|---|
| Treatment methods | Open skin surgery using a tool to scrape out the filler. | Inject the enzyme Hyaluronidase (HYAL) to break down the filler. |
| Characteristics of fillers suitable for treatment | Fake fillers or fillers that have formed into hard lumps | Real biodegradable fillers, especially Hyaluronic Acid (HA) |
| Amount that can be removed | Only about 60 – 70% | Depending on the amount of enzyme used and the efficiency of HYAL, it can be almost completely broken down. |
| Speed of results | Results are seen immediately after surgery (but there will be swelling and bruising). | Some results are seen immediately and more noticeable within 1-3 days. |
| Pain/Recovery | It hurts more because you have to have surgery, have wounds, and have to rest. | Less pain, quick recovery, no surgical scars |
| Risk | Risk of infection, scarring or fibrosis | Less risky, but some people may experience an allergic reaction to the enzyme. |
| Use in case | Hard, lumpy fillers or fake fillers that cannot be broken down by Hyaluronidase (HYAL) | Real fillers that need to be partially or completely dissolved |
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Where can filler be scraped?
Filler scraping can be done in many areas on the face, depending on where the filler was injected and where the problem from the filler occurred. The doctor will assess the suitability before surgery. The popular areas where filler can be scraped are as follows:
| position | details |
|---|---|
| Under the eyes | Fix problems of filler flow, filler lumps, or abnormal dark spots/swelling. |
| cheek | The filler is hard or too much has been injected, causing the cheeks to look swollen and disproportionate. |
| Temple | Filler is in the wrong place, causing fluidity or swelling |
| The forehead | Injecting filler into the wrong layer of skin, causing movement or rough skin |
| chin | Fake fillers or hard fillers that distort the shape of the chin |
| nose | Especially in cases where fake fillers are used or injected in the wrong place, causing the nose to look deformed. |
| Lips | Solve the problem of mouth deformity, filler clumping, or mouth that looks thick and swollen abnormally. |
Scraping carries risks such as swelling, bruising, or scarring, so it should only be performed by an experienced specialist.
Does filler removal hurt?
Filler scraping can be painful at times, depending on several factors such as the type of filler injected, the doctor's technique, the anesthesia used, and the individual's sensation.

Detailed steps for filler scraping
- Assessment and diagnosis by a specialist doctor. The doctor will ask about the filler injected, including type, amount, location, and duration of injection, and examine the level of damage or changes to surrounding tissue caused by the filler.
- Preparation before the procedure (patients): Patients must stop taking medications or supplements that affect blood clotting, such as aspirin, ibuprofen, vitamin E, or certain herbs, approximately 2-3 days before the procedure, as well as avoiding alcoholic beverages and cigarettes to reduce the risk of complications and promote better recovery.
- Clean and disinfect the skin. The doctor will thoroughly clean the skin area to prevent infection and inject local anesthesia into the area where the filler is to be scraped so that the patient does not feel pain during the procedure.
- Filler scraping process
- Incision: The doctor will make a small incision in the skin where the filler is located or near the filler to gain access to the filler.
- Filler location identification: The doctor will use his/her technique and expertise to accurately identify the location and extent of the filler lump.
- Scraping: Using appropriate small surgical instruments (such as a scalpel or specialized tool), carefully scrape away any clumped or adhered filler.
- Suture the wound. Clean the wound and suture it meticulously to help the wound heal quickly and reduce scarring.

Where is a good place to get filler removed?
As you know, filler scraping is a procedure that requires surgery and scraping to remove the filler, which requires the expertise and technique of the doctor. Therefore, for safety, you should choose a clinic and hospital with the following characteristics:
- Clinics or medical facilities must have a clear medical facility license and 11-digit license number, and must be able to be verified.
- The medical team must have a medical license or medical license and must have expertise in filler removal treatment.
- Clinics or medical facilities must select equipment that meets standards, is clean, and is always checked for readiness for use.
- The clinic must provide consultation services and be able to answer patients' questions correctly and completely.
- There must be reviews from real users, especially cases related to chin and nose filler scraping.
- The clinic or medical facility must be located in a location that is convenient for travel to facilitate easy treatment.
- The service center must meet standards and have sufficient equipment for treatment for safety.





