Consider consultation with an ENT surgeon

Dan,

I'm sorry to hear that your Aunt had adverse reactions to her treatments. Are you sure that the Restylane is not in the lip and the Newfill is not in the cheek. These would be more likely sites of injection for the materials. Removal of the lip material should be no problem with regard to any major nerve damage. She might lose some sensation in a small area just around the surgery site, but that's about it. To avoid scars on the cheeks she could try an injection of cortisone into the granulomas. Alternatively, depending on what part of the cheek they are in, she might be able to have them removed from inside the mouth.

Granulomas can be removed. The risk depends where they are and at what level the filler was injected. You then have to weigh the risks and benefits of having the granuloma removed versus living with the granuloma. It is hard to commend specifically on your case with you examining you and/or seeing photographs. It would be unusual for a nerve to be involved. Also, using a nerve stimulator does not prevent damage to nerves - it just stimulates the tissue to see if the nerve is in proximity to where you are working.