Can hyaluronidase cause permanent nerve damage or paralysis when injected into the lips?

Hi. Thank you for your question. There appears to be swelling in your photos, and it can take a few days to settle. Also, several sessions are needed to fully dissolve the residual filler. 

Fillers ALWAYS respond to hyaluronidase.  IF there is still swelling after that then RF treatments are needed to improve the lymphatic flow of that area and antibiotics are needed to decrease internal inflammation.  Eventually this will burn out unless its a true infection. But if this is just a...

Hi @cmcaulic. I would recommend trying a RF microneedling device like Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin...

Filler complications are common and can cause emotional distress and in some cases, physical deformity. Swelling, lumpiness, and uneven facial volume are just a few of the complications associated with hyaluronic acid fillers. Our office is a global center of excellence for the management of...

Hi. Thank you for your question. It is not likely for Hyaluronidase to migrate to other region of the face and cause volume loss. There might be a temporary natural HA loss but the body replenishes it within few days. Also, having several dissolving sessions with low dose is more ideal.