Facial paralysis after filler and Hylenex, what can I do? (photos)

Question

I had filler done over a year ago and wasn’t happy with the results so I had it dissolved with hylenex. My question is about my smile. I can no longer smile and show my teeth. It’s like my lip just won’t move. I kept on getting hylenex because I thought maybe there was more product left over, but nothing changes with more hylenex. What can I do? Thank you. I’ve added a picture to show how much I can smile and that is it.

Michael A. Zadeh, MD, FACS · Answer

I have never heard of this happening after filler or Hyaluronidase. I would suggest you see an experienced physician in your area for an in-person evaluation. Best wishes.

Michael S. Mall, MD · Answer

Thank you for  your photo and question. I would recommend that you go back to the original injector if you trust him or her, and share these concerns. If you do not trust, please see another trusted injector. Sometimes it may take several treatments of the chosen dissolving solution to allow the treated area to revert back to normal.  Best wishes

Jason Emer, MD · Answer

I recommend a formal evaluation with your doctor who will be able to assess your condition. See an expert. Best, Dr. Emer

Johnson C. Lee, MD · Answer

Hylenex and injectable fillers should not affect your ability to smile since they do not directly affect the muscles or nerves involved in smiling. One possibility is that you are having residual swelling or tissue inflammation and this is creating a temporary change in your smile. If this were the case, then you should expect your smile to restore itself as the swelling resolves. It is best to have an in-office evaluation to determine what is the actual cause of your inability to smile like. Hope this helps!
Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Eric T. Carniol, MD · Answer

I am sorry that your experience with filler has been well below what you hoped. I would recommend you see your injector and discuss with her/him your concerns. You should review your pre-injection photos and discuss what are the best treatment options for you. Otherwise, I would recommend seeing a board-certified expert to evaluate you and discuss options as well. I wish you success!

Facial paralysis after filler and Hylenex, what can I do? (photos)

Answers (7)

Answer: Changes to smile

Answer: Changes to smile

Answer: Facial paralysis after filler and Hylenex, what can I do?

Answer: Facial paralysis after filler and Hylenex, what can I do?

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Everything you need to know about Dermal Fillers

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Facial paralysis after filler and Hylenex, what can I do? (photos)

Answers (7)

Answer: Changes to smile

Answer: Changes to smile

Answer: Facial paralysis after filler and Hylenex, what can I do?

Answer: Facial paralysis after filler and Hylenex, what can I do?

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.