Strange bluish permanent bruise after filler - how do I get rid of it? (Photo)

Hi @Honest9383. I recommend trying another round of Hyaluronidase. Always seek treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

It appears from the photos that filler may still be present. Dissolving filler can be challenging at times. Options for treatment would include another session of dissolving or evaluation by an a medical provider trained in facial ultrasound to evaluate the peri oral area and assess for residual hyaluronic acid filler. With ultrasound, the dissolving agent can be placed directly into the filler rather than just placed throughout the entire area.

On your pictures your right upper lip is significantly bigger than your left which makes me think you still have filler or dad the enzymatic treatment may not have gotten all the filler out.
The asymmetry in volume is far more prominent than discoloration which is pretty subtle.
Sometimes we just don’t have answers for peoples questions or concerns especially long-term outcomes after fillers.
Best,
Mats Hagstrom MD