What is causing these effects after hyaluronidase? Is this damage permanent?

These fillers can last years. They may not fully break down on their own, ever. For this reason, the enzyme, hyaluronidase, is invaluable. Don’t be afraid of it. It makes getting hyaluronic acid filler practical. The enzyme can and will remove filler in the lip that you might want to preserve. H...

Based on your photos, you appear to have a pleasing facial appearance both at rest and with smiling. I agree with you about your concerns about the dissolving enzyme. And that regard, let nature take its course and see how things are in the next 6 months. Congratulations on overcoming your...

A very small amount of enzyme should be able to accomplish this. Less is more. The challenge is that removing filler is as much art as placing filler. The injector who overfilled you may not possess the skills to thoughtfully feather this treatment. Too much enzyme will blow out the filler....

The filler lasts forever (at least 12-15 years). The precise clinical effect only last for less than a year and then makes generalized facial volume that can worsen as the product ages. The problem is that this old material spreads out. Injectors (physicians and others) are not very imaginative...

I don't believe that the dissolving enzyme would have any effect on your dental work, or that your dental work would have any effect on your lips after a dissolving enzyme. I hope this helps! Sincerely, Dr Joseph

There are different hyaluronidases and this makes a difference. Allergy to hyaluronidase is not common and is estimated to occur in 0.1% of patients receiving hyaluronidase. Certainly if you have past history of reacting to hyaluronidase, you should be skin tested to determine if your allergy...