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

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. I'm sorry to hear about your concerns; that sounds distressing. Hylenex (hyaluronidase) is typically used to dissolve hyaluronic acid fillers, and while it generally works quickly, some individuals report lingering effects, which can be related to the skin’s healing response or individual skin characteristics. The appearance of tiny lines, wrinkles, and marks may result from a few factors, including the natural aging process, the skin's reaction to the injection, or changes in the tissue after the filler was dissolved. It's important to note that while Hylenex is designed to dissolve fillers, it can sometimes affect the surrounding tissue, leading to temporary changes. Whether the damage is permanent depends on various factors, including how your skin heals and your overall skin health. I hope this helps and best of luck!