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Can't smile after restylane 3 weeks ago (photos)

laurastrandMay 1, 2014
I had restylane injections 3 weeks ago. 2 or 3 days later I couldn't raise my upper lip. When I smile my upper lip stays even with the bottom of my teeth. I can purse my mouth, etc. but not able to "lift" my upper lip. I had hyaluronidase injections on day 4, no improvement. Acts like a botox reaction because took 2 days to happen. MD says it was absolutely restylane. I should note that after the hyaluronidase all of my "old" filler was dissolved...e.g., return of upper lip lines. Help

Answers (4)

From board-certified doctors and trusted medical professionals
Dr. Michael A. Persky, MD
Michael A. Persky, MD profile photo
Dr. Michael A. Persky, MD
Facial Plastic Surgeon
4.7 | 72 Reviews
Answered on May 6, 2014
Answer
Dr. Sheryl D. Clark, MD, FAAD
Dr. Sheryl D. Clark, MD, FAAD
Board Certified Dermatologist
Answered on May 18, 2014
Answer
Dr. Steven Hacker, MD
Dr. Steven Hacker, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on May 12, 2014
Answer
Dr. Darryl J. Blinski, MD
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on May 6, 2014
Answer

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Hyaluronic acid (HA) fillers are the only ones that can be dissolved. Fortunately, many popular dermal fillers are made with hyaluronic acid, including Restylane and Juvéderm. They will break down rapidly when exposed to injections of an enzyme called hyaluronidase (Hylenex). If you are ...

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Evan Ransom, MD, FACS

Hyaluronidase (a.k.a. Vitrase or Wydase) is an enzyme that dissolves hyaluronic acid (HA). This works on all HA fillers, including Restylane, Perlane, Belotero, Juvederm, and Voluma. The dosing is inexact, however. In addition, the enzyme works on the normal surrounding tissues as well as the...

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Giancarlo Zuliani, MD

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