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I Had Cheek Filler Dissolved And Three Days Later My

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Posted on Sat, 9 Nov 2019
Question: I had cheek filler dissolved and three days later my left side of my face is partially paralyzed. I was told its bells palsy. It’s been two weeks and no improvement. How can I be sure its not permanent damage?
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Follow up: Dr. Shinas Hussain (0 minute later)
I had cheek filler dissolved and three days later my left side of my face is partially paralyzed. I was told its bells palsy. It’s been two weeks and no improvement. How can I be sure its not permanent damage?
doctor
Answered by Dr. Shinas Hussain (2 hours later)
Brief Answer:
Steroids may be needed.

Detailed Answer:
Hello,
Thanks for the query.
Facial palsy can be seen after dermal filling procedure. In most cases it is transient.
Bell’s palsy is reversible in most of the cases but recovery time will be four to six months. Steroids has to be started to get faster recovery. Consult a physician and start on oral steroids for faster recovery. Facial exercises can also help a bit.
Wishing all the best
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
Steroids may be needed.

Detailed Answer:
Hello,
Thanks for the query.
Facial palsy can be seen after dermal filling procedure. In most cases it is transient.
Bell’s palsy is reversible in most of the cases but recovery time will be four to six months. Steroids has to be started to get faster recovery. Consult a physician and start on oral steroids for faster recovery. Facial exercises can also help a bit.
Wishing all the best
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shinas Hussain (2 hours later)
But I had the filler removed with hylenex. Three days after is when the paralysis happened. I am now two weeks out. Could the dissolver cause this? How could I tell what is causing this?
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Follow up: Dr. Shinas Hussain (0 minute later)
But I had the filler removed with hylenex. Three days after is when the paralysis happened. I am now two weeks out. Could the dissolver cause this? How could I tell what is causing this?
doctor
Answered by Dr. Shinas Hussain (23 hours later)
Brief Answer:
Steroids will show good response.

Detailed Answer:
Hi,
It may be due to local inflammatory reaction.
Steroids can be started and Bell’s palsy responds well to steroids.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
Steroids will show good response.

Detailed Answer:
Hi,
It may be due to local inflammatory reaction.
Steroids can be started and Bell’s palsy responds well to steroids.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shinas Hussain (2 hours later)
My forehead is not affected though. Can it still be bells palsy? Everything I read about bells palsy says it has to have forehead.
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Follow up: Dr. Shinas Hussain (0 minute later)
My forehead is not affected though. Can it still be bells palsy? Everything I read about bells palsy says it has to have forehead.
doctor
Answered by Dr. Shinas Hussain (22 hours later)
Brief Answer:
It might be due to involvement of one of the peripheral branch.

Detailed Answer:
Hello,
Bell’s palsy almost always affect forehead.
If forehead is spared it would be a peripheral facial weakness caused by one of the terminal branches of facial nerve,
Consult a neurologist and get evaluated.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
It might be due to involvement of one of the peripheral branch.

Detailed Answer:
Hello,
Bell’s palsy almost always affect forehead.
If forehead is spared it would be a peripheral facial weakness caused by one of the terminal branches of facial nerve,
Consult a neurologist and get evaluated.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shinas Hussain (9 hours later)
Is something like this permanent? Could a solution to dissolve dermal filler paralyze my nerves or muscles? I have an appt with a neurologist this week.
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Follow up: Dr. Shinas Hussain (0 minute later)
Is something like this permanent? Could a solution to dissolve dermal filler paralyze my nerves or muscles? I have an appt with a neurologist this week.
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Follow up: Dr. Shinas Hussain (5 hours later)
Is there a way I can show video as well?
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Follow up: Dr. Shinas Hussain (0 minute later)
Is there a way I can show video as well?
doctor
Answered by Dr. Shinas Hussain (19 hours later)
Brief Answer:
Video can not be uploaded.

Detailed Answer:
Hello,
It may be due to damage to one of the branch of the facial nerve. The chemical solution might have caused nerve irritation and contributed to the symptoms.
In most cases it will response to treatment particularly to steroids.
A rare possibility is central facial nerve palsy. However it is unlikely at this age.
Wishing all the best
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
Video can not be uploaded.

Detailed Answer:
Hello,
It may be due to damage to one of the branch of the facial nerve. The chemical solution might have caused nerve irritation and contributed to the symptoms.
In most cases it will response to treatment particularly to steroids.
A rare possibility is central facial nerve palsy. However it is unlikely at this age.
Wishing all the best
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Shinas Hussain (33 minutes later)
I have been on a steroid taper for two weeks and have seen no improvement. Should I expect improvement going forward?
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Follow up: Dr. Shinas Hussain (0 minute later)
I have been on a steroid taper for two weeks and have seen no improvement. Should I expect improvement going forward?
doctor
Answered by Dr. Shinas Hussain (36 hours later)
Brief Answer:
Then we have to suspect a permanent damage.

Detailed Answer:
Hi,
If there is no improvement, we have to suspect permanent damage ( chemical injury) to the one of the facial nerve branch.
You can wait for few weeks, meantime you can go for facial exercises which will help in recovery.
If MRI shows severe damage, nerve repair may be required.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
Then we have to suspect a permanent damage.

Detailed Answer:
Hi,
If there is no improvement, we have to suspect permanent damage ( chemical injury) to the one of the facial nerve branch.
You can wait for few weeks, meantime you can go for facial exercises which will help in recovery.
If MRI shows severe damage, nerve repair may be required.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shinas Hussain (2 hours later)
The MRI of the facial nerve showed no damage. Could there still be permanent damage?
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Follow up: Dr. Shinas Hussain (0 minute later)
The MRI of the facial nerve showed no damage. Could there still be permanent damage?
doctor
Answered by Dr. Shinas Hussain (21 hours later)
Brief Answer:
MRI may not detect injuries to small nerves.

Detailed Answer:
Hi,
MRI may not detect injuries to small nerves with small caliber, especially when we are suspecting chemical injury.
You can wait for couple of weeks with steroids and exercises also.
Consult a neurologist and he will direct you accordingly. Nerve repair will be the last resort.
Wishing all the best
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
MRI may not detect injuries to small nerves.

Detailed Answer:
Hi,
MRI may not detect injuries to small nerves with small caliber, especially when we are suspecting chemical injury.
You can wait for couple of weeks with steroids and exercises also.
Consult a neurologist and he will direct you accordingly. Nerve repair will be the last resort.
Wishing all the best
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shinas Hussain (1 hour later)
A nerve repair would allow function to come back to the muscles?
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Follow up: Dr. Shinas Hussain (0 minute later)
A nerve repair would allow function to come back to the muscles?
doctor
Answered by Dr. Shinas Hussain (37 hours later)
Brief Answer:
It will depend on the severity of the injury and other factors.

Detailed Answer:
Hi,
Regeneration depends on how seriously your nerve was injured and the type of injury that you sustained.
In most of the cases recovery is good.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
It will depend on the severity of the injury and other factors.

Detailed Answer:
Hi,
Regeneration depends on how seriously your nerve was injured and the type of injury that you sustained.
In most of the cases recovery is good.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Shinas Hussain

General Surgeon

Practicing since :2015

Answered : 23672 Questions

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I Had Cheek Filler Dissolved And Three Days Later My

I had cheek filler dissolved and three days later my left side of my face is partially paralyzed. I was told its bells palsy. It’s been two weeks and no improvement. How can I be sure its not permanent damage?