Lump on The Face From Restylane

Tanveer Janjua, MD answers: Will intra-oral incision to remove Restylane lump cause facial sagging?

I have a large lump, which I think is a scar tissue on my cheek, caused by (Restylane) done over 4 years ago. I already had kenalog and hylauronidase, but they didn't do much. So I must have it cut out, but I don't know which incision to go with. It's just below the cheek bone, and can be reached from inside the mouth. But I was told by my doctor that an intra-oral incision will have its side effects on my face in the future, and it would be better to just cut it out from the surface (meaning I'll have a visible scar). Will it also cause facial sagging in the future? Which incision would you suggest?


Tanveer Janjua, MD
19 days ago
By Tanveer Janjua, MD - Bedminster Facial Plastic Surgeon

This issue appears confusing. The lump likely is not Restylane itself. It is unlikely to be scar tissuue either.  So, it makes it more important to know the nature of this mass.

You should obtain at least one more consultation to figure out the exact nature of this mass. You might even need to do an MRI.

Once its established that the mass needs to be removed the incision should be placed closer to the mass. If the mass is close to skin then incision on the skin and it should heal well. If mass is deep and easily palpable from inside the mouth then incision should be transoral (through the mouth).

Regards

Web reference: http://www.janjuafacialsurgery.com
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