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?

4 answers to “Will intra-oral incision to remove...”

A: Incision not usually needed

Wilfred Brown, MD

Restylane can usually be removed by simply injecting Hyaluronidase into the area of excessive fullness. This will break down the Restylane and allow the area to return to its pre-injected status. If the lump is caused by something else such as scar tissue or a salivary gland issue etc.. - then an incision may... more

A: My guess is that you didn't receive Restylane as that wouldn't have caused this

Joel Schlessinger, MD

It is important to figure out what you received as there are different treatments for each. If this were truly restylane, it would be treatable with a simple injection of hyaluronidase, so it seems unlikely that this is what you are treating. For this reason, it is possible that you will have to have it cut... more

A: Lump on The Face From Restylane

Tanveer Janjua, MD

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... more

A: Restylane removal through surgery inside mouth is risky

Brooke R. Seckel, MD

I do not worry about surgical removal of Restylane causing facial sag--it should not. However, going through an intraoral incision to remove Restylane under the skin could very easily damage important branches of the facial nerve which could cause paralysis of the muscles that support your smile-if this occurs... more

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