Restylane results are not permanent

Lavinia Chong, MD answers: Restylane--how long before it dissolves and does it leave scars?

After the Doc injected me with Restylane 2 weeks ago I had a caterpillar-like line on my forehead which looked dreadful and much worse than my superficial line. I also have a blue-tinged swelling on my left "smile" line. He (painfully) massaged the line on my forehead, which made it a little better--but I still prefer my natural lines. He decided not to touch the side of my mouth--which was a bit bluish. I'm angry, and I may have to go back to have whatever magic injection needed to remove it. He didn't mention a reinbursement and I'm not sure as to what my rights are. He did tell me that it would eventually disappear, though. I'm so worried now that it will leave permanent damage. Will it cause the skin to form a scar around the Restylane filler if I choose to let it dissolve on its own? Thanks. Lisa


Lavinia Chong, MD
1 month ago

Restylane is one of the hyaluronic acid fillers, which generally last between 4-6 months.  We are configured with hyaluronidase, which is an enzyme (chemical) which naturally breaks down hyaluronic acid, so these fillers will gradually be degraded over time.  This class of dermal filler can produce a "Tyndale" effect, i.e. appear bluish, if injected into areas of thin skin or if the product is placed superficially.  Also these fillers can cause some bruising, so in preparation for this, we generally ask patients to avoid aspirin and/or nonsteroidal anti-inflammatory agents like Advil, Motrin for at least 7-10 days beforehand. 

As these fillers are absorbed, it is believed that they stimulate your body to produce some collagen, so with time, the need for additional treatments may decrease.  It's regrettable that you've had a suboptimal experience.  If you can pluck up your courage to treat again, ask a trusted friend or physician for a referral.  Good luck.

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