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How Soon After Restylane Can I Have Another Filler in the Nasolabial Fold Area?

asked 1 year ago by Tylie in Minneapolis, MN
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 570 times
Tags: nasolabial folds, combination

I had Restylane in the nasolabial fold area 1.5 months ago. The bruising lasted 3 weeks but the effects seem to be rapidly deteriaorating to the point it really doesn;t look any different than before. I am 42 years old and never had this before. I was told the results would last 9 months. Can I have Radiesse (I have read longer lasting) now or how long should I wait?

12 answers to How Soon After Restylane Can I Have Another Filler in the Nasolabial Fold Area?

Adding another filler after Restylane was injected into the nasolabial folds

Hi Tylie, I agree with several of the other physicians in that you felt a "fuller" more desirable effect initially after the injections due to the inflammation. You didn't mention how much Restylane you had injected into your nasolabial folds (1cc, 2cc's, etc). In my opinion, one syringe of 1cc of Restylane used to fill the nasolabial folds of a patient in his/her 40's is likely not enough to produce much of an effect. Also, since it's only been a... more

Monika Kiripolsky, MD
San Diego Dermatologic Surgeon

Can I get Radiesse after Restylane?

Hi Tylie. It would be interesting to have a picture to see what your nasolabial folds looked like and then to know how much product was injected. It's unusual to have three weeks of swelling for the fairly common procedure you had. With that said, if you are not satisfied with the result and would like more correction for this area, then by all means, Radiesse is a great product. It should last longer than Restylane, but also does have some swelling... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

No need to delay Radiesse injection

It sounds like you may have been under-treated with the Restylane. Your initial 'result' that you noticed was probably just swelling from the treatment. My guess is that the product is still there, but you just needed more. However, if you would prefer to switch to Radiesse, that would be fine too. I get excellent results with both products, and it is true that Radiesse seems to last a little longer.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

No time restrictions on more fillers, but let swelling subside

If your results dont seem adequate, you may benefit from additional filler once the initial swelling has subsided. This could be more restylane, or radiesse, as you mentioned. The radiesse would likely be placed deeper and support the restylane already there.

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon

Radiesse can be used after Restylane or juvederm

RAdiesse being a thicker and different filler than Restylane or Juvederm, can be injected now that your swelling is over. Radiesse is placed deeper to the Restylane. There are some patients that have such deep folds that I inject Radiesse deeply and Restylane superficially at the same visit, as a layered technique. There is a disadvantage though, that if a reaction occurs later (which is extremely rarely reported) then it would be hard to say which product caused the problem and then you... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Fillers in folds

The improvmeent you noticed may have been product and swelling. The product is probably still there. You can fill it some more if you are unhappy with the final result.

Steven Wallach, MD
Manhattan Plastic Surgeon

Radiesse injections after Restylane

Radiesse is a different type of filler then Restylane. It is a hydroxyapetite filler and usually is injected deeper and may be longer lasting as it is a stimulatory filler. It stimulates your body to produce collagen and in doing so may provide a more substantial longer lasting result. Previous use of a hyaluronic acid filler such as Restylane is not a contraindication to using Radiesse as long as the swelling and bruising has resolved.

Stephen Delia, M.D.
Boston Plastic Surgeon

After any bruise or swelling has resolved

It sounds like you could do the Radiesse at any time now. I do not re-inject until all bruising or swelling is resolved. It is certainly OK to switch to Radiesse to see if you get a better result. Good luck

Mary Lupo, MD
New Orleans Dermatologist

Radiesse Injection Need Not Be Delayed

There is no reason to delay the Radiesse injection having had a Restylane injection 1.5 mos. ago. The Radiesse can be injected somewhat deeper and should indeed last longer.

John Whitt, MD
Louisville Plastic Surgeon

Combining Restylane with another filler in nasolabial folds

You may need additional product, and either more restylane or radiesse can be used to provide corrrection. Contact your injector to have him/her evaluate and suggest a proper. The initial infammation may have been misunderstood to be correction.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

www.drkrisreddy.com

There really isn’t a specific time you can have other fillers

There really isn’t a specific time you can have other fillers. Usually we like to wait 3-4 weeks before injecting another filler just to let any bruising or swelling go down. You want to see the final result of your previous treatment before doing a refinement with another product. But, there is no contraindication to injecting another filler after having Restylane in the nasolabial folds.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Juvederm Ultra Plus XC works best in nasolabial folds.

Hi. Your experience is unusual. Bruising for three weeks is extremely rare, you should see Restylane effect for much longer (?6 months). Perhaps not enough was used. You can be re-treated any time, but we no longer use Radiesse for this area. We use Radiesse only when injected deeply, to fill out cheeks or chin. For nasolabial folds, Juvederm Ultra Plus is the most forgiving (smooth result), and lasts a long time -- perhaps nine months.