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I Have Facial Asymmetry from Restylane Injection in Scar - when Will It Go Away?

asked 1 year ago by Lena2K in CT
Latest answer by Harold J. Kaplan, MD
Question viewed 511 times
Tags: cheeks, asymmetry, results

I had a syringe of Restylane injected by my Dr. into a dent in my cheek from a cyst. I realize now that it was not a good candatite for Restalyne as the scar was deep and narrow - not shallow and smooth. It made the dent open up and spread out. I have a sort of swelled area or egg shape under the injected site - it's not actual swelling as the injection was 1 month ago - more like a ball of Restylane that is under the skin. This has caused some major facial asymmetry when will it go away?

13 answers to I Have Facial Asymmetry from Restylane Injection in Scar - when Will It Go Away?

Restylane for Deep Cyst Scar?

Hi Lena. If the scar is deep and narrow, it may be better suited to surgical revision like punch excision. We do not use Restylane often for acne and other types of facial scars because usually surgical or laser options work better. Because we do not have a picture, it's difficult to say exactly what's going on, but if the problem is the Restylane, it is easily reversed with Hyaluronidase (Vitrase). Ask your injector about the product and have t reversed if the... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Facial asymmetry from Restylane may go away or can take years

Facial asymmetry from Restylane may go away or can take years, depending on the area. Restyalne under the eyes can last a year or more. You really need to check with the doctor, potentially massage it or dissolve it with hyaluronidase. You can also add more Restylane around it to make it look better.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Dimple from restylene

This should resolve ver several months.to get it to gone down quicker one can inject Hyaluronidase to get it to soften.Releasing the base of the scar with a sterile needle and then massaging it may also help.

Robert Brueck, MD
Fort Myers Plastic Surgeon

Restylane for scar

Sometimes the scar is tethered down and the filler may tend to squeeze into the surrounding skin creating a donut effect. If this fullness makes the central depression more deep by contrast with the elevation in the surrounding skin, then it can be dissolved with hyaluronidase and after the area "quiets down" you can try again with subcision underneath the epidermis to lift it up and away from the dermis to which it is tethered. Then just a small amount of restylane may help.... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Filler into the area of a facial scar

Hi Lena, This phenomenon can occasionally be referred to as the "donut effect." The hyaluronic acid filler (for example, Restylane) can actually end up depositing around the area of the indented scar. When it subsequently absorbs water from your body (which is one of the ways that hyaluronic acid fillers work) it can elevate the area around the indentation even more, making it appear more prominant than before the injection(s). ... more

Monika Kiripolsky, MD
San Diego Dermatologic Surgeon

Bump from Restylane Injection

Any HA product can be "melted" away with a special injection. I perform this injection several times per week on patients that have had injections at medspas or other places with inexperienced injectors. Your doctor may be able to perform the melting injection or find you someone in your area that does. The melting only works for HA products such as Juvederm and Restylane. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Asymmetry from Restylane injections into a scar

Restylane lasts about 6-9 months, in some cases a little longer. Hyaluronidase can be used to dissolve the Restylane beneath the scar to restore the symmetry. There are other ways to decrease the appearance of a scar, such as fractional resurfacing. Fillers can be used in conjunction with that to elevate the scar as well.

Emily Altman, MD
Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

Restylane in scar

If you do not like the result that you got from restylane injection into the area, you can always have it dissolved.

Steven Wallach, MD
Manhattan Plastic Surgeon

Restylane resolves spontaneously

Typically, Restylane results, bumps, asymmetries, etc resolve spontaneously. Restylane is not permanent. Generally, Restylane yields excellent cosmetic results without the above issues.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Restylane bumps usually resolve within 3 months

Restylane bumps usually resolve within 3 months. This can be speeded up with gentle massage or with injections of hyaluronidase.

Edward Lack, MD
Chicago Dermatologist

I Have Facial Asymmetry from Restylane Injection in Scar - when Will It Go Away?

Yes Restylane dissolves over time like a few months. But seek in person advise for other options. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Asymmetry From Restylane Injections

Hi Lena, The asymmetry should go away as the Restylane wears off. You can have hyaluronidase injected to help dissolve the excess Restylane if you wish. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

It is not the scar its the injector

Hi Lena I would not give up on this treatment. However, you might benefit from a different injector. Unfortunately, not all injectors are created equally. These treatments require finesse. Don't throw the baby out with the bath water.