Help! Too Much Restylane in my Nasolabial Folds

Hi legna, Hopefully by the time you read this your problem has resolved.  If not, excess Restylane can be dissolved with Widase, a hyaluronidase injection.  Hopefully you are better, and your husband is not a RealSelf.com reader.  Good luck and be well. Dr. P

Restylane can end up having some swelling initially, so this is probably going to be just fine. You can sometimes 'massage' it after the procedure, but I wouldn't do this prior to a week or two and usually it is best to go to your doctor that did the procedure for any follow up massage of the area. Lastly, there is a product called hyaluronidase that can dissolve restylane if it is too much, but in 5 years of doing this filler I have never needed to do this for a patient so it is unlikely... more

First off...don't freak out! That will only raise your blood pressure causing the blood vessels in your skin to fill with more blood and draw more heat to the surface of your face. The reason I mention this is due to the fact that Restylane attracts water and the warmer the surface of your skin is the more likely it is to react and hold water (this natural activity cools down the blood vessels). The end result is that the Restylane in the nasal labial folds will draw from this supply,... more

Fear not -- it is likely swelling and should resolve over the next several days.  However, if you did receive too much restylane, hyaluronidase can be injected to dissolve it.  Resolution usually occurs within 24 hours but the entire effect of the restylane is usually lost as the hyaluronidase is not selective.  It will dissolve all of the restylane.

More than likely it is just some swelling that you are experiencing, give it some time.  If not hyaluronidase can be injected to dissolve it.

From your question it is hard to know if you had the second amount of Restylane injected in the last couple of days, or several weeks ago. If very recent, there is a good chance most of your result is from swelling right now, and using ice packs on and off for a couple of days should help resolve this. If you truly believe it is too much filler itself, go back to the injecting physician immediately. She may be able to dissolve some of the material before it gets settled in too long... more

All the dermal fillers including Restylane will cause swelling/edema that can last on average 1 to 5 days.  In some patients, there can be some minor residual swelling that will persist up to 10-14 days.  So please stay calm and wait to evaluate the results until the swelling has dissipated.   If you still feel as though you unhappy with the results, return to the injecting physician and discuss with him/her the possiblity of using hyaluronidase to reverse the... more

Restylane is a popular and effective dermal filler. His best known for its use in the nasolabial folds. It lasts approximately 6 months but may last a shorter period of time and some people. If you feel that you've had too much Restylane injected into these areas, rest assured that this will resolve but it will take some time. If this fullness persists, your doctor may recommend that you receive an injection of an  enzyme called hyaluronidase that will help dissolve the excess... more

In this situation, we suggest waiting a week to see if the issue is swelling or too much product. We know that you are in a hurry to solve the issue, but you will not know the answer to the question about what's causing the look until you wait a week or so. If you decided to go with a reversal (using Hyaluronidase), you might get rid of the product but still have the swelling (sorry!).

I don't want to beat a dead horse, but agree with what the other drs wrote. relax and give it at least a wk for the swelling to settle. good luck, david berman md nothern va

Restylane injections cause swelling from the injury of the needle placed into your tissues plus the fact that one of the natural ways Restylane works is by drawing fluid to itself and hanging onto it. The massaging right now is probably more irritating to the tissues than it is helpful. Use ice frequently for the next 3 days and then begin to gently massage again. The swelling will subside and you will see that it is not as bad as you currently think. The second injection of a filler... more