Hyperpigmentation After Having Restylane in Nasolabial Folds

asked 1 year ago by Hunyb in UK
Latest answer by Joseph A. Eviatar, MD
Question viewed 771 times
Tags: nasolabial folds, Asian, hyperpigmentation

I am Light asian skin and have had Restalyne in nasolabia area two months ago for the first time. At the same time I was also given some glycolic cream Jan Marini to use to help improve my skin. I used a factor 30 to protect my skin straightaway. Two months later I am now left with dark skin in the nasolabia area. My doctor has advised me to leave the Jan Marini products alone and to see if the hyperpigmentation goes away on its own. The hyperpigmentation has ruined the effects of the restalyn.

11 answers to Hyperpigmentation After Having Restylane in Nasolabial Folds

Restylane does not cause hyperpigmentation!

I am the author of the first paper published to look at Restylane use in skin of color. There are a number of technical points for the use of any filler in skin of color. I suspect the combination of needle trauma and the acid peel were too much for your skin to handle at one time. I typically separate the two treatments to avoid such an issue. The good news is the hyperpigmentation should completely resolve over time. The key is to use good sunblock... more

Julius W. Few, MD
Chicago Plastic Surgeon

Hyperpigmentation after Restylane and Glycolic Acid use

It is extremely rare for Resty;ane to cause hyperpigmentation. It is much more likely that skin irritation from your Glycolic Acid product is the cause of the post- inflammatory hyperpigmentation in your nasolabial folds. I would stop the use of the glycolic product and seek care as to how best to resolve it.

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

Hyperpigmentation

Like in Spike Lee's Nike commercial "It's the shoes!" In this case it is not the restylane "It's the cream.!"

Steven Wallach, MD
Manhattan Plastic Surgeon

Gycolic acid irritation

This hyperpigmentation is from inflammation from the cream, not the Restylane. Please see a dermatologist ASAP to be treated to prevent long-lasting post inflammatory hyperpigmentation.

Mary Lupo, MD
New Orleans Dermatologist

Hyperpigmentation after Restylane rare

It is rare and I have never seen hyperpigmentation after treating a patient with Restylane. It is possible that your skin care products irritated your skin and that caused hyperpigmentation. Either way it should resolve if not, then try bleaching creams under the guidance of a dermatologist.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

It’s possible to get hyperpigmentation after Restylane

It’s possible to get hyperpigmentation after Restylane injections just like with any needle stick. You really want to stay out of the sun and use a sun block (like you’re doing). In general, the hyperpigmentation will go away in time. Using a bleacher like a 4% hydroquinone can also be helpful.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Hyperpigmentation in nasolabial folds after Restylane in Light Asian Skin

Given your description you are likely a darker Fitzpatrick skin type maybe IV. The higher the number the darker the skin. People with darker skin are more likely to develop what we doctors call "postinflammatory hyperpigmentation". This is not likely related to the Restylane itself but to the repetitive trauma to the skin which is the needles in the skin during Restylane injection. This will most likely resolve in time on its own but to speed its... more

James C. Marotta, MD
Long Island Facial Plastic Surgeon

Discolored Skin After Restylane

If Restylane is injected too high it can result in bluish color, creating what is called the Tyndall effect. If that 's the problem, it can be dissolved with an injection of hyaluronidase. If the discoloration is brownish in color this is what we call post-inflammatory hyperpigmentation - and the cause of the problem can be from the needle pricks which took place as a normal part of the treatment process. This problem is more common with people with an... more

Deborah Sarnoff, MD
New York Dermatologic Surgeon

Darkening of asian skin after Restylane in smile folds

You have noticed darkening in the skin after Restylane in your asian skin. Is this pigmentation? Is the color not pigment? The diagnosis may be incorrect if in fact, the color is the Tyndall effect in which Restylane or Juvederm could cause the light waves to reflect differently and appear blue. This bluish coloration may be misinterpreted as pigment. If it is the filler it can be expressed by the doctor or dissolved by injections of hyaluronidase. If it is postinflammatory... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Hyperpigmentation After Having Restalyne in Nasolabial Folds

As all the previous posters state it is the cream! Seek medical care to hep alleviate the hyperpigmentation. From MIAMI Dr. darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Restylane did not cause the hyperpigmentation.

The hyperpigmentation is caused by the inflammation from the glycolic peeling agent. Stop using this product. Post-inflammatory pigmentation usually but not always resolves with time. The reason this pigmentation wrecks the filling effect of the Restyalne is that darkness suggests depth. So the pigmentation in the nasolabial fold suggests depth here.