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Infection in Tear Trough from Restylane
asked 1 year ago by aloha150 in Atlanta
Latest answer by Harold J. Kaplan, MD
Question viewed 247 times
Tags: tear trough, antibiotic, causes, infection
I had Restylane injections in my tear troughs. I developed an infection in the right tear trough but not in the left. The doctor put me on an antibiotic. Another infection came back in the same place two weeks later. He gave me another round of antibiotics.
Four weeks later the third infection occurred in the same place. Can anyone tell me what happened? No one seems to know. I am now seeing an infectious disease doctor to try to determine what type of infection I have. Help!
6 answers to Infection in Tear Trough from Restylane
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Infection after Restylane Injection
All good feedback from the panel members.
We agree that you may need to consider dissolving the product with hyaluronidase but should discuss this with both your injecting physician as well as the Infectious Disease specialist. A culture is highly recommended considering the resistance you've had to the previous prescribed antibiotics.
Although your experience is very uncommon, it's discouraging to say the least. Tight management by your physician is...
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Infection after restylane
This is extremely unusual and although discussed in the text books, it is rare for a physician to see an infection from Juvederm or Restylane. Any time there is a needle stick in the skin, there is a chance of introducing bacteria which can result in an infection. Infections can also occur, if there is a nidus of bacteria deeply, waiting to get disturbed by trauma, or a distant source of bacteria that can seed the filler (dental cleaning, flossing, colonoscopy, and even a bowel...
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Infection Unusual with Restylane
Infection is very very rare, but possible. The delayed recurrence of the infection sounds very much like a foreign body response where something called a "biofilm" has developed. I have never heard of a biofilm with Restylane however, only around solid implants. I would follow the advice of your infectious disease doctor but suspect that dissolving it will be necessary. Biofilms pretty much won't go away until the foreign material is removed. ...
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Tear Trough Infection from Restylane
I agree that an infection from a filler injection such as Restylane is always possible but quite uncommon. When it becomes resistant to eradication from repeated courses of antibiotics, you should have the Restylane dissolved by injection of hyaluronidase which is a simple procedure. I would not recommend steroid injections into this area as steroids are known to suppress the immune system and should not be used in an area that is known to be infected.
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Infection in Tear Trough from Restylane
Your history is very unusual. Over the internet for this issue very hard to advise. I agree with Dr Steinsapir of a possible dissolving injection. But I might try a very low dose steroid injection first.
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It is no comfort to tell you that this is highly unusual.
Aloha
Any time one is poked with a needle, there is a risk of infection. This is highly unusual in association with filler treatments. That is not the same as not happening. Unfortunately many of the organisms out there are resistant to antibiotics. It sounds like your doctor treated you appropriately but the bug you have may be resistant to the antibiotic. If I were treating you, I would also recommend dissolving all of the filler as part of your treatment....
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