Does Massage Help Speed Up Restylane Removal

asked 11 months ago by murphyd in greensboro, NC
Latest answer by Alan Engler, MD
Question viewed 504 times
Tags: 2 weeks post-op, massage, reversal

i had restylane under the eyes. one side there is a pillow, the other, a ridge, causing more of a undereye circle than before.. first injection was 4 weeks ago and follow up about 12 days ago. will massage help at this point? i hate it, and i don't want an enzyme injection.

11 answers to Does Massage Help Speed Up Restylane Removal

Restylane - Does Massage Help Speed Up Restylane Removal

Not really. Massage is used regularly to help "swelling" dissipate (it is successful to varying degrees). But what you have is not (primarily) swelling; it's the actual product that was injected. I'm not sure why you don't want the "enzyme" but I think that this is by far the best and most efficient way to help correct this situation. I hope that this helps, and good luck, Dr. E

Alan Engler, MD
New York Plastic Surgeon

Restylane can be dispersed with firm, skilled massage.

Restylane can be dispersed with firm, skilled massage performed by an expert who has lots of experience dealing with Restylane injections. An experienced dermatologist or plastic surgeon who does lots of Restylane injections would know what to do.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

Restylane and lumps under eyelids

The hyaluronidase is really the only thing that will remove the Restylane. You might bruise the delicate lower eyelid skin if you massage to vigorously and IMHO massage won't help. You can certainly just wait until the Restylane dissolves which should be within 9 months, or so.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Getting Rid of Restylane

The easiest and fastest way to remove unwanted Restylane, Juvederm or other HA products is to have the Vitrase enzyme injection. You will literally see it melt away almost immediately. Massage and other techniques will have little if any effect. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Fixing Restylane with massage

Massage is not going to remove Restylane. Hyaluronidase is perfect for this kind of a problem. It's safe, easy to perform and the results are instantaneous. If you are unhappy I would go this route. If you don't want hyaluronidase eventually the Restlyane will dissolve on it's own.

Ted Brezel, MD
Long Island Dermatologist

Massage After Restylane Injection to Lower Lids

Murphyd, I can't comment on your situation without seeing photos, but I have had good results in massaging Restylane to smooth it out. However, if your case is to extreme for this, you will likely benefit from hyaluronidase injection. I have had great results injecting this enzyme, and I don't think you should reconsider your reluctance to have a hyaluronidase injection.

Michael McCracken, MD
Boulder Oculoplastic Surgeon

Massage will NOT Help Speed Up Restylane Removal

Massaging will push the Restylane from one place to another but will not help break it up. If you wait long enough, the Restylane will break up by itself. Otherwise, the only option to break up Restylane (and other hyaluronic acid fillers such as Juvederm and Perlane) is to inject Hyaluronidase in the area. Dr. Peter A Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Does Massage Speed up Restylane Removal?

Hi Murphy. Massage will not speed up the removal of Restylane. If you are unhappy with the injection, you should definitely consider hyaluronidase because it's goign to be 9 months to 1 year before the product dissipates on it's own. How come you are against using the enzyme (hyaluronidase)? Have you heard anything negative about the product? We have only great things to say about it (we use Vitrase) but rarely have to remove the product. Good... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Massage For Restylane Removal

Massaging the area of Restylane injections will only minimally help to smooth out the area. However, it will give you something to do while you are waiting for things to get better. Hyaluronidase is the only way to speed up the process. There seems to be numerous questions on RealSelf about problems with injections in the tear troughs. I do not believe that experienced injectors have problems with treating this area. Always ask about the experience of the injecting physician and make sure... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

I am sorry, why don't you want to be injected with the enzyme?

I personally wil not treat someone with fillers for the tear trough or under eye hollow who is not willing to be adjusted after the fact with the enzyme, hyaluronidase. It is the ability to adjust this product after the fact that makes it feasible to reliably treat this delicate area. I find that about 10% of patients who have this treatment benefit from some type of an adjustment. WIthin about a week of the initial service, the adjustment might be possible with direct... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Massage does not speed up removal of fillers

Massage might move the filler from one location to another, but massage will not speed up the removal of the filler. If repositioning the filler by massaging is not satisfactory, one major advantage of hyaluronic acid [HA] fillers like Resylane® and Juvéderm® is that they can be quickly and easily dissolved by the injection of a bit of the enzyme hyaluronidase [for example, Vitrase®], which all physicians who inject HA fillers ought to have on hand anyway for emergencies. more