Perlane Q&A
70%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
99 Reviews
Perlanebefore & after photos
View Before and Afters

Average Perlane Cost: $850

Learn about Perlane

236 people and 166 doctors are talking about Perlane

Get Free Email Updates

Creases and Bulges After Perlane Injections

asked 3 years ago by troublewithperlane in New York, USA
Latest answer by Steven Wallach, MD
Question viewed 2,450 times
Tags: lumps

I had Perlane injected by end of December 2008 for my nasolabial folds. I developed trangular-shaped bulges on my cheeks, which also caused creases along my cheekbones. I looked pudgy and tired! The surgeon tried to fill lines first, but they turned blue. Yesterday, he injected Vitrase to remove it all. It looked a lot better a few hours later, but this morning, it looked even worse! What is going on? Am I now doomed to have these creases from the chubby triangles forever?

8 answers to Creases and Bulges After Perlane Injections

+1

Perlane and vitrase

Vitrase is used to dissolve the filler product. What it does when dissolving it, is to cause more water to be taken up inthe area causing some more swelling. This will get better usually within a week or so.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Perlane Complications

Perlane is a wonderful filler to restore facial volumes loss such as the cheeks. Perlane and any other hyaluronic acid filler can be dissolved using a enzyme called Hyaluronidase. The blue discoloration is from injecting too superficially and can be easily reversed.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Perlane is a lot like Restylane, just a little thicker

For everyone that has had Restylane and liked the effects, Perlane may also be a good option.  It is made by the same company as Restylane, and has very similar properties; the difference being the thickness of the product.  If Restylane has a syrup like consistency, Perlane is a little more like Jello.  Perlane works well in areas where you need a little more bulk, like the cheeks and mid face.  It  works well for the Nasolabial folds, but a better... more
David Mabrie, MD

Bay Area Facial Plastic Surgeon
+1

Post Perlane Problems

Perlane is a great filler for deep nasolabial folds.  It does stay soft for a couple of hours after injection and can be molded somewhat during that time.  Movement such as smiling might have contributed to the bumps, it is hard to second guess your surgeon, however.  Hyaluronidase is the right move when filler needs to be removed.  It works within 48 hours.  It has been reported to cause an allergic reaction in a small number of people.  It is possible... more
Susan Van Dyke, MD

Paradise Valley Dermatologist

www.vandykelaser.com

+1

Perlane and other hyaluronic acid fillers nodularity can be reversed completely

Perlane, like Juvederm and Restylane is made of Hyaluronic Acid and any nodularity should be able to be reversed completely with hyaluronidase.
William Ting, MD

Bay Area Dermatologic Surgeon
+1

Bulges after Perlane in the nasolabial folds

If a filling agent is used only in the nasolabial folds without addressing volume losses in other areas of the face, the result may not be optimal.  FIlling the folds alone may make the folds look less deep, but may cause the fat above the folds to buldge out.  Addressing the cheeks at the same time of the folds can help prevent this from the happening.
Joshua Zeichner, MD

Manhattan Dermatologist
+1

Perlane

Perlane is a great natural appearing filler when injected correctly. Bluish discoloration is from too superficial of injection and is easily reversible. The deeper contour issues you have may be from deeper injections and this is 100% reversible will hyaluronidase. You may need another Vitrase injection for final resolution. Speak to your doctor again to find out what to do next .
Shawn Allen, MD

Boulder Dermatologist
+1

Perlane treatment follow-up

Perlane is a great filler for facial volume restoration and facial line reduction. It works very well in the cheeks and nasolabial creases. It does have hydrophillic properties, meaning that the filler attracts water for a period of time after injection. Rarely, this can cause unwanted swelling in nearby areas of the face. This swelling can appear as fluid mounds on the cheeks, also called festoons. These tend to disappear with time, but they can be frustratingly persistent. Blue lines are... more
Brett S. Kotlus, MD

Rochester Oculoplastic Surgeon

Ask a question