Creases and bulges after Perlane injections

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?

2 answers to “Creases and bulges after Perlane...”

A: Perlane

Shawn Allen, MD

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... more

A: Perlane treatment follow-up

Brett S. Kotlus MD, MS

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... more

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