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Can I Have Permanent Nerve Damage from an Intraorbital Nerve Block for my Restylane Injections? (photos)

On Tuesday I had 1ml of Restylane injected into my upper and lower lips. I have had this done 4 times previously, by a different doctor. The previous doctor did not use nerve blocks, and simply put type of lidocaine cream on my lips prior to the injections. On Tuesday, this doctor performed a block. I now have a nerve sensation that runs from about 1/4 inch away from my nose all the way down into my lips. If I press on that spot beside my nose I feel like lightning runs straight down to my lips.

Doctor Answers 5

Can I Have Permanent Nerve Damage from an Intraorbital Nerve Block for my Restylane Injections?

Its very rare to have permanent nerve damage due to previous Restylane injection, most likely the issue will resolve on its own.

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Infraorbital nerve block for lip injection

It is very unlikely that you will have permanent nerve damage. It sounds like this nerve may be a bit bruised from the injection, and that is why you probably have the persistent discomfort. It should resolve with a few days.

Best of luck,

-Dr. Asaria

Jamil Asaria, MD
Toronto Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

Permanent nerve damage

 

It will be very hard to have permanent nerve damage from Restylane injection. It is probably temporary.

Jhonny Salomon, MD
Miami Plastic Surgeon
4.5 out of 5 stars 39 reviews

Can I Have Permanent Nerve Damage from an Intraorbital Nerve Block for my Restylane Injections?

Please return to the injecting doctor to be seen ASAP for a full evaluation. This sounds a bit unusual but most likely will correct by itself. 

Infraorbital Nerve Block with Restylane

Permanent or even temporary infraorbital nerve injury related to a nerve block is very rare assuming appropriate technique and use of a small gauge needle (27g).  These symptoms may represent some degree of inflammation at the injection site and is likely to resolve spontaneously.  In my own practice, I used nerve blocks routinely for Restylane lip augmentation until a few years ago.  Patients do very well with 10-15 minutes of topical anesthesia; most of my patients prefer this technique to dental blocks. Restylane-L has Lidocaine pre-mixed in the syringe for increased patient comfort during injection.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.