Red Spot on Lip After Restylane Injection - Could This Be a Broken Vessel?

Restylane is a very popular and effective hyaluronic acid-base dermal filler. It has been used widely throughout the face for the correction of deep lines and wrinkles. It is possible that this red spot may indeed be a small amount of blood just underneath the surface of the skin. This should resolve as your body breaks down the blood cells. Expect this area to go away on its own within 3 to 5 days.  

We're not sure if the red spot you are describing is related to your injections or not. Whether or not it is related, a Pulsed dye laser (like the Cynosure V-Star), a KTP laser (like the Laserscope Aura) or a long pulsed Nd:Yg laser (Like the Sciton Profile) should be able to help. The laser of choice depends on how large the vessel is.

The red spot you are describing may be unrelated to the restylane injection. Sounds like you have a telangiectasia or benign growth of small capillary blood vessels on your lip. If it is another growth called a "pyogenic granuloma," it may in fact be related to the restylane injection, since these growths can be triggered by trauma to the skin (including use of needles). I suggest you consult with a qualified specialist to obtain an accurate diagnosis.

A red mark near the vermillion border after injection can be several things. It can be a bruise, or a small telangiectasia. It can even be a small herpetic lesion that is erupting after the trauma of injection. Go see your doctor to check it out.

It sounds as if it is most likely a bruise. A new blood vessel is possible but unlikely. I would give this 2-3 weeks to resolve. If it does not you could consider laser ablation or hyfrecation.