Restylane: Q&A

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How Do I Remove Restylane Irregularities in Lips 5 Months After Injection?

I had restylane injected in my upper lip 5 months ago, I can feel lumps on the inside of my lip, one small visible one where the needle went in in the middle and an irregular appearance above my lipline. I went to a new surgeon to look at it, and he said there was no product left in there and that it could be scar tissue from bad technique. How can I get back to my pre restylane state, I wasn't to concerned about it, because i thought once the material absorbed it would go away...

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18 Doctor Answers | Asked by kittymeowmeow in los angelos

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Incision & drainage might be necessary

Definitely at 5 months you could have an isolated "lump" of the injected filler and for that the best and quickest solution is to "lance" it with a #18 needle and manually compress out the excess filler. This could be strongly supported if the lump was there from the beginning. Hyaluronidase works well for diffuse overinjection in the lips or other areas

How Do I Remove Restylane Irregularities in Lips 5 Months After Injection?

Thanks for the posted photo. I have been studying it for a half hour. Your issue are very minor, but if they disturb you than you can try Hyaluronidase injections or Kenalog injections. These MUST be done very carefully. From MIAMI Dr. Darryl j. Blinski

Restylane can be dissolved with hyaluronidase

One of the great things about Restylane is that it is reversable. Restylane irregularities can be massaged away and dissolved with hyaluronidase.

Lip problem

No question at 5 months the restalyne is all gone. Any persistent problems relate to scar tissue formation. Whether kenalog or excision is best I could only say after an actual examination

Hyaluronidase to dissolve restylane in the lips

I do not have the benefit to examine you and feel the structure and firmness of your lip compared with the surgeon who saw you in consultation, but your photograph demonstrates a lip that has lost its definition and this is consistent with persistent filler. Many of my patients show Restylane or Juvederm volume effect for more than one year after treatment, but the majority have it for about 8 to 10 months. At five months and with the appearance of your photograph, I would suggest... more

Restylane in the lip

The hyaluronic acid fillers such as Restylane have significant longevity in the lip. 6-9 months and longer is not an uncommon length of time for Restylane to persist. Hyaluronidase is an enzyme which can be injected where the unwanted Restylane remains. Very quickly and easily the residual Restylane will be dissolved.

I would inject Hyaluronidase, then a steroid if necessary

I would personally inject hyaluronidase into the concerning areas as Restylane can definitely last longer than 5 months in the lips. If the fullness does not resolve, then I would consider an injection of dilute steroid and aggressive massage. More than likely, your lip will return to it's pre-injection state. I have never seen "scarring" in the lip due to injections of Restylane, no matter what the technique is. Andrew C. Campbell, M.D. Board Certified Facial... more

Restylane for Lip Augmentation

It is possible that you still have residual restylane in the lips, which can be causing you problem. It is not uncommon for the product to last that long in some individuals. If this is the case, injections of Hyaluronidase will help to dissolve the remaining Restylane. If scar tissue is present, this may pose a more difficult dilemma. Good Luck, Dr. Corrado

Restylane can be dissolved with hyaluronic acid

You could definitely still have some Restylane in your lips after 5 months. Your lips can be injected with hyaluronic acid, which will dissolve any remaining Restylane. This will most likely take care of your irregularities. If not, other modalities can be used. I recommend having an evaluation for hyaluronic acid injection.

Michael McCracken, MD

8 reviews

Boulder Oculoplastic Surgeon

Restylane in Lips

The best way to remove the Restylane from your lips is Hyaluronidase. I will take only a day or two for this product to take affect.

Restylane in lips

Five months is not enough time to allow the restylane to resorb. You may want to try an injection of hyaluronidase to dissolve whatever is left.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Bumps on the lips

Even though it has been 5 months, it is possible you still have Restylane in the lips. If you have bumps on the lips you do not like, I would suggest contacting your plastic surgeon or dermatologist. They can use a product called hyaluronidase to melt the residual Restylane, even after 5 months. This will be a good potential start to help your concern.

Removing restylane

If you are unhappy with the restylane, then you can have your plastic surgeon inject hyaluronidase in the areas where you are feeling lumps to dissolve it.

Restylane Eraser

A small injection of Hyaluronidase will dissolve the Restylane material in a matter of hours. Then you can have the injection corrected if need be. Best regards Dr D.

Remove Restylane with Hyaluronidase

Hi- Try having hyaluronidase injected into the area of concern. Most likely this will take care of the problem. Sincerely, Tom Kaniff

Removing Restylane irregularities 5 months after injection

Restylane lasts 6-9 months, sometimes close to a year. It is made of hyaluronic acid, a natural constituent of our skin. It is exceedingly rare to get any scarring from it. There should be some Restylane still left there since you are still feeling the nodules. Hyaluronidase can be used to dissolve these nodules.

Hyaluronidase will work

I doubt this is scar tissue. It is Restylane poorly placed. Hyaluronidase will dissolve it in less than 24 hours.

It is straight forward proposition.

Almost any issue with Hyaluronic acid fillers can be resolved with the enzyme hyaluronidase. Think of this as the eraser for these fillers. The fact that these services can be adjusted after the fact makes them the preferred facial filler agents. Restylane persists much longer that advertised. While it is true that filler effects begin to diminish in 6 to 12 months, the product itself and effects can persist much longer. I have personally adjusted individuals... more