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Hollows and Grooves After Restylane Removal: What Procedure Will Fix This?

asked 1 year ago by llfamily in wilmington, nc
Latest answer by Ronald Shelton, MD
Question viewed 286 times
Tags: lines, lips, groove, hollow, options, removal

Restylane Injected into Lines Around Nose It Immediatley Caused Worm Like Lines Above Mouth and Smoker Like Lines Above lips. The doctor injected Restlayne above lips and it just got worse. I have had restalyne removed and now I have hollows and groves/dents above lips. What do I need to do?

7 answers to Hollows and Grooves After Restylane Removal: What Procedure Will Fix This?

Restylane for lip lines

It sounds as you had Restylane injected for the upper smile folds near the nose and some spread into the cutaneous (skin-colored) upper lip. It also appears as if you had Restylane removed by either hyaluronidase injections or incision and expression. We have not found that hyaluronidase dissolves normal tissue. If corticosteroids were injected to reduce swelling (it won't dissolve Restylane) then some fatty tissue could have atrophied. It may be that each revision that... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Unsightly grooves after Restylane Injection and Restylane Removal

Injecting any dermal filler in this area requires meticulous technique to avoid what you described. Once the product was dissolved to address the negative outcome of the treatment, it sounds as it you began to notice other issues. It's not clear if you possibly had filler placed in secondary areas that were affected by the hyaluronidase treatment. However, as one panel member suggested, you may only be noticing something that was pesent before your treatment. ... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Hollows and dents after Restylane removed

The possibility of creating bumps, lumps and dents when attempting to remove or dissolve Restylane, Juvederm or Perlane is the reason, IMHO to just wait and allow these fillers to just dissolve and go away on their own. IMHO, you should consder gentle massage to the area and then just wait until everything goes away on its own.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Photographs or an actual examination is needed to understand your issues.

First if you just had your Restylane taken out, I would wait another 10 days before deciding more needs to be done. Persistent swelling can distort the tissue. Time is very helpful for this. If your issues persist, the first most likely possibility is that more enzyme is needed. One all the material is removed, what ever issues are left can be addressed with a small addition of HA fillers. These can be very fussy treatments.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Filler problems

As you have found out, restylane and fillers are not perfect. In the past you may have been the ideal candidate for a collagen injection. Collagen was a great solution for upper lip lines. Unfortunately the product is no longer available. However, there are still other treatment options, including laser and surgery available, or perhaps other fillers. I suggest you discuss this with your doctor, or seek a second opinion. Yoash R. Enzer, MD more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Grooves and hollows after Restylane

You should definitely discuss this with the injecting physician and get his or her input. He will be able to understand what happened to give you the result you have, and to guide you in how best to restore the areas to their previous appearance

Barry Resnik, MD
Miami Dermatologist

www.drresnik.com