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Why Does Restylane Cause Numerous Lumps?

I began to research the use of Restylane, and found many women's reviews of this product. Many cited lumps that formed and were painful. Why is this? Please advise.

Asked 30 months ago by coolbeancon in St. Petersburg, FL
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+2

This shouldn't happen if the doctor is well trained and knows what they are doing

Lumps and bumps directly correlate with the skill of the person injecting. Unfortunately, there are many folks out there who are doing these procedures with little or no experience. Usually, it is at the medispas where they hire out to cheap nurses or PAs to do the injecting while the MD owner is out on the golf course. Go to someone who is skilled and does his/her own injecting and is a doctor. You also need to check them out as not all doctors are alike and trained as well as they... more
Joel Schlessinger, MD
Omaha Dermatologist
+2

Should not be lumpy

Restylane (or any other filler) should not leave visible lumps, nor should it be painful if injected properly. There is the possibility that there may be some areas where you feel the product under the skin, especially in the first few days after injection. These should dissipate with time. The good news is that if there were visible bumps after Restylane, Perlane or juvederm they can be reversed by injecting hyaluronidase. These fillers are excellent products and, when injected... more
Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon
+1

Lumps after Restylane can be poor injection technique except in the eyelids

In thicker skin lumps are less common as the skin hides any irregularity. The most common areas where lumps are seen is in the eyelids and the lips, both areas of thin skin. The closer the filler is to the skin , the more likely visible lumps. The lumps are caused by irregular injection of filler, the filler being close to the surface of the skin and occasionally bleeding that occurs during injection. I do not use fillers under the eyelids for this reason.
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

Restylane Injections

Any filler that is injected too superficial will leave bumps in the areas. This is why you should see a board certified plastic surgeon who are trained in these techniques, whereas some places you have physicians, or nurses or PA injecting the product who simply took a weekend coarse or watched a video. Good luck.
Farbod Esmailian, MD
Orange County Plastic Surgeon
+1

Restylane and Lumps, What's the Deal?

Hi CB, It's not the tool, it's the craftsman. Restylane should not cause lumps, improper injection by the injector causes lumps. It doesn't matter what filler is injected, if not performed properly, lumps will occur. Restylane is a very good hyaluronic acid product, as is Juvederm. Most cosmetic practices use both fillers. Good luck and be well. Dr. P
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Your research is not accurate

Dear Cool The internet is the great equalizer. However, it is human nature that if you have an issue you go out and tell 100 people. With the internet it is more like you go out and tell 10,000 people. Lumps can form from Restylane treatment like any service. There are a lot of techniques that can be used at the time of service to minimize these. But by far more important is that lumps caused by Restylane can easily be adjusted by the injection of an enzyme that removes the fullness. This... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
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