Restylane safe after radiation treatment?

I had radiation treatments on my neck for base of tongue cancer.It subsequently damaged the skin on my chin, and caused many wrinkles. I would like to try Restylane treatments to reduce these wrinkles. My chin was in the outer area of the radiation field. Am I safe to have these treatments?

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6 answers to “Restylane safe after radiation...”

A: Seek an experienced physician before injecting fillers

Ronald Shelton, MD

Sometimes the skin becomes very thin after the radiation. Furthermore the blood flow to the skin could be compromised from the radiation. The Restylane or Juvederm hyaluronic acid fillers could become more visible in your skin if it is very thin. There might be bluish bumps or just a bluish color from the... more

A: Start topical first

Christopher L. Hess, MD

Radiation causes thickening of the skin (in a bad way) and damage to blood vessels.  As you know areas that have be radiated don't heal as well as non radiated skin.  You might want to consider starting some tretinoin first to see if that will increase the health of the skin.  After this I would... more

A: This should be done with care.

Kenneth D. Steinsapir, MD

 Dear Inga Using Restylane in an irradiated field should be fine.  However, I strongly recommend that this be done by a facial plastic surgeon with experience working in irradiated tissue.  There are some chronic vascular changes associated with irradiated skin and tissue making this treatments... more

A: Restylane usually works well after radiation

Stella Desyatnikova, MD

 I have treated several patients after radiation for head and neck cancer. Everybody has done very well and enjoyed their treatments, and they keep up with repeated injections. You should do very well with Restylane. Make sure you find a physician who is familiar with this cancer and effects of radiation... more

A: Restylane After Radiation Treatment

Michael A. Persky, MD

Hi Inga, Sorry to hear of your tongue cancer.  Hopefully the treatment is a success and you can look forward to a cancer free future. Following radiation treatment with damage to the skin, Restylane should be safe to use to help restore some of your lost volume.  Be well! Dr. P

A: Effects of Radiation on facial fillers

Raffy Karamanoukian, MD

I have personally used facial fillers for reconstructive augmentation of the face in the setting of radiation exposure. The risks of infection are higher on irradiated patients, so meticulous sterile technique must be emphasized. Otherwise, the risks are minimal.

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