Treatment for Superficial Necrosis Due to Restylane?

I had Restylane injected too shallow between my eyes (below the glabella). It caused necrosis where several skin layers were lost, and peeled away to reveal a tender, red new skin with telangestecias.

How can I help recovery of this wounded skin? It reminds me of a deep chemical peel!

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4 Doctor Answers | Asked by lensaholic in Myrtle Beach, SC

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Skin slough after filler injection

If the skin has sloughed after restylane injection and has healed or is slightly raw, I would put bacitracin or neospoorin on it provided you do not have an allergy. Then I would recommend sun screen once it has healed to minimize the risk of sun exposure causing hyperpigmentation.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Treatment of superficial necrosis from Restylane

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. If Restylane is injected to superficially, there is the risk of skin breakdown. If this is a small area, your doctor may recommend local wound care and allowing the skin to heal itself. If it is a large areas, or it appears that you continue to have a great deal of Restylane just under the surface, you may benefit from a... more

Proper wound care is key to decreasing wound and scar formation

The best is to see a dermatologist as soon as possible. Necrosis is apparent when it does occur as blanching becomes noticeable first. Nitropaste can be administered first to prevent further progression of the problem. If necrosis has occurred, it is prudent to take care of the wound with proper hydration (emollients, etc) I'm a big fan of BIAFIN which can be used on wounds to aid in healing and decrease scar formation. As for the telangectasias, those can be treated with pulse dye lasers... more

Necrosis after Restylane

At this stage, if there is still an open wound, I would apply a bland ointment such as Aquaphor and keep it covered most of the time. Once the epidermal layer of skin has regenerated (when it is no longer an open wound), application of silicone gel sheeting can be useful. After wound healing is complete (approx 1 month), the final appearance of the scar and telangiectasias can be treated with a vascular laser such as the pulsed dye laser. I hope that when all is said and done, you are... more