What Are the Symptoms or Artery Blockage/Damage from Restylane? Doctor Answers, Tips
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What Are the Symptoms or Artery Blockage/Damage from Restylane?

I had Restylane injected into my tear troughs 12 days ago. I did not have a dental block. I immediately felt numbness down to my lip. It was better 8 hrs later. Then,I started having spells where my lip and parts of face would go numb & pain. Now an area remains a little numb. I have feeling but it's not completely normal. No pain.I was told that this was probably an irritated nerve & would heal. Now the issue of possible artery blockage was brought up on this board. What would signs of that be?

6 Doctor Answers | Asked by freakingout819 in Columbia, SC
+2

Numbness = nerve; Circulation problem (ischemia) = artery.

Your symptoms are typical of infraorbital nerve irritation, inflammation, or needle injury. This should heal and resolve, and the rapidity of return to normal will be dependent on the exact type and severity of whichever of the above was the cause of your numbness. The fact that it is better and intermittent is good and reassuring. Blockage of an artery requires an artery big enough to suffer (an unfortunate) direct hit with the HA needle, and injection which causes the blood flow in... more
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Restylane - What Are the Symptoms or Artery Blockage/Damage from Restylane?

The most common symptoms of a vascular blockage are when patches of the skin turn pale/white (arterial blockage) or purple/deep red (venous blockage). Of the two, the arterial blockage generally has much higher risks. Fortunately, most of what appear to be blockages of the vessels are actually external compression of the vessel in question and dissipate fairly quickly and, hopefully, without any significant permanent effects. That is not always the case, however, and some of... more
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Symptoms of artery blockage from Restylane or Juvederm

If an artery was blocked, you would see marhed blanching at first and an area of sloughing later. Also, you would feel pain at first and numbness later. An arterial spasm would cause a temporary blanching and pain. It is quite unlikely that an artery was blocked. Most likely, you had a nerve squeezed. Apparently the peoblem is subsiding . If numbness persists, a hyaluronidase injected in the area of the infraorbital nerve exit from the bone may prove beneficial. more

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Numbness might be from damage to the infraorbital nerve

When your tear troughs were treated, the infraorbital nerve [which exits from bone in that area] might have either been hit with the needle, or compressed if Restylane® was accidentally injected into the infraorbital foramen. Either scenario could account for the numbness you are describing. At this point it sounds as though you are getting better on your own. If necessary, hyaluronidase could be injected in the general area of the infraorbital foramen [hyaluronidase diffuses quite... more
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Numbness After Restylane Injection

Dear Freakingout, Blood vessel occlusion due to Restylane injection can present in several ways, including: 1) Immediate blindness in one eye 2) Pain in the injected area followed by reddish / purplish blotchy skin discoloration 3) The color changes described above with minimal pain It does not sound like you have occlusion of a blood vessel. You need to see your injector for follow up.
+1

Signs of Artery Blockage from Restylane (or Juvederm)

In my last post, I suggested that you be aware that blood vessel blockage is also a possibility with ongoing facial pain or numbness after filler treatment. The most significant signs of this would be a color change over the area affected by the artery, such as "duskiness" (purplish or blueish bruise-looking area) or paleness. This would mean there is lack of normal blood flow to the area affected. Sometimes intermittent pain/numbness could be a factor if an artery is spasming... more
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Comments (2)

freakingout819 5 Nov 2012
Tried to answer but not sure if it went through. Dr Smythe Rich did the procedure. I can not say that I would recommend him. It took 2 months for the feeling to return in my face. He did see me for follow ups and assured me how rare my problem was. It does not matter how rare it is when it happens to you. However, the main reason I can not recommend him is that when I went for my consult, he pushed really hard for me to get Sculptra instead. He had several doctors in his office that he was teaching that day. He made me very uncomfortable. I had to insist on Restylane only. Good luck and let me know if I can answer any other questions.
madgirl76 31 Oct 2012
I am thinking of doing this in Columbia sc. Can I ask who did your procedure and would you recommend?

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