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Why Are Veins Appearing After Restylane in Nasolabial Folds and Nasogenian Grooves?

asked 1 year ago by lapcas in Los angeles, CA
Latest answer by Michael Elam, MD
Question viewed 1,043 times
Tags: nasolabial folds, veins

Earlier today, I had some restylane put into my nasolabial folds and nasogenian grooves. On the left side of my nose (but not on the right) I am getting purplish splotches that follow vein patterns in areas that the needle didn't touch all the way up the side of the nose. What might be going on and how long might it last? Thank you.

12 answers to Why Are Veins Appearing After Restylane in Nasolabial Folds and Nasogenian Grooves?

New appearance of purple splotches is a concern after dermal filler

I would go to your physician and have him look at this. It's hard to advise you without a photo but what you can possibly have is occlusion of the vessels around the nose. This can lead to the overlying skin dying from poor circulation. It can usually be improved if recognized early by Hyaluronidase, heat, blood thinners and nitro paste.

Steven F. Weiner, MD
Pensacola Facial Plastic Surgeon

Veins appearing after Restylane Injections

I agree with the other physicians statements and would suggest going in to see your treating physician immediately. As stated before this could be a sign of possible occlusion of the vessels around the nose which could result in further complications if not treated promptly. I have seen several patients from other physicians who have experienced some broken blood vessels around the nose and these have appeared to be the result of superficial injections. I wish you the best in healing and a... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Blotchy Skin after dermal filler requires attention

Any sign of skin blotchiness after filler injection should require immediate examination by the physician injector. This may be a sign of compromise of skin circulation and should be addressed with warm compress, and possible consideration of nitroglycerin patch and hyaluronidase injection (if hyaluronic acid filler such as Restylane, Juvederm, or Perlane is injected). This is one of the reasons that consumers should never shop on price of filler injection alone; you must be confident... more

William Ting, MD
Bay Area Dermatologic Surgeon

Complication of vein obstruction after Restylane

There can be a rare complication of blockage of a vein when any filler is injected in the glabella of the forehead(between the eyebrows) or in the crease around the nose. The vein may be blocked from external volume compression or from internal blockage by the filler finding its way into the vein. If an artery is obstructed then it could be more serious. Please call your doctor right away! Some incidents have probably been avoided by the quick use of hyaluronidase to dissolve the restylane... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Potentially SERIOUS complication of Filler Injections

Regarding: "Why Are Veins Appearing After Restylane in Nasolabial Folds and Nasogenian Grooves? Earlier today, I had some restylane put into my nasolabial folds and nasogenian grooves. On the left side of my nose (but not on the right) I am getting purplish splotches that follow vein patterns in areas that the needle didn't touch all the way up the side of the nose. What might be going on and how long might it last? Thank you." Without a photograph it is impossible to... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Signs of Vascular Occlusion and Impending Skin Necrosis After Filler Injection

Hi Lapcas, Drop what you are doing and call your injecting physician asap! If that ever happened to one of my patients, I would advise them to take aspirin and get to our office as soon as possible for evaluation. This is an emergency and needs to be evaluated and treated now! Please let us know how things turn out. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Potentially Serious Risk of a Filler Injection

Your symptoms sound very suspicious for occlusion of a blood vessel and is a potentially urgent situation. If that is the problem, the treatment is warm compresses to the area to stimulate circulation, application of nitropaste ointment by your injecting physician, and immediate injection into the area with hyaluronidase (an enzyme to digest hyaulronic acid - Restylane) All injecting physicians should have these things available for immediate use in their office so you should... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Totally agree with the other docs-this requires immediate intervention.

Dear Lapacs This should be seen by your injector today. The treatment is to flood this area with enzyme to break down the injected Restylane and help restore circulation. What you are describing is most likely some type of circulatory disturbance related to your filler treatment. Fortunately with immediate care these typically resolve without serious consequences. However, left untreated the involved skin can die and slough. Please consider reposting and... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Splotchy appearance after fillers

You may be in the middle of a serious complication. What you describe as splotchy purple color changes is often a sign of the filler being injected into a vessel which can lead to death of the skin in the area with possible scarring and healing wound. There are ways to manage this but only experienced injectors will know how . Please call the office you got injected in and ask them what to do. It would also be possible that since we dont have a picture of... more

Shawn Allen, MD
Boulder Dermatologist

This could be serious

A change in the color of the skin could be an early sign of an impending necrosis, especially if there is pain. This is the result of compression or occlusion of the circulation to the skin. Please call your doctor immediately as this is an emergency. The other possibilty is superficial placement of material. This is not serious, but needs fixing too. Good luck.

Mary Lupo, MD
New Orleans Dermatologist

Skin changes after injections

Without pictures or seeing you in person, it is impossible to give you specific advice. Sometimes after injections, you can get bruising in the line of the needle tract - possibly this is what you are describing? If there is any concern at all, however, you should return to the office and have your doctor take a look. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Veins appearing after Restylane injection.

A purple like splotchy appearance can be just some normal bruising, but could also be the first sign of an intra-vascular injection. Hard to say without a picture. In any case, I recommend you be seen by your physician immediately to rule this out! This can be quite a serious complication if not treated quickly. If it is an intravascular injection, treatment consists of Hyaluronidase injection to dissolve the Restylane, aspirin, massage of... more