Restylane Q&A
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What is Wrong if I See No Result 4 Days After Restylane ?
asked 6 months ago by provider in ND in West Fargo, ND
Latest answer by Alan Engler, MD
Question viewed 199 times
Tags: 4 days post-op, not working
I had two syringes of Restylane four days ago, why do I see no results? The injecter suggested that I have one syringe in the upper check area on both sides hoping to lift up and out because I have lost weight in my face. I shared that I wanted my checks to look fuller and I was concerned about the lines on both side of my mouth. I could hear and feel the injection into my upper check bone. I was bruised from the inside but with ice no sign of any bruising on the outside. What do I do?
12 answers to What is Wrong if I See No Result 4 Days After Restylane ?
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Restylane
Sometimes the results are so subtle and natural appearing that many patients forget what they looked like before. Other times, there is not enough product placed to see a noticeable result. Generally after 2-3 days, there is swelling from the physiology of the fillers that settles within the next few weeks. You may need additional Restylane injected. Please consult with your injector as to how best to proceed at this point.
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Restylane - What is Wrong if I See No Result 4 Days After Restylane ?
It is hard to give an answer without being able to see you but the general considerations are how much should be injected, which areas, and by whom. Two syringes should generally be enough to see the result, although if significant volume is required that may not be enough. The other issues though, are just as important. It's possible that it was injected too deeply (just speculating) but, either way, selecting the other two criteria are critical. I would suggest...
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Seeing no results from Restylane or Juvederm fillers after you paid a lot of money.
Unfortunately, it is not totally uncommon to feel like you invested so much time and discomfort, and got not much out of it. The treatments when done by a well-qualified, safe physician injector are not cheap (you get what you pay for to some degree... so this is valid), and it can be surprising to patients to spend several hundred dollars and not feel "totally fixed". This has to do with expectations being set by the physician, and expectations brought to the treatment by the...
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The amount of Restylane needed depends on the patient
Aging, and volume loss in the face, is a dynamic process and begins to occur around age 30. If you have lost weight, you may have experienced even more volume loss in the face. A syringe of Restylane only contains about 1/5 of a tablespoon of product. You can imagine that this would make very little difference in someone that requires more volume augmentation. It sounds like you needed more product, or consideration of other volume producing procedures such as...
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Melanie D. Palm, MD
San Diego Dermatologic Surgeon
San Diego Dermatologic Surgeon
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Restylane Not Showing after 4 Days?
Hello. The amount of product depends on the patient, but normally, we would not try to achieve a noticeable difference in the cheeks with 1 syringe of Restylane. The same for the nasolabial folds (laugh lines).
Normally we place 1 syringe of Radiesse or Restylane in each cheek and the same for each side of the nose and mouth. The product is there, it's just been spread too thin. Your injector should set this expectation beforehand so as to help you...
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What is Wrong if I See No Result 4 Days After Restylane ?
IMHO, Restylane is too thin a soft tissue filler for Cheek Augmentation. I use Perlane or Radiesse for that purpose.
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Restylane in face
My suspicion is that you have a result, and possibly need more filler. I suspect that you need more product. Speak with your doctor.
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No results 4 days after Restylane
I agree with the advice of the above experts.
To summarize:
1.-Before and after photos are essential.
2.-The quantity of the filler should be adequate to make a noticeable, but subtle difference. (You may need more than 2 syringes)
3.-The quality of the filler should address the problem at hand: Radiesse and/or Sculptra (or maybe Perlane) for deep wrinkles, Restylane or Juvederm (or maybe Prevelle) for shallow wrinkles.
4.-The quality of...
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Restylane is not very effective for volume
The problem you are describing is most likely due to the use of a superficial "wrinkle filler" in your cheeks instead of a "volume filler". When treating problems due to volume loss I will almost always use volume fillers such as Radiesse and/or Sculptra. They are injected deeper, beneath the skin, and will generate more volume to create a much better lifting effect for sagging skin. They work by stimulating your skin to produce more collagen, which is why they are so...
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Did your injector take a photograph of you before treatment?
If so, have them take a photograph now and compare the two. If the photos do not so a difference, it is likely that your injector has poor technique or you need more volume or both. If no photos were taken, then you are getting service in the wrong place. It is often very difficult to remember were you started from. Without photographs documenting the treatment, it is your memory against that of your treating physician. This is a formula for unhappiness.
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No results after Restylane
It is impossible to evaluate your concerns without pre and post-procedure photographs. If Restylane was the correct treatment for you, there should be results. Generally, for the cheeks, I use Radiesse which produces a significant improvement and then use Restylane in the lower eyelid region. If you have a lot of cheek hollowing, filler may not produce the results you are looking forw and you may be a candidate for a surgical facelift.
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You may not be a good candidate for the fillers
You need to go back to your surgeon and look at the before pictures to see the results. If you are not happy with 2 cc of the fillers, you may need face lift and or fat grafting. For the patients that have lost a lot of soft tissue , fat grafting works better.
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