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Restylane Cost $700 average cost

Scary Dental Block Reaction Prior to Restylane (Third Time)

40 posts
Comments (36)
Updated 15 Feb 2011
Posted 17 Jul 2009
Not Worth It
Spent: $600 in Massachusetts

I went to the same Doctor for the 3rd time (no prior problems) to have Restylane injected into my upper lip. I received a Dental Block (lidojust as I had before, but this time it was then injected the other side of my face, which was also way painful than usual, though not quite as bad as the left side. When I complained of excruciating pain, he gave me a shot of saline and that did help the pain subside. However, I immediately swelled in my cheeks, and we did not do the Restylane.

He thinks I had a reaction to the preservative in the lidocaine. I am skeptical because I have never had a problem with lidocaine in my life, and have had plenty of dental work, etc. The next day my face was so swollen and completely numb that I could barely smile, and I could not feel anything. I had this in late March, and it is July and I am just now completely back to normal.

The swelling lasted about 2 weeks (the worst of it gone after one week), but my smile was partially paralyzed for weeks and I did not regain total feeling for months! It was terrifying.

I went to a few neurologists and plastic surgeons to get their opinions and they seemed to think that it was injected directly into the nerve (a fluke accident, not necessarily the doctor's fault). My friend is a dentist and he said no one is allergic to lidocaine. I'm not sure it was injected into a nerve because the saline dilution injection did help, and all the doctors said it was unlikely that he would hit a nerve on both sides. However, it was excruciatingly painful, and upon the first injection (on the left inside of my upper-lip, below the cheek) the pain went shooting all the way up to my left eye, in a fluttering sensation.



Updated on Oct 28, 2009:

 **UPDATE** I am fully recovered, and I recently ran into the Doctor who did this, at a restaurant in town (we were both getting take-out), and he looked as if he had seen a ghost when he saw me.  He was very uncomfortable, very awkward, and VERY quick to get out of my sight.  I had to be the one to say "hi", and I did because I couldn't believe he was going to ignore me after looking me in the eye.  He did not forget me, as I was in there once a week after this happened so they could monitor what was going on with my frozen, swollen face,  I needed to say something to get him to acknowledge me, and so I said  "I'm all healed".  He said "oh good", very nervously, and rushed out.  It was very dismissive.  It angered me because I could have sued him -- I think most people would have and I was even advised to, but I didn't because I figured anyone can hit a nerve, it wasn't intentional.  I felt very brushed off and that he was very sleazy.  I will name him now, after all this time trying to be respectful of him and his practice, but he doesn't care about me at all, I believe he was only trying to protect himself from getting sued.  

I want to know what other doctors think this could be, and if anyone else has had a similar experience.

Updated on 15 Feb 2011:

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

My Doctor:

My rating:
I am not sure this was his fault. He was a little arrogant but I do think he felt bad and he is a good doctor, so I don't really want to comment on whether or not I would recommend him. Highly skilled, I think, but not a great "bedside manner".
Vote: 15 members found this review helpful

Comments (36)

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t37352 (48 posts) 18 Jul 2009
You are such a beautiful Girl, you really are! But I think you are making to many excuses for your Doc....he messed up...do not got back there... ever!
KGB (40 posts) 20 Jul 2009
Thank you for the kind words. I'm just really confused as to what happened, and a lot of other doctors stood up for him. I'm obviously feeling bad about being vain enough to have had it done in the first place, but now I'm afraid to even have novacaine at the dentist!
Shawn Allen, MD (274 posts) 21 Jul 2009
Most likely injection into nerve canal which is rare but can happen and can result in a numbness but should not effect ability to smile. This is confusing if you have true muscle activity decreased. The nerve injury will almost always resolve slowly over months but should not be permanent. Not sure i agree with above comment as this can happen even to very experienced dermatologists and plastic surgeons. Everyone has different anatomy, no one is just like the textbooks. I would guess you are fully recovered. There is preservative free lidocaine that can be used if needed. The extreme pain on injection is usually due to hitting the nerve directly with the needle so again, likely to be a rare event. go see an allergist to be tested for lidocaine allergy. Easy to do and will resolve the question. good luck
KGB (40 posts) 22 Jul 2009
Thank you very much for answering and your input. I do believe this was a freak thing and not the necessarily doctor's fault, which is why I didn't take legal action despite what my friends told me to do. I had this procedure done by the same doctor 2x before with great results on the same lidocaine. Do you think it's possible I developed an allergy to lidocaine (or the preservative) out of the blue or would you say it is likely that he hit a nerve? I am back to normal now, but it took about 3-4 months to fully recover.
Shawn Allen, MD (274 posts) 30 Jul 2009
Great to hear you are normal again.. This is always the case... It is highly unlikely you developed the allergy but a test in an allergist office will settle this issue for you so you can do more injections/biopsies/numbing as needed. Good luck
KGB (40 posts) 30 Oct 2009
Hi Dr. Allen I met with another plastic surgeon yesterday, just trying to get as many opinions as possible, and he agreed with you that it should not have affected my ability to smile or move my lips (for example to suck through a straw) which it absolutely did. It was bordering on partial paralysis along with numbness for nearly 2 months. Do you have any idea what could have caused this? I know it is directly related to this injection of lidocain, as I have never had any problems with motor skills/muscle activity before. Thanks again for your time!
joyce589 (2 posts) 12 Feb 2011
Dear Dr. Allen,
I've been online searching for some possible hope for me, and the web brought your reply to the question above. I, like this young woman, had an injection of lidocaine w/ epinephrine, preceding injections, of what I was told, was Revanesse, to my upper lip only. The next day, and every day since, now 2 weeks, I have been unable to articulate words, especially p's, f's, b's, digraphs, etc. The doc said that I have motor nerve damage, probably due to MY reaction to the lidocaine w/E. I think that she accidentally, of course, hit a motor nerve with the needle. She says there is nothing that she can do. I'm on a 2nd Medrol pak with no improvement. I am devastated, insecure, and afraid. Very self-conscious of my speech....good lesson in humility. How long do you think this will last, and what can I do, in the meantime?
dancer (21 posts) 25 Jul 2009
First of all, you are pretty & have a sweet smile and if you never got better, which you will,you'd still look pretty! Second, as someone who has had Bell's Palsy and a paralyzed face and residual partial paralysis, meaning I NEVER got my normal smile back, & one eye is slightly smaller than the other, I KNOW WHAT YOU MEAN BY SCARY, I HAVE BEEN THERE SEVERAL TIMES, AND NOTHING IS WORTH THE RISK YOU ARE TAKING.THIS IS YOUR FACE YOU'RE TALKING ABOUT. I WOULN'T LEAVE THE HOUSE FOR MONTHS, OF COURSE I LOOKED ALOT WORSE THAN YOU, YOU LOOK FINE, BUT DON'T PUSH YOUR LUCK.YOU STILL LOOK GOOD, SO KEEP IT THAT WAY. Also, I had a problem with a dr. & also said I believed he was a good dr.NOT HIS FAULT, and blah blah. LISTEN TO ME, WHEN SOMETHING LIKE THIS HAPPENS, IT IS THE DR's FAULT. SORRY DR. ALLEN, WHAT ELSE WOULD YOU SAY, AS A DR.? We know everyone is different and it's your job to know how to inject on each different person.However, One dr explained to me that we have nerve canals & some people's are smaller than others so that when the nerve swells as mine did and as I think your's did, there's no room in the smaller canal for the enlarged nerve & thus the resulting paralysis in only some people. KGB, here's my advice and coming from me, with five previous episodes of facial paralysis from the Bell's, I think I know about facial problems and how scary they are and how we take our beauty for granted. I lost my beautiful smile which greatly affected me - DON'T TAKE A CHANCE ON LOSING YOURS. First, can't go back to same dr., no way. Second, why would you get a painful shot of lidocaine and then more painful shots of restylane? if you must get the lip shots, and I don't think you should, DON'T GET THE LIDOCAINE. THEY HURT ANYWAY, SO JUST GET THE PAIN FROM THE RESTYLANE AND FORGET IT. YOU'RE HAVING PAIN FROM THE PREVENTIVE SHOTS SO WHAT'S THE POINT? AND YOU KNOW YOU WILL NEVER BE ABLE TO GET THE LIDOCAINE AGAIN WITHOUT PANIC AND FEAR, RIGHTFULLY. ALSO, WITH ALL THE TOPICAL PRODUCTS ON THE MARKET FOR LIP PLUMPING, FORGET THIS AND GET SOME FUSION LIP PRODUCTS, THEY DO THE TRICK. SO DOES ADRIAN ARPEL LIP PLUMPING CAPSULES. Put on at nite, have plumper lips a.m. not the same as restylane, but hey, NO RISK. what you're doing IS TOO RISKY. IT'S TOO LATE TO EVER GET MY SMILE BACK B/C THE MUSCLES ATROPHY VERY QUICKLY, BUT YOU'RE STILL OKAY, DON'T RISK IT AGAIN, PLEASE. DDS EVEN TOLD ME INJECTION WAY BACK IN MOLAR AREA CAN CAUSE FACIAL PARALYSIS B/C THEY DO GO INTO THE NERVE. I EVEN TRY TO AVOID THAT, LETTING THOSE TEETH GO. I LIVE IN CONSTANT FEAR OF GETTING THIS AGAIN AND YOU'RE JUST ASKING FOR IT. YOUR FACE IS NOTHING TO FOOL AROUND WITH. I HOPE I'M GETTING THRU TO YOU. :) BE WELL.
2935anon (2 posts) 4 Nov 2011
Hi, I just happened to read your email. Doing research as well. So sorry to hear about all your issues will Bells Palsy :(. Don't know if you are aware but there is a facial paralysis specialist in LA that may be able to help you (can't hurt to check out his website). His name is Babak Azzizadeh and he has a paralysis clinic. He worked on Betty Jo Buttafucco (spelling ?) and she looks pretty good :)
dancer (21 posts) 25 Jul 2009
KGB, ONE MORE THING. If it was a reaction to lidocaine and you need an allergy dr. as Dr. Allen suggests, then why didn't you have this problem from the beginning? I KNOW WHY, IT'S B/C YOU'RE NOT ALLERGIC TO IT. HE DID THE OTHER INJECTIONS PROPERLY AND SCREWED UP SOMEHOW ON THIS LAST ONE. You said yourself it hurt worse and then you had this reaction FOR THE FIRST TIME. DON'T GO BACK, AND DON'T GET LIDOCAINE FOR THESE PROCEDURES AGAIN. SOMEONE ELSE COULD DO THE SAME THING AND YOU MAY ALSO VERY WELL HAVE SMALLER NERVE CANALS AS I SAID IN PREVIOUS COMMENT, THEREBY MAKING THE SHOTS EVEN MORE RISKY FOR YOU.
KGB (40 posts) 27 Jul 2009
Thank you. I'm sorry you experienced a similar thing. That must be horrible for you. Will yours not resolve at all in time?
dancer (21 posts) 27 Jul 2009
No, unfortunately, even tho the nerves take longer to rejuvenate than any other body part, if they don't come back within one to two months, they're not going to. My bigger problem is really just living with the fear that it's coming again and what will I be left with. As I said,I had it about five times, full blown, and other smaller episodes that resolved with meds.but why is the question that no one can answer. But havng to live with this is what makes me so sure that you shouldn't take chances with your face. Believe me I know no one thinks it can happen to them, but so did I and yet it did. I have fear just going to the dds and hearing myself say this makes me wonder how i ever did the restylane at all, but mainly I did it to fix the pull from Bells and it actually did, thank God. I never realized it could have made it worse if it hit a nerve. Okay, I can only hope you take my advice. Good luck.
psoldoff (29 posts) 2 Aug 2009
Your pic look almost exactly like how my face is right now! (mine might be a little worse) BUT although I have a numb spot on the side of my lip, I can function fine..smile etc. I have been icing like crazy! Im glad yours resolved,I dont understand why doctors dont seem to understand what does this?! It seems to be NOT too uncommon!
KGB (40 posts) 3 Aug 2009
Hi, I'm sorry you're experiencing a similar thing. Do you know if yours was from the nerve block or the Restylane? WHere did you have it? How long ago?
psoldoff (29 posts) 3 Aug 2009
Only last Thurs and Im sure its from the lidocain. I felt the big knots right when the girl injected it! She was new and I guess my Dr decided to use me for a guinea pig! (I kinda look like one now too!) Its not a whole ton better today after 4 days! Still numb and swollen!Ive had juvaderm and or restylane for years and never any problem. Im just not too happy to be seen out and about!
KGB (40 posts) 3 Aug 2009
That is awful. I had it before too without a problem. Did your doctor offer any explanation, like did he think she hit a nerve? The doctor I went to is board certified and he did the nerve block himself, but it was so scary and took me months to recover. Don't worry though, you will go back to normal. Will you post pictures, or maybe send me a picture to my email?
psoldoff (29 posts) 11 Aug 2009
They offered no explaination and didnt follow up with a call or anything. When I wake up in the morning my face is still puffy and After nearly 2 weeks I am still not looking completely normal. Also, about 1/4 of my upper lip IS numb! I have some pain on either side of my nose when I wrinkle it up too. I dont know how to post a pic here or I would. I took one.. its not great but it does show funny piggy looking nose etc.
KGB (40 posts) 11 Aug 2009
Yeah I would bet (obviously I'm not a doctor) that what happened to me happened to you. If you want to email a picture my email is kgbusse@hotmail.com. I was numb on a part of my lip and nose for about 2 months!! but luckily it is back to normal now.
LSJ (unregistered guest) 22 Aug 2009
The same thing happened to me. I had done restylane and juvederm before without anesthesia, just ice. It was not bad. I am not overly sensitive to pain and it only lasts a minute. This was a new lady and she was very concerned about the pain. I told her repeatedly not to worry about it and that I did not need a dental block, but she insisted that the lips were very sensitive, and not wanting to argue, I thought, who cares and let her do it. Now, one week later, I am still numb on both sides of my nose and am swollen at the bottom of my cheeks like I have cotton balls in my mouth. I've been canceling all my plans and don't want people to see me. I looked good before. This was such a huge mistake and I emptied my bank account. KGB, would you post a picture of how you look now? You are so beautiful, I hope we all learned to appreciated ourselves the way we are more rather than risk our faces. (That said, I will continue to use botox judiciously between my eyebrows for a long time to come because I love how it takes away the anger creases without changing the way I look.) LOL
KGB (40 posts) 26 Aug 2009
Hi, Can you send me a message to my kgbusse@hotmail.com account and I will email you a pic. Thanks for your kind words. I am back to normal now, thank god! I luckily was not charged. I think you should try to get your money back. That is awful. Did you go to a spa or a Plastic Surgeon?
jlosc (46 posts) 29 Aug 2009
You were more beautiful before the shots. There looks to be a lot of swelling.
KGB (40 posts) 31 Aug 2009
I know, it was awful.
psoldoff (29 posts) 10 Oct 2009
Hi guys nearly 8 weeks now and the numbness is gone, but some of the weird face puffiness has remained, which turns my nose up a slight bit. In other words, STILL not back to normal. Just thought Id post an update! How are you girls all doing now?
KGB (40 posts) 15 Oct 2009
Hi! I'm back to normal. It was pretty scary how long it took, Probably 2 1/2- 3 months to fully recover. Did you say it was the dental block? Did your doctor ever give any explanation at all?
psoldoff (29 posts) 24 Oct 2009
I believe it was all due to the dental block. Immediately there were big knotts on either side of my nose, and pain. I have never had that happen and I have been getting fillers for 6 years. A new girl injected it. Maybe she hit a nerve, it almost seemed like she put too much in too fast, but I dont know! They never gave me a recall or anything.Im not planing on using this office anymore! =( btw, The puffiness is still there especially in the morning. I guess maybe another month and I may be all better?

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