How Soon After Massaging Restylane is It Ok to Have It Injected Again?

I had Restylane injected a week ago into my cheeks, but one of them got bumpy and uneven (like a ball with quite defined borders). Unfortunately I had listened to some non-professional advice and given the area massage to spread out the filler (4 days after injection). Now it feels like most of product in that cheek has been dissolved, the lifting effect is poor and tissue feels soft when touching. Would it be safe to have Restylane re-injected into this cheek again and when?

Doctor Answers 14

Restylane injections

Wait 2 weeks until all swelling has resolved and you can see your final result.  If you feel you require more Restylane, return to your injector.

Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Restylane touch-up

I prefer to wait two weeks after an initial injection to add more product. I feel this is a reasonable amount of time to let the filler setttle in and for swelling to resolve. Other doctors may have different preferences for how long they wait, but there is no reason why injecting additional Restylane would be unsafe.

Mitesh Kapadia, MD, PhD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 165 reviews

See your injector

I suggest you see your injector for a follow up, and please don't massage the area again. Massage should only be done by your injector.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

How soon after massaging Restylane is it ok to have it injected again?

It is best to avoid massaging the filler on your own following treatment. I would give it a little time before coming to conclusions about the final result. It can take around two weeks for the initial swelling to go away. At that point, you can speak with your provider about performing a touch up or dissolving any excess filler that is present. I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

When to massage restylane and when to reinject

I do not advise my patients to massage restylane or juvederm or radiesse or any other filler. I do the moulding of the filler immediately after the injection and that is it. Re-injection should not take place for a minimum of 2 weeks to allow bruising and swelling to subside and to be able to make a proper judgement on the need for further filler. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 50 reviews

How Soon After Massaging Restylane is It Ok to Have It Injected Again?

    Massage after filler injection is not something I recommend due to product displacement as you have described.  Please wait 2 weeks before another injection, particularly if there has been an element of bruising.  The second injection needs to be administered precisely, and the effort should not be hampered by intervening swelling.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Second Session of Restylane Injection May Be Performed After Swelling and Side Effects from a Preceding Session Have Resolved

A Second Session of Restylane Injection May Be Performed After Swelling and Side Effects from a Preceding Session Have Resolved. Swelling from the initial injection may last from just a few days up to a week sometimes. I would not massage areas of Restylane injection to soften or remove the filler. If there are any doubts of lumpiness or irregular results, hyaluronidase injection may be a more appropriate choice to remove excess Restylane and smoothen the contour of the area injected. 

Leyda Elizabeth Bowes, MD
Miami Dermatologic Surgeon
4.6 out of 5 stars 20 reviews

More Injections After Restylane

Massaging Restylane should not cause it to dissolve. It may disperse it however. I advise you to wait a total of 6 weeks for all swelling to resolve and then go back to your doctor if the problem persists. Four days is too soon for more injections.


Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 32 reviews

Restylane and re-treatment

It's ok to re-treat with a dermal filler anytime, but in your case you may want to wait until the product has had some time for swelling to diminish to determine what you need to have a better outcome.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Timing of Restylane inection and retreatment

It would be safest to wait a full 2 weeks in order for the inflammatory response and all bruising and swelling to dissipate so that there is no likelihoof of inecting too little and finding out later that less was inected in the second setting because the area was still swollen.

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.