I read somewhere that Restylane injections to cheeks and nasolabial folds can cause brain infarctions. Is this true?
Doctor Answers 6
Facial Sculpting Using Fillers Like Voluma, Radiesse, Lyft, Juvederm and Sculptra and Fat; Buccal Fat Pad; Botox; Liposuction
Restylane injections and complications
Cosmetic facial fillers have been reported to cause embolism (arterial blockage).
Retinal artery occlusions have been reported with use of dermal fillers containing hyaluronic acid (similar to Restylane). This happens due to accidental injection of filler into the artery leading to an eyeball which causes temporary blockage. All brain infarctions and cases of blindness reported in the literature occurred with autologous fat injections since fat particles are much larger than hyaluronic acid. Although these cases are extremely rare, it's always a good idea to have your injections performed by an experienced plastic surgeon.
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Restylane and filler injection complications
Thanks for this question. I am not aware of cases reported of brain injuries due to filler injections, however, extremely rare complications such as adverse vision effects have been reported. It is important to go to an experienced physician whether that be a facial plastic surgeon, dermatologist, etc and get all of your questions answered. Done correctly, fillers are still one of the safest things I do (in addition to Botox).
Restylane injections and concern for damage to the body
Injection of Fillers and Serious Complications
That being said there have not been any cases to my knowledge of brain strokes from cheek injections but there have cases of death of the cheek and nose tip tissues. There have been a few cases of blindness associated with injections of filler in the frown wrinkles between the brows.
These disasters cannot be eliminated but can be reduced by the use of blunt tip catheters for injecting fillers in high risk areas and by using HA - Hyaluronic Acid fillers which can be dissolved in case of impending tissue death. This cannot be done with permanent fillets such as Bellafil and Silicone. Finally, insist on having an experienced Plastic surgeon do your injections instead of an esthetician or cosmetologist.
Dr. Peter A. Aldea
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.