Had Restlyn injected by a dermatologist a week ago. What should I do about disfiguring swelling? Can it be corrected? (photo)

Question

I had Restlyn injected by a dermatologist a week ago in the folds between by nose and mouth as well as in fine lines in my upper lip, and creases on the sides of my chin. It was my first cosmetic work evert. The Dr used two vials. Lip and chin are fine but cheeks got progressivly red, inflamed, painfull and hard to the touch. I just went on prednisone and Cipro as the thought is it may be infected. Now the skin is peeling. This does not seem common. What should I do?

Jason Emer, MD · Answer

The redness can indicate intravascular occlusion or blood vessels compression and I suggest you see your physician right away.  This can be reversed with hyaluronidase and should be treated with topical vasodilators (nitropaste) as prevention.  Necrosis is possible if you do not see your physician and this worsens.  See an expert. Best, Dr. Emer

Aldo Guerra, MD · Answer

You need to see your injector right away. Your photos show a serious reaction or possibly an infection. Get evaluated ASAP. Best wishes, Dr. Aldo

Jeanine B. Downie, MD · Answer

Hi there,This is not normal and I appears that you may have some type of an infection/ reaction post your Restylane. Did you go back and see the dermatologist that originally injected you? It is not cleared to me who put you on the Cipro and Prednisone. I would gently wash my face, put sunblock on and go see your dermatologist immediately about your concerns. You may need these areas cultured to rule out an infection. Good luck,Dr. Downie

Melvin Elson, MD · Answer

This looks like you may have a vascular compromise and you should see your dermatologist immediately/. when you call tell them this is an emergency and get seen today

Faiyaaz Kalimullah, MD, FAAD · Answer

I'm very sorry to hear that you are experiencing complications from your Restylane treatment.  While it's impossible to make an exact diagnosis without assessing you in-person, from your photos it appears that you may be experiencing an infection or a reaction to your filler.  I would recommend following-up with your dermatologist as soon as possible to discuss your symptoms - while antibiotics and steroids can help reduce some of the inflammation, in many cases the filler needs to be dissolved with hyaluronidase as well.  I hope you feel better soon!

Had Restlyn injected by a dermatologist a week ago. What should I do about disfiguring swelling? Can it be corrected? (photo)

Answers (5)

Answer: Reaction to Restylane

Answer: Reaction to Restylane

Answer: Please follow-up with your dermatologist

Answer: Please follow-up with your dermatologist

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Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.

Had Restlyn injected by a dermatologist a week ago. What should I do about disfiguring swelling? Can it be corrected? (photo)

Answers (5)

Answer: Reaction to Restylane

Answer: Reaction to Restylane

Answer: Please follow-up with your dermatologist

Answer: Please follow-up with your dermatologist

Browse related questions

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.