Restylane and allergies. Any suggestions? (photos)

Question

I've been waiting to get restalyne injections because I've been terrified of possible side effects; but I'm so fed up with not liking what I see in the mirror, so I'm finally going to take the leap very soon. One last concern I have is my mild to moderate allergies. I take Claritin d everyday and it helps a lot. Without it my eyes are a bit irritated and I feel slightly stuffy. Am I risking a worse outcome?

Samuel Baharestani, MD, FACS · Answer

Thank you for your questions and photo.  You seem to be an excellent candidate for Restylane to the tear trough.  Because this is a complicated area to get good results, make sure to choose an experienced injector.  Good luck!

Peter Lee, MD, FACS · Answer

Your question confuses seasonal altergies, usually related to plant pollens with "allergic reactions" to fillers such as Restylane.  The latter would involve an allergic reaction to hyaluronic acid, which would be an unusual occurrence.  More commonly, when patients develop an inflammatory reaction to a filler, a small nodule called a granuloma is formed.  These can often be treated by direct injection of small volumes of steroid.  Once again, this phenomenon is unrelated to seasonal allergies.

Joseph A. Eviatar, MD, FACS · Answer

It would be nice to see a full face picture.  The best treatment for under eye hollows really depends on your bone structure, skin quality etc.  I generally use a thicker filler such as Voluma or Radiesse in the mid cheek for support and Restylane (with added lidocaine to customize it to the patient) around the eyes, if needed.  These are all off label treatments, however, and it's important that you seek out a board certified experienced injector because complications are not uncommon in this a delicate region with inexperienced injectors.  Your moderate allergies should not affect the result but you might get more puffy right after the injections.  Your doctor can explain which filler or treatment they prefer in your case and why so you can make an informed decision.

Jeanine B. Downie, MD · Answer

Hi there, you are not risking a bad outcome by taking Claritin D. Many of my patients need to take this for their allergies and it is not a problem to inject you with Restylane. I think it would it improved your facial appearance and make you look better. Good luck, Dr. Downie

Melvin Elson, MD · Answer

You have allergies which may affect the appearance of your eyes but the Restylane will still work and improve your appearance. just keep taking the Claritin and be sure you see a board certified dermatologist or plastic surgeon

Restylane and allergies. Any suggestions? (photos)

Answers (9)