I don't like the effects of Restylane filler on my cheeks. How can I flatten out or reduce the effects of Restylane?

Question

In Oct. 2021 I had .5ml of Restalyne classic placed in the deep plane area of both cheeks. He used a cannula and placed it deep but the result has made my upper nasolabial folds more noticeable than they were before. The increased volume was not good for my NL folds. I went to the best doctors to talk about dissolving but they said no bc its too risky and the amount of filler is small. How can i reduce the effects from the filler. I tried threads but i dont like that. No more filler. what else?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. I am sorry to hear you are unhappy with the outcome of your filler treatment. Results from HA (hyaluronic acid) fillers like Restylane are not permanent. They will naturally be metabolized by the body over time, and results typically last for about 6-12 months. If you do not wish to wait, you may have hyaluronidase injections which break down the filler and speed up the dissolving process. Dissolving them should be a simple, straightforward procedure that any skilled and experienced doctor should be able to perform.

I recommend only seeking consultations and treatments from experienced injectors who will know which product will best suit your needs, how much product to use, precisely where to place the injections, and how to achieve natural-looking results while avoiding risks and complications. During an in-person consultation, your injector can assess your skin, determine the best approach to achieving your goals, and ensure the best possible outcome.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. It would be beneficial if you included a photo. It sounds like injection of a dissolvent would be the best approach to correct your problem. Fortunately, the Restylane should dissolve with time. See an experienced oculofacial surgeon for comprehensive evaluation and guidance. Good luck!

Kenneth D. Steinsapir, MD · Answer

Your injector is telling you that they do not want to remove the filler or do not understand your concerns. Removing the unwanted hyaluronic acid fillers is very straight forward and safe. The enzyme acts rapidly and likely one enzyme service will reduce the unwanted fill treatment to satisfy your concern. The fact that you did not like this filler treatment does not mean that you should turn your back on this type of service. The hyaluronic acid fillers are powerful but they can be done so wrong. However, they are absolutely wonderful when done well. However, not all injectors are created equal.

Camille Cash, MD · Answer

If you do not wish to have the filler dissolved with hyaluronidase then the other option is to allow the product to dissolve gradually.  Typically Restylane will be metabolized by the body in about 12 months.  You should begin to see the effects of the product fade soon.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

The best thing at this point would be to massage area and be patient as it will not last to much longer.

Best of luck!

I don't like the effects of Restylane filler on my cheeks. How can I flatten out or reduce the effects of Restylane?

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