Is this bruising on my forehead after Restylane filler? (Photo)
Doctor Answers 10
The reaction of a white spot and pain after the injection is not typical, and is consistent with vascular occlusion
Just to give you a little information about myself — I’m a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I can certainly guide you on this matter as fillers, such as Restylane, Juvederm, Voluma, are something that I use in my practice on a daily basis.
Firstly, and I say this with no intention to alarm you, but the description that you provided is certainly not normal. I would not think that an area becoming white and painful after an injectable filler treatment would be normal.
Secondly, your experience of feeling pain, followed by a patch of skin that turned white after being injected with filler, and then followed by bruising and swelling is consistent with something called vascular occlusion or vascular compromise. This is something surgeons worry about most when it comes to the use of injectable fillers — whether or not we are directly embolizing or placing the filler into a vessel, or causing enough pressure to cause an occlusion of vessels.
This certainly requires immediate medical attention. Since several days have already passed, acute options may have already probably been exhausted. However, there may be an opportunity to use hyaluronidase to dissolve the filler and to undergo any other procedures you may potentially need depending on the diagnosis. Undergoing a hyperbaric oxygen treatment may also be of value, in order to increase circulation and oxygen content into the tissue of the area in question.
What is important right now is to seek medical attention and have a doctor evaluate your case and give you a proper diagnosis. I always tell my patients that I’m available to them 24 hours day should emergencies arise, and if I received a report like this from one of my patients — with all due respect to your provider — I would not just simply state their concern to be “typical” and I would request the patient to come see me as soon as possible.
That said, I would very aggressively recommend you meet with your doctor and have a proper physical examination right away. It is possible you only had an acute event which is now behind you, but again, it is difficult to make that determination without a full physical examination.
I hope that was helpful and I wish you the best of luck!
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The photo of your forehead is worrisome since is is possible that the injections have occluded a vessel. Restylane is not meant to be injected in that area and I would definitely return immediately to your treating physician for examination. Please consult an expert for the best cosmetic results Best, Dr. Green
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Is this bruising on my forehead after Restylane filler?
This may be the result of an injection with some of the product getting into the blood vessels. If the injector told you this is normal, then seek out a Board Certified Plastic Surgeon or Facial Plastic Surgeon right away for a proper evaluation and treatment. This needs medical attention to heal properly.
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.