Restylane Silk caused horrible cold sore breakout (Photo)

Question

My PS told me that his injections DID NOT cause my outbreak. I do NOT agree. He said it's been 6 weeks and the product has already dissolved? How can that be? This has been a nightmare. Will my lips ever be normal again? They had gone down after 2 weeks but I still felt lumps and then the herpes breakout.

Aldo Guerra, MD · Answer

It's hard to tell from the photo what exactly is going on, but I can see a sore on your lip. This can be treated and possibly prevented in the future with antiviral therapy. I suggest a second opinion with an experienced injector about your results.Best wishes, Dr. ALDO :)

Jason Emer, MD · Answer

If you have a history of cold sores, injections can trigger them. I recommend you use valtrex before and after your lip filler injections and try to use cannulas over needle injection. See an expert. Best, Dr. Emer.

Payman Kosari, MD, FAAD · Answer

It would be quite odd for you to have a delayed herpes simplex outbreak 6 weeks after your injection.  The more likely scenario would occur within the first week.  Make sure to have them prescribe Valtrex to expedite healing and yes, your lips will go back to normal once the outbreak resolves.  If you are unhappy about the filler, it can be dissolved with hyaluronidase.  Best of luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  Cold sores can be triggered by any sort of trauma to the lips, though these outbreaks typically start within a few days of treatment.  It's a little strange to experience an outbreak 6 weeks after filler injections.  I generally recommend that all patients with a history of cold sores take antiviral medications before and after lip fillers to prevent outbreaks.  I would recommend following-up with your injector to discuss your concerns - Restylane Silk can be dissolved with hyaluronidase if needed.  Best of luck!

Martie Gidon, MD, FRCPC, FAAD · Answer

If you have a history of cold sores, any type of trauma in the area can re-activate a cold sore.  It is not the Restylane product that causes it, but the trauma from the needles and massaging.  You should take antiviral medication before any future injections.  Once the cold sores resolve, you should have your lip filler re-assessed to make sure it is even.

Steven F. Weiner, MD · Answer

The cold sore is from the injection and not the product. All susceptible patients should be placed on preventive anti viral medications. At 6 weeks, the product is still in the lips. If you are not happy with the uneven lips, it can be dissolved. Restylane Silk is a great product for the lips. Valtrex is my preferred medication for this.

William Marshall Guy, MD · Answer

Hello Vernlank,Any treatment around the mouth whether it is fillers or resurfacing runs the risk of reactivating a herpes outbreak.  This would take place within the first 7 to 14 days of these treatments, if it were going to be caused by that.  Beyond this time frame usually would not be related to your treatment but rather to something else in life that stimulated the outbreak.  This can be treated with both oral and topical antiviral medications to help resolve your symptoms and speed up your healing.  In the future when you receive fillers to your lips you can ask to have the antiviral medication prescribed before treatment.  This can further decrease your risk.If you do not like the result of your injection, you can have the product dissolved.  I hope this helps and good luck.

Restylane Silk caused horrible cold sore breakout (Photo)

Answers (7)

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