Why do I need to tell my doctor that I tend to get cold sores if I want Restylane injections for lip augmentation?
Do Restylane Injections Cause Cold Sores?
Doctor Answers 12
Restylane and cold sores
Cold sores are associated with many different potential causes. Trauma to tissue, such as that asssociated with an injection of a filler material, can be associated with the development of cold sores.
If you have a history of cold sores, be sure to tell your doctor before having any procedure performed so an anti-viral medication may be prescribed.
Any injections around the mouth can trigger cold sores
Cold sores are caused by activation of dormant viruses living in nerve cells. Stress, UV light, and any form of trauma or stimulation can activate them. Restylane injections, laser peels, any procedures around the mouth can trigger them.
If you know you are prone to them, ask for a prescription for antiviral medication and you should be ok.
Dermal fillers and laser treatments may cause cold sores
It is very important to tell your doctor if you have a prior history of getting cold sores, especially if you are interested in getting a filler (Restylane) injected into your lips.
All dermal fillers in addition to lasers can cause cold sores to appear not only in patients with a history of cold sores but also in patients without a known history of them. Cold sores are more likely to appear if you are being lasered or injected in the lip area, however they can still appear with any dermal filler injection or laser to the the face or neck area.
If you do have a history of cold sores, alert your doctor to this and he/she can prescribe an antiviral medication. A history of cold sores should not preclude you from getting dermal filler injections or laser treatments, and you should do well if treated appropriately.
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Restylane and Cold Sores
It’s good to tell your physician your entire history. It’s not that Restylane causes cold sores, but anytime there is trauma/injury to the skin you could experience a cold sore. Your physician may prescribe a preventative so you can avoid the possibility.
Cold Sores from Restylane
Anytime you have an injection procedure there will be some trauma to the area being injected. The reason your physician asked the question was because it's a possibility that after you have your lips injected, you may get a cold sore. There are ways to avoid the possibility of this happening (with a preventative prescription) and he/she may have been trying to determine whether or not to offer you a prescription as a way to prevent a possible cold sore after treatment.
Facial fillers, laser, chemical peels, or surgery can initiate a herpetic attack
Almost 95% of the population carries the virus associated with Herpes simplex I. All of these patients are at risk for developing a cold sore after surgical or non-invasive manipulation of the skin using chemical peels, laser, or surgery.
If you have a history of cold sores, speak to your physician prior to the procedure in order to avoid postprocedural outbreaks of cold sores.
Restylane may reactivate a cold sore virus
There is a small risk that a cold sore virus could be reactivated by treatments to the lips, including:
- Injectables (Restylane, Juvederm, etc.)
- Chemical peels
Your physician may elect to provide preventative medicine to reduce the risk of developing a cold sore or delay injection if a cold sore is present.