Can Restylane Cause Nasal Discoloration?

 I have seen Restylane tint the skin a bluish hue from being close to the skin surface. The color disappears as the product is absorbed over time. I have also seen reddish color as a result of telangiectasias (small surface capillaries) that can become more prominent after the procedure.

The hyaluronic acids used as fillers such as Juvederm and Restylane can cause a bluish color from light reflection off the skin (Tyndall effect). If this occurs, and it can anywhere, not just nose,it can be extracted or dissolved with hyaluronidase.

Hi Sara

Yes, as pointed out, close to the skin one can experience Tyndall effect.  This is a blue or dark color change and is associated with too much filler too close to the skin.  The fix is very easy-you doc sticks a needle into it and squeezes out the filler.  This can be done even if the filler was done years before.

The other color change is more ominous.  Nasal filler injections can be associated with immediate damage to the skin circulation.  The skin turns dark and can appear to be bruised.  This indicates a compromise in the circulation of the involved skin.  The skin can actually die and can scaring.  The treatment is immediate recognition and infiltration with the enzyme hyaluronidase, provided the filler was a hyaluronic acid filler.

Because Restylane, Juvederm, and other fillers based on hyaluronic acid are clear gels, if they are placed too suipericially under thin skin you may see a bluish color (Tyndall effect). So for the nose, it would depend on the thickness of the skin and how it was placed.

The "Tyndall effect" is well documented and not limited to the nose. Any time hyaluronic acid filler is placed in a too superficial location it can result in bluish or dark discoloration. This is visible product and will resolve with time or hyaluronidase treatment to remove the product. Stephen Weber MD, FACS

Any of the hyaluronic fillers can cause some discoloration especially if it is injected fairly superficially.

Bluish discoloration is from HA filler like Restylane or Juvederm being injected high in the dermis. This is not seripus and is 100% correctable. However, the nose does not have great collateral circulation at the tip and base, especially if you'd had a previous rhinoplasty. If the nose gets a mottled or purple color, it can be the first sign of a SERIOUS complication: necrosis. Call your doctor.

Unfortunately this Tyndall effect occurs to frequently. It is the gel of the hyaluronic acids (Restylane, Juvederm, etc.) placed to close to the skin so the light hitting the skin reflects a "bluish hue". It is a sign of the inexperienced injector. Treatments are as follows: 1. Time- just wait for metabolic resorption, could take a year. 2. Squeeze metho- needle stick in area to express the injected substance, very used method. 3. Hyaluronadiase injection in drops in to the filler- quick, easy if experienced at this, but expensive ($500 per session, may need 3 sessions). Hope that helps. 

When injected too close to the surface of the skin, Restylane and any of the other hyaluronic acid (HA) fillers, can give the appearance of a bluish discoloration to the skin. This discoloration can be evident anywhere Restylane or other HA is too superficial, whether it is the nose, cheek or lip.

Hi.

This complication can be avoided by injecting small amounts of Restylane and not too superficially.