Can Restylane Cause Nasal Discoloration?

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.