Hyperpigmentation After Having Restylane in Nasolabial Folds

Given your description you are likely a darker Fitzpatrick skin type maybe IV.  The higher the number the darker the skin.  People with darker skin are more likely to develop what we doctors call "postinflammatory hyperpigmentation".   This is not likely related to the Restylane itself but to the repetitive trauma to the skin which is the needles in the skin during Restylane injection.   This will most likely resolve in time on its own but to speed its resolution you may want to apply either Triluma cream or try retin-A and hydroquinone.   You may want to discuss these options with your doctor.  Hope this helps!

you have noticed darkening in the skin after Restylane in your asian skin. Is this pigmentation? Is the color not pigment? The diagnosis may be incorrect if in fact, the color is the Tyndall effect in which Restylane or Juvederm could cause the light waves to reflect differently and appear blue. This bluish coloration may be misinterpreted as pigment. If it is the filler it can be expressed by the doctor or dissolved by injections of hyaluronidase.  If it is postinflammatory hyperpigmentation, than you may get improvement with prescription lightening creams. Also consider very tiny needles and gentle technique with the next treatment, although some people have skin that no matter how gently it is treated, their pigment increases after any treatment. Sunscreen is important.

The hyperpigmentation is caused by the inflammation from the glycolic peeling agent.  Stop using this product.  Post-inflammatory pigmentation usually but not always resolves with time.  The reason this pigmentation wrecks the filling effect of the Restyalne is that darkness suggests depth.  So the pigmentation in the nasolabial fold suggests depth here.

It’s possible to get hyperpigmentation after Restylane injections just like with any needle stick. You really want to stay out of the sun and use a sun block (like you’re doing). In general, the hyperpigmentation will go away in time. Using a bleacher like a 4% hydroquinone can also be helpful.

If Restylane is injected too high it can result in bluish color, creating what is called the Tyndall effect.  If that 's the problem, it can be dissolved with an injection of hyaluronidase.  If the discoloration is brownish in color this is what we call post-inflammatory hyperpigmentation - and the cause of the problem can be from the needle pricks which took place as a normal part of the treatment process. This problem is more common with people with an olive skinned complexion -- best to stay out of the sun, and use over the counter cortisone cream.  If the condition does not improve, see a dermatologist.

Like in Spike Lee's  Nike commercial "It's the shoes!"  In this case it is not the restylane  "It's the cream.!"

As all the previous posters state it is the cream! Seek medical care to hep alleviate the hyperpigmentation. From MIAMI Dr. darryl j. Blinski

This hyperpigmentation is from inflammation from the cream, not the Restylane. Please see a dermatologist ASAP to be treated to prevent long-lasting post inflammatory hyperpigmentation.

I am the author of the first paper published to look at Restylane use in skin of color.  There are a number of technical points for the use of any filler in skin of color.  I suspect the combination of needle trauma and the acid peel were too much for your skin to handle at one time. I typically separate the two treatments to avoid such an issue.  The good news is the hyperpigmentation should completely resolve over time.  The key is to use good sunblock protection and consider a skin bleach, such as Triluma or Kojic acid, under the guidance of your doctor.  Make sure to work with a dermatologist or plastic surgeon experienced with treatment for skin of color to get the quickest result. 

It is rare and I have never seen hyperpigmentation after treating a patient with Restylane. It is possible that your skin care products irritated your skin and that caused hyperpigmentation. Either way it should resolve if not, then try bleaching creams under the guidance of a dermatologist.