Long Lump Next to Nasolabial Fold After Restylane Injection and Lines Still a Little Visible

Question

I am 24 years old from France, had restylane injections in the nasolabial folds 1week ago. I don't know what to think about the result... My doc had told me that at my age it was possible to make the fold disappear completely. After a week, there is an improvement but both the lines are still visible (much less than before) and, the biggest problem is there is some kind of long lump on one side, following the line but not on it, about 1 milimeter wide... will it go away? should i massage it?

Otto Joseph Placik, MD · Answer

It is difficult to tell if this is a localized deposit of restylane or a small hematoma. IT sounds as if it is the former. I would first discuss this with your physician and if OK, consider massage. If not resolved within 6 weeks, you could consider off label use of hyaluronidase to dissipate an undesireable depot of the hyaluronic acid.

Ron Shelton, MD · Answer

The smile crease can improve but rarely disappears completely but can improve. Filler such as restylane and juvederm can squeeze out to the side of the line or the filler might be inserted purposely to the side of the crease to help lift the crease. Massage can definitely help but if not then hyaluronidase can be injected to dissolve the filler.

Heidi A. Waldorf, MD · Answer

There are so many possibilities - you need more, you need less, you are still swollen etc.  Whatever the reason, the answer is to return to your physician.  I usually ask patients to return at 2-3 weeks after their first filler injection and to call earlier if questions or concerns.  So please call your physicians office and ask if you should send them a photo or come in for re-evaluation.  The key is communication!I hope this answer was helpful.  Best wishes.

Steven Wallach, MD · Answer

First, filling in the nasolabial folds will fill the fold but not completely eradicate it. Besides, a fold is natural and shouel remain. As for the lines, it may be filler and you may want to massage it .

Robert Brueck, MD · Answer

I would surely massage the area since you are only a week after the injection.To totally eliminate the nasolabial line is difficult since it is a dynamic line created by muscular contraction so lessening the line is my goal.

Long Lump Next to Nasolabial Fold After Restylane Injection and Lines Still a Little Visible

Answers (5)