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

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.

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.

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. 

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 .

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.

The most common cause of a lump following an injection to diminish facial lines is an injection placed to superficial. This may improve with massage.  If this is not successful an injection with an enzyme called hyaluronidase can dissolve the lump. If you are concerned I would discuss this with your treating physician.

It sounds like your Restylane was injected a little too close to the surface in that one area, leaving you with visible product.  I would tell my patients to massage, but I'm not sure it would make a huge difference a week after the procedure was done.  Contact your surgeon and ask her opinion.  The good news is that, if the lump doesn't resolve, it can be injected with hyaluronidase to dissolve the Restylane.

Gentle message can help smooth the lump out to an extent. The main thing is to wait and see if some of the lumpiness is from swelling or bleeding. After three weeks, if the lump is still apparent, you should return to your physician for further possible treatment. At that time, the Restylane may be expressed following puncture with a scalpel blade. 

 You might also receive hyaluronidase injections. This is an enzyme which will dissolve the hyaluronic acid containing Restylane. It is always best to test the product first, since some people will have an allergic reaction.