Necrosis from a Restylane Nose Job and Other Warning Signs

Restylane is not commonly used in our practice for nasal tip augmentation as rhinoplasty surgery tends to be more precise and predictable.  Restylane for dorsal hump or bridge modification tends to work well as it does for lip and columellar base support. 

In our hands the vascular compromise tends to occur fairly quickly following the injection and is often minimized through careful treatment.  Skin changes such as redness and swelling are usually by darkening more swelling and pain and skin sloughing follows.  Sometimes intense pain is a tip off as well. 

An experienced provider would be able to recognize the signs of necrosis and treat it as well. It is always good to ask your injector about their experiences so that one feels comfortable.