Can HA fillers make a rosacea flare worse?

Question

I got HA fillers over a year ago. I have type 1 rosacea. I think I’m in an active flare right now that has been going on for 2 months. I wake up with swelling around the bottom of the eyes and the sides of the nose. My fillers were mid cheek. I also get redness and flushing. My fillers were placed superficially. Are the HA fillers contributing to the rosacea flare?

Camille Cash, MD · Answer

I'm sorry to hear of your rosacea flare.  Since your filler treatment was over a year ago and the rosacea flare has occurred within the last two months it is doubtful the two are related.  I encourage you to visit a medical spa or a dermatologist near you to discuss your rosacea concerns.

Anna Chacon, MD, FAAD · Answer

It’s understandable to wonder if your hyaluronic acid (HA) fillers could be contributing to your current rosacea flare, especially since you’re experiencing swelling and redness. However, based on current medical understanding, HA fillers themselves are not known to directly cause or worsen rosacea flares, even when placed superficially. HA is a naturally occurring substance in the body and is generally well-tolerated.

That said, any injection procedure—including filler placement—can cause temporary swelling, redness, or irritation, which might be more noticeable if you have sensitive or reactive skin, such as with type 1 rosacea. The fact that your symptoms have persisted for two months suggests that this is likely a rosacea flare rather than a direct reaction to the filler, especially since your treatment was over a year ago.

It’s important to note that while HA fillers are not typically linked to rosacea flares, individual skin responses can vary. If you’re concerned, it’s best to consult with your dermatologist or the provider who performed your filler treatment. They can assess your skin, help manage your rosacea symptoms, and determine if any adjustments to your skincare or treatment plan are needed.

In summary:
HA fillers are unlikely to be the cause of your current rosacea flare, but any skin procedure can temporarily aggravate sensitive skin. Persistent symptoms should be evaluated by a healthcare professional for proper management.

Stefan Weiss, MD · Answer

They should not usually make a rosacea flare worse. But, it can depend on placement, type, and quantity.

Can HA fillers make a rosacea flare worse?

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Can HA fillers make a rosacea flare worse?

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