Unusual submental lymph node after Botox and Restylane injection

Thank you for your question. It is rare to have any type of lymph node inflammation after Botox and Filler injections. Speak with your injector regarding your concern. All the best, 

Generally, lymph node enlargement is not a complication of filler injections.  Given, the FNA results, it is likely the radiesse is present in the lymph node causing a interruption of lymphatic drainage.   It is less likely to be the restylane given the time course.  Unfortunately, Radiesse tends to be more difficult to get rid of.  A trial of hyaluronidase injection couldn't hurt.  Direct drainage, compression, and or removal could be needed.  A consultation with an ENT or Facial Plastic Surgeon would be a good idea.

it is highly unlikely that Botox and Restylane can cause lymph node enlargement.  It could possible be that some Radiesse got picked up from the chin by the submental node. Fortunately the cytology is benign. See your doctor for possible judicious injections of Kenalog to the node if the enlargement does not subside on it's own.

Unusual submental lymph node after Botox and Restylane injection:Go back to your doctor and please have them put you on oral antibiotics. I am not happy with the lymph node getting bigger and do hope that you only have some minor infection. Ask the doctor if they feel the area where the lymph node is needs to be drained and if they suspect any infection.

Thank you for your question.Submental nodes should be biopsied via excision by a head and neck surgeon to make sure there is no malignant pathology. FNA may not be diagnostic as in your case. Make sure you see an otolaryngologist or head and neck surgeon for guidance and not any other specialist.Excisional biopsy becomes even more important if there is a history of smoking or having other risk factors for head and neck cancers. Discuss this with your primary care provider as soon as possible. BestDr Karamanoukian

Thank you for your interesting question.  The FNA findings suggests that it is either the Restylane or the Radiesse or both.  It is not the Botox as that would not show up as a 'foamy foreign material.'  An injection of hyaluronidase into the lymph node should dissolve the Restylane but not the Radiesse.  If the node shrinks with the injection, Restylane is the answer. If it does not, it is either the Radiesse or something else and you should see an ENT surgeon.  If your injector does not have hyaluronidase, go to someone else.