Painful late stage nodules from Restylane that has been dissolved 6 times - surgery? (Photo)

Question

I had Restylane in my nose and chin 6 months ago-same syringe. Chin was fine but the nose was constantly problems. Started with tingling, bumps and pain. I had it dissolved 6 times. First dissolving was done only 2 weeks after getting it. Now I have developed white,hard nodules that do not move and are excruciatingly painful. I can not even work and am on opioids. I have tried 4 antibiotics, oral steroids (4x), injected steroids w/5-fu (2x).Swelling sometimes affects cheek and eye socket.Surgery?

Kenneth D. Steinsapir, MD · Answer

How certain are you that you were in fact treated with Restylane and not some other product? Did you obtain your medical records? If not, I strongly recommend obtaining your medical records. Stop having treatment with your original injector if you have not already come to this conclusion. I would get serval independent opinions about what is going on. In particular, injecting steroids into the face will permanently damage facial fat. I would not be in a hurry to consider anything done surgically. The fact that you are requiring opioids is concerning and this should be managed by a pain specialist independent of the doctor who originally injected you.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you have had since your filler treatment.  It certainly sounds like you have attempted to treat the nodules non surgically but unfortunately unsuccessfully.  At this point excision may be your best option.  Visit with an experienced board certified plastic surgeon for an evaluation and to discuss your options.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your experience and your concerns. I understand how distressing and painful this situation must be for you. Based on your description, it sounds like you have been through a significant and challenging journey with Restylane and subsequent treatments.

Here are a few points to consider:

Persistent Nodules and Pain: The development of hard, white nodules that are painful and do not move, despite multiple dissolving treatments, suggests that these nodules might be more complex than typical post-filler complications.

Treatment History: You've undergone extensive treatments, including multiple dissolving sessions, antibiotics, oral and injectable steroids, and 5-FU. The persistence of symptoms despite these measures indicates that further evaluation is necessary.

Surgical Intervention: Surgery might be a viable option, particularly if the nodules are not responding to non-surgical treatments and are causing significant pain and functional impairment. Surgical removal of the nodules could provide relief, but it is essential to consult with a specialist who has experience in managing filler complications.

Specialist Consultation: I strongly recommend seeking a consultation with a board-certified dermatologist or plastic surgeon who specializes in filler complications. They can provide a thorough assessment and discuss the potential risks and benefits of surgery.

Pain Management and Support: Given the severity of your pain, it's crucial to have a comprehensive pain management plan in place. Working with a pain specialist can help manage your symptoms while you explore further treatment options.

In conclusion, while surgery might be a necessary step, it is essential to have a detailed evaluation by a specialist. They can provide a tailored approach to your situation and help you navigate the best course of action.

Painful late stage nodules from Restylane that has been dissolved 6 times - surgery? (Photo)

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Painful late stage nodules from Restylane that has been dissolved 6 times - surgery? (Photo)

Answers (3)

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Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.