Restylane in tear trough, sudden swelling. Is it possible that my body suddenly broke down the Restylane?
Doctor Answers 6
Restylane in tear troughs
Restylane is one of the Hyaluronic acid sugar gel family products such as Juvederm, Teosyal, Restylane, Perlane and Belotero. These simple gels have different cross-linking strategies and are generally well tolerated by the body. Occasionally, the body is sensitized to the cross-linker or a contaminant viral infection or inflammation in the sinuses can lead to inflammation in the product even several months out. This delayed immunologic response to a filler is more common with the Vycross technology in a Juvederm, Voluma and VolumaLift family and happen in the Restylane family, as well. The temporary nature of the swelling would indicate if there was sensitivity that it was mild and the increased inflammation may have accelerated the breakdown of the Restylane product which is usually good for 6-8 month in the tear trough.
I would certainly consult with your injection physician to discuss your concerns and have a physical examination and the options for volumizing the tear trough using another HA filler, the same Restylane product family or even fat grafting can be discussed.
I hope this information is of some assistance and best of luck.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Where did the Restylane go?
Sudden swelling months after filler
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