Will the small, dark gray dot on my upper cheek go away from the cannula insertion after Restylane two weeks ago?

I had under-eye Restylane two weeks ago. The first few days after the procedure, the right side was redder and swollen. About a week after the procedure, I noticed a small, dark gray dot exactly at the point at which the cannula entered my skin on my upper right cheek. It looks like a pencil stab. Is this a really small bruise? Is it normal, and can I expect it to go away? It's looked the same over the past several days, and I'm concerned. I'm on vacation and cannot visit my doctor right now.

Doctor Answers 4

Dark Spot After Cannula/Restylane--Normal Cannula Side Effects, lasers, microneedling/PRP, skin care if needed

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This sounds like a small bruise which will resolve. If necessary it could be treated with a combination of  lasers, microneedling/PRP and skin care. Consult your Dr. if it doesn't disappear on its own. Best, Dr. Emer 

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Cannula side-effect

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Cannulas cannot be inserted without opening the skin, usually with a small scalpel blade and this may lead to a small bruise which is probably what this is and should go away by itself

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 7 reviews

Gray dot at cannula insertion site after Restylane injection

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Usually any small mark at the cannula entry site disappears within a few days.  Sometimes there is a bruise at the cannula entry site.  Sometimes a bruise can leave a stain due to iron deposition in the skin. Without seeing photos it's not possible to say for sure.  If it persists, return to see your injector.  Sometimes laser can be done to make a mark disappear.


Dr. Ort

Richard Ort, MD
Lone Tree Dermatologic Surgeon
5.0 out of 5 stars 28 reviews

Facial fillers and cannula insertion site.

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Facial fillers are injected to improve the contours of the face. They may be injected with a sharp needle or blunt cannula. When using a cannula, the skin is poked with a sharp needle and then the blunt cannula is passed through it multiple times. This may cause a tiny bruise at the entry site. Overtime this will heal and fade. 

The most important strategy to help it heal: avoid the sun. Just like any new wound or cut on the skin, avoiding the sun will help it heal without pigment issues. If there are any questions regarding your filler injection, I would always encourage my patients to bring it up. Safety comes first. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.