How long after application can restylane be removed by a method other than using hyaluronadaise?

Question

How long after application can restylane be removed by a method other than using hyaluronadaise? My body thinks its toxic and I have been very ill after it was administered 2 weeks ago. I have read on real self that one MD has removed it by using a large bore needle and squeezing it out. Does it's composition alter in time so that it is impossible to remove this way? also could it be removed by using a fine needle? I would be grateful for your help.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about restylane.  Hyaluronadaise is the only way to know for sure if all the product is dissolved.  However, I recommend ruling out any other causes of toxicity or infection before having the product removed.  To be sure you receive the best treatment, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Larry S. Nichter, MD, MS, FACS · Answer

As Restylane and Juvederm are hyaluroinc acid, which is the same thing your body makes it would be highly unlikely that you are having a toxic reaction to the product. I would see your primary care doctor to rule out other causes of your illness.

Sam Naficy, MD, FACS · Answer

I would thoroughly discuss your concerns with your provider first, before considering removal using something other than hyaluronidase. Restylane doesn't cause toxic reactions. Hyaluronidase is a safe and effective way to remove the product.

Blue Medi Spa - Sherman Oaks - Account Suspended · Answer

It is very unlikely that Restylane will cause a toxic reaction. You first want to make sure that the symptoms you are experiencing aren't due to any other medical conditions by visiting your primary care physician. But I would advise against removing the filler by "squeezing it out" as it integrates itself within the tissue. it is best to dissolve the material using Hyaluronadaise. 
Good luck.

Hardik Soni, MD · Answer

Thank you for your question. As Restylane is
hyaluronic acid, which is the same thing your body makes it would be very
unlikely that you are having a toxic reaction to it. I suggest seeing your
primary care physician to rule out other causes. If you still desire to remove
the filler the safest method is with hyaluronidase. Best of Luck!

Michele S. Green, MD · Answer

I have been injecting Restylane for years and have never known anyone able to squeeze out Restylane. It is a dermal injection and the only way I know to remove it is with injections on hyaluronidase. I would go to my general internist for a complete physical because your symptoms are serious and not typical of Resylane or any other cosmetic injection.

Kamran Khoobehi, MD · Answer

If you have problems post injection like swelling, pain and discomfort, you need to see your doctor to make sure it is not infected. The best method to remove the Hyaluronic acid is to use hyaluronidaze. the need aspiration is risky and not effective.

Sheri G. Feldman, MD · Answer

It would be extremely rare for you to be having a toxic reaction to Restylane so before you try to have it removed, please see your internist to make sure there is nothing else going on such as an unrelated flu-like illness. If you still wish to have your Restylane removed, the best way is to use Hyaluronidase. If you can see your Restylane and it is extremely superficial, your injector should be able to nick the surface of the skin and gently squeeze out some of the material. However, please see your internist just to be safe.

Brian Windle, MD (retired) · Answer

Restylane injections for facial wrinkle correction rarely, if ever, cause the symptoms you describe.  In fact, Restylane is a hyaluronic acid that is naturally found in your body.  In all likelihood you have something coincidental going on and if it persists I recommend that you see your primary care provider to get a diagnosis.  If ultimately, you do need the Restylane removed, then injections with the enzyme hyaluronidase are the recommended method of removal and not trying to remove it any other way.

	Good luck

How long after application can restylane be removed by a method other than using hyaluronadaise?

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