Restylane and Cardiovascular Risks?

Question

What complications do the ingredients used in Restylane pose? Are they risky for people with heart problems? What are the most important things these people must be careful about while taking it?

Philip Young, MD · Answer

There are very little to no risks of injecting Restylane. If you have a serious condition, check with your specialist prior to making any decisions. But, Restylane is very superficial and there should be no link between the two. Good Luck!

Benjamin Barankin, MD, FRCPC · Answer

There are no reported cardiovascular concerns in injecting restylane or juvederm, both hyaluronic acids that occur naturally in your skin. Other than a risk of a bruise or a bit of temporary swelling, serious risks of using the hyaluronic acids are rare.

Darryl J. Blinski, MD · Answer

Best to first ask your cardiologist if you are cleared for fillers. Than seek an injecting doctor with experience.

Gary Goldenberg, MD · Answer

Restylane stays in your skin locally, and has no risk to your heart. But if you have a serious heart condition, tell your dermatologist.

Emily Altman, MD · Answer

The common side effects of Restylane injections are bruising and swelling.  Patients taking blood thinners run a higher risk of bruising, but we do not discontinue blood thinners for patients for whom they were prescribed for actual health problems.

	However for patients who are taking prophylactic aspirin, vitamin E, fish oil, non-steroidal antiinflammatory medications, like Motrin or Nuprin, gingko biloba, we ask them to stop these 10 days prior to injection.

	Allergic reaction to Restylane are rare. Patients with known allergies to Gram-positive bacteria or severe multiple drug allergies should not get Restylane injections.  Patients allergic to lidocaine should get the Restylane that is lidocaine-free.

Robert L. Kraft, MD, FACS · Answer

The only concern would be that, if you are on blood thinners or aspirin, you should consult your internist to see whether you can be off for at least a week for aspirin.  For Coumadin, the number of days off must be assessed by a cardiologist.

Mitchell Schwartz, MD - Account Suspended · Answer

Restylane is made of hyaluronic acid, a natural component of the skin that progressively decreases with age. It is quite safe and is fine to use in patients with heart problems. Hyaluronic acid is the fluid matrix that provides stabilization to the intercellular spaces that contain collagen and elastic fibers. It is one of the normal components of the skin so it is extremely safe to use and allergic reactions are rare.

Restylane and Cardiovascular Risks?

Answers (7)

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