I had 1 syringe (1 mL) of Restylane for marionette lines 2 weeks ago. Is it possible that I metabolized as quickly as 2 weeks?

Question

I had 1 syringe (1 mL) of Restylane for marionette lines 2 weeks ago (first time). My derm didn't use it all on the marionette lines, but "hit" a few other problem areas as well, so not all was used in the area that bugs me most. Once the initial swelling subsided, the lines were back. Now 2 weeks later, and it's like I had nothing done. He told me that some people metabolize Restylane quickly. Is it possible that I metabolized as quickly as 2 weeks? Or do I need more product?

Michael I. Echavez, MD · Answer

I doubt that anyone would be able to metabolize Restylane in two weeks time. The more likely causes of having no result after two weeks would be due to placement of the product or the amount used.  In treating the marionette lines, I would think that 1cc of Restylane should be sufficient.  I realize that you said not all of it was placed there, so it's possible that you need more and/or it needs to be placed in a slightly different location.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about injectable fillers.  It is true that everyone metabolizes products differently.  However, the product would last several months, definitely longer than two weeks.  I think you just need more product.  It is impossible to know without an in person consultation.  I recommend following up with your provider to discuss your options. 
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.

Kenneth Hughes, MD · Answer

I think it is likely that you will need more product to fill the areas.

	 

	 

	Kenneth Hughes, MD   Los Angeles, CA

Sam Naficy, MD, FACS · Answer

Without knowing exact injection placement and technique, it is very difficult to answer your question. You should consider posting photo's of the areas treated and definitely discuss with your provider your expectations.

Kenneth D. Steinsapir, MD · Answer

No one "metabolizes" Restylane in two weeks.  That product will persist in your face well beyond 3 years.  The beneficial clinical effect of treatment can last as long as two years although most decide at about 10 to 12 months to have service "topped off."  It sounds like your dermatologist does not do much filler service.  From the story, I wonder if you had before and after photos  taken?  Without before and after photos it is impossible to properly document the effect of service and address the concerns you have raised.  Uniformly when I see someone who tells us over the phone that they think their treatment disappeared, the before and after photos tell a completely different story.  Will you benefit from additional treatment?  It sure sounds like it.  However, I recommend considering seeing a different injecting physician.

I had 1 syringe (1 mL) of Restylane for marionette lines 2 weeks ago. Is it possible that I metabolized as quickly as 2 weeks?

Answers (10)

Answer: Restylane and "metabolizing product"

Answer: Restylane and "metabolizing product"

Answer: You are both wrong.

Answer: You are both wrong.

Recommended reading

Everything you need to know about Restylane

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

I had 1 syringe (1 mL) of Restylane for marionette lines 2 weeks ago. Is it possible that I metabolized as quickly as 2 weeks?

Answers (10)

Answer: Restylane and "metabolizing product"

Answer: Restylane and "metabolizing product"

Answer: You are both wrong.

Answer: You are both wrong.

Browse related questions

Recommended reading

Everything you need to know about Restylane

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