I am planning on having Restylane done on the lines that lead from nose to jawline. Has anyone had any bad side effects from Restylane or from the anesthetic? What should I expect?
Restylane Side Effects
Doctor Answers 38
Restylane potential side effects
Restylane is a very well tolerated filler if applied correctly. There may be minor bruising and swelling which may last 1-4 days after the injection and which are typically covered by makeup in the relatively unlikely instance they are noticeable. Nodules and skin color changes are some of the more serious side effects but in the hands of an experienced practitioner, these issues are highly unlikely. Of course over- or undercorrection can result in unwanted appearance. Other side effects depend on the area applied, and special considerations need to be made for blood vessels, skin thickness, and lymphatics in the area. Restylane around the eyes has a higher chance of untoward effects and must be applied with great care. A thorough evaluation by an experienced practitioner is necessary to identify the best location for placement, the technique to place it, and the potential pitfalls of placement.
Potential risks associated with Restylane
Risks can occur regardless of surgeon or technique. These include but are not limited to: infection, hematoma, discomfort, asymmetry, undesirable effect on an associated muscle such as drooping of an eyelid, adverse medication reaction, allergic reaction, need for additional "touch up" injections, palpability, visibility, distortion with muscular contraction, need for secondary revisions, and inability to guarantee a specific cosmetic result.
See an experienced injector
As long as you are going to an experienced injector, there shouldn’t be any bad side effect, however, a rare complication can occur despite the experience of the physician. Bruising, redness and swelling occur commonly but, they are self limiting. The rare complication is plugging up a blood vessel that can “choke” off the blood supply to the overlying skin which create a bad scab and then a discolored permanent scar. Hyaluronidase can be used immediately if this is noted and the filler gets dissolved and the complication can lessen.
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As long as you go to a good and experienced injector, you should be fine
Restylane, like any other treatment, is only as good as the person who is injecting it. If you go to someone who is a new injector, prepare to have problems. On the other hand, if you go to an experience injector, preferably a board certified dermatologist or cosmetic surgeon (not a nurse or physician assistant/nurse practitioner), you should be fine. Good luck!
The main risks are bruising which get better, and contour irregularities which often can be massaged out or additional filler can be added. I have not heard of any allergic reactions to the product although I imagine it can happen but it is very rare.
Side effects from Restylane
It is very rare to have any serious side effects from Restylane. It is an extremely safe product. That being said, many providers are ordering the product from outside of the United States, which is a growing problem, as the authenticity of the product cannot be verified.
Common side effects;
- mild to moderate brusing
- mild swelling
Uncommon side effects:
- allergic reaction
- redness at the treated sites
Unwanted results due to injection technique:
- bumps under the skin due to uneven injection
- Tyndall effect (bluish color of the skin due to superficial placement of the product)
Complications from Restylane
If you are in good health, it is very unlikely for you to get any side effects from Restylane.
Restylane is Hyaluronic Acid which is abundantly present in your skin.
Rare complications may occur, mainly bruising and lumpiness.
Bruising disappears in 4-7 days (or longer if you take Aspirin, Vitamin E, Garlic, Gingko or Ginseng). Lumpiness can be corrected at the time of the injection by massaging.
Make sure you tell your doctor if you have had a reaction to xylocaine in the past.
Make sure that the injections are being performed by a Board Certified Dermatologist or Plastic Sur geon
Bad Side Effects from Restylane
Bruising which can last for up to 2 weeks.
Superficial Placement which can look like a blue colored line.
Herpes Simplex flare up causing porlonged pain or sores
Extreme pain if not done with good anesthesia especially in the upper lip.
However, overall it is a very safe and effective and gratifying procedure.
The risks are very small for an experienced injector and when problems arise they are usually easy to remedy. However, if this is the first time you are having a filler performed you should ask you physician to discuss the variety of fillers and the length of time they are expected to last.
Side effects from Restylane injections
We generally do not expect any major side effects from Restylane injections, especially in the nasolabial folds. Bruising (to one degree or another) and swelling (usually resolves after 2-5 days), maybe a little redness at the injection sites can be expected. Occasionally lumpiness (usually easy to massage out) can occur. In theory, infections and RARELY embolization of the material could occur if it is injected into a blood vessel. So far, I have not seen an infection as a result of filler injections. There is probably a better chance of you getting hit by a car while crossing the street in New York City than blindness as a result of restylane embolization.
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.