Restylane Injected into Vein/nerve?

Question

I had restylane injections in my cheek and tear trough region yesterday. It is now 36hrs later and i have a strange tingling/numb feeling under one eye - and if I very gently touch my upper cheek region I feel an uncomfortable 'twinge' in my eye (like a twitch?). I mentioned this strange feeling at the time of the injection - when my Dr injected my mid cheek region, I could feel it in my lower eye area. Could filler have accidentally been injected into angular vein/infraorbital artery? Nerve?

Jonathan Kulbersh, MD · Answer

Filler injections into a vein or artery are extremely rare but can have devastating consequences.  During my training in Beverly Hills, I trained at a practice that was referred a few case of filler injected into a vein or artery.  When filler is injected into a blood vessel, a large area of skin around the filler immediately turns white and the patient experiences increased pain.  The area then begins to turn more purple then black over a couple of days.  In my experience, it is an obvious when the consequence occurs.  From your description, it sound unlikely that the filler was injected into a blood vessel, but you are concerened so I would advise you to have an immediate follow up with your injector.  

	 

	I hope this helps.

Kenneth Hughes, MD · Answer

Tingling after Restylane may indicate injection near a small sensory nerve branch, and this should improve quickly.

David W. Kim, MD · Answer

There can be a number of reasons why you are feeling this. There may be pressure on the nerve due to swelling/product, possible trauma to the nerve from the needle. It is rare and almost never that this can cause permanent damage. Follow up with your practitioner so that they can evaluate you in office. In most cases this will resolve on its own, and if the product is applying pressure, a neutralizer can be used to dissolve the product. 

	 

	Good luck

Sam Naficy, MD, FACS · Answer

You may be experiencing some effects of pressure on the nerve in the area caused by expected swelling. Follow up with your provider for further assessment if you don't improve over the next two weeks.

Jamil Asaria, MD · Answer

The most likely cause of your symptoms after your treatment with Restylane is that the nerve was bruised during the injection. This can results in a tingling or numbish sensation in the area of the nerve distribution. Most times this will resolve in a few days and might be improved with the application of ice and soft massage.

	Best wishes,

	-Dr. Jamil Asaria

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Answers (8)

Answer: Restylane and numbness

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