Permanent Bruising from Restylane?

Question

I had Restylane injections a week ago for my laugh lines. Two days later, I saw a greenish patch (like bruises) on my lower right cheek next to the laugh line. It has been almost a week now and the bruise is still there and doesn't look like it is getting any better. The color turn more brownish and the bruise area is not sore to the touch at all. Is this a permanent bruise or hyperpigmentation due to the injections? I heard Restylane injections can caused permanent staining or bruising if not injected right. Is that true?

Harold J. Kaplan, MD · Answer

From your description, it sounds as if the bruise is taking its natural course.  The greenish/yellow phase of the bruise generally requires several more days for resolution.  Although you referred to permanent staining (hemosiderin staining) this isn't a very common condition as a result of dermal filler injection procedures.  However, if there truly is hemosiderin staining, class IV medical lasers may offer a good option in resolving the resulting pigmentation.

Michael A. Persky, MD · Answer

Hi Gliding Phx,
The bruising from the Restylane injections should resolve with time.  There is a gray-bluish tint that sometime results from the injection of hyaluronic acid too superificially called the Tynedall effect, but it sounds like you have a plain old bruise that should resolve with tincture of time.  Discuss your concerns with your injecting physician.  I hope that your journey through the rainbow of colors on your cheek  is over soon.
Be well.
Dr. P

Monika Soni, MD · Answer

Thank you for your question. Usually it takes more than 2 days to recover from the greenish/yellow phase that you are describing. It appears that the bruise is resolving gradually. Permanent Staining rarely happen from dermal filler injection procedures, but if there is really hemosiderin staining medical lasers may offer a good option in resolving the resulting pigmentation. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. Usually it takes more
than 2 days to recover from the greenish/yellow phase that you are describing.
It appears that the bruise is resolving gradually. Permanent Staining rarely
happen from dermal filler injection procedures, but if there is really hemosiderin
staining medical lasers may offer a good option in resolving the
resulting pigmentation. Best of Luck!

Steven Wallach, MD · Answer

Bruising can develop after an inejction with a filler material. There are so many causes of bruising that can be secondary to blood thinners etc.. It should get better over the next few days.

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Answers (7)

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