Can I Take Restylane with Rosacea?

Question

Hi, I have Rosacea and wondered if it is safe to have Rystaline in my upper lip please. Also, I am on Docyciline. Will this cause extra bruising and how long if so will the bruise be there. Will they go away. Thank you...Debra

Kenneth Hughes, MD · Answer

Hi Debra,  It's completely safe for you to inject Restylane even with Rosacea, Doxycycline will not harm or have any impact on bruising

Paul S. Nassif, MD · Answer

It is ok to have a Restylane treatment in the lips if you have Rosacea, it will not interfere. And any bruising that occurs will not be influenced by Doxycycline. Bruising can be minimized by use of a blunt cannula when performing the injections, along with avoiding certain supplements and over the counter medications (NSAIDS, ibuprofen) before and after your treatment.

Jonathan Kulbersh, MD · Answer

Having Restylane in your upper lip should have no effect on your Rosacea, as the Restylane treatment is isolated to the area where the injections are performed.

	In general, the typical side effects of Restylane may include:
	
	1) Minor bruising and swelling
	2) Infection
	3) Hematoma
	4) Redness
	5) Irregularities due to poor technique

	Doxycycline is used to treat Rosacea and certain bacterial infections, and should not influence bruising. Before having injections performed, it is important to avoid:

	1) Ibuprofen
	2) NSAIDS
	3) Vitamin E
	4) Fish oil
	
	They may increase the likelihood of bruising occurring due to thinning of the blood. Ice before and after injections can also help minimize bruising, and the use of a blunt cannula when performing the injections can greatly reduce the occurrence of bruising as well. Thank you and I hope this helps!

Nima Shemirani, MD · Answer

Dear DebraAnnCrisp,

	
		Yes, you would be safe to have Restylane injected
	
		Doxycycline does not thin the blood and you should be fine as well
	
		Enjoy, you will really like the results


	Best regards,

	Nima Shemirani

Joseph Mele, MD · Answer

Restylane is safe if you have rosacea. There is typically no change in color for lip injections. If you are treating the nasolabial folds, there is normally a little redness over the treatment area. This maybe more red with rosacea, but should clear in a day or two. The bruising associated with dermal fillers is due to the needle rather than the filler. Bruising can range from none to a week. Icing, elevation and arnica can help.

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