Why Are Veins Appearing After Restylane in Nasolabial Folds and Nasogenian Grooves?

Any sign of skin blotchiness after filler injection should require immediate examination by the physician injector. This may be a sign of compromise of skin circulation and should be addressed with warm compress, and possible consideration of nitroglycerin patch and hyaluronidase injection (if hyaluronic acid filler such as Restylane, Juvederm, or Perlane is injected). This is one of the reasons that consumers should never shop on price of filler injection alone; you must be confident that the physician injector is competent to intervene in case a unexpected complication happens.

There can be a rare complication of blockage of a vein when any filler is injected in the glabella of the forehead(between the eyebrows) or in the crease around the nose. The vein may be blocked from external volume compression or from internal blockage by the filler finding its way into the vein. If an artery is obstructed then it could be more serious. Please call your doctor right away! Some incidents have probably been avoided by the quick use of hyaluronidase to dissolve the restylane or juvederm.

Hi Lapcas,

Drop what you are doing and call your injecting physician asap!  If that ever happened to one of my patients, I would advise them to take aspirin and get to our office as soon as possible for evaluation.  This is an emergency and needs to be evaluated and treated now!   Please let us know how things turn out.

Dr. P