Dear Dr. Seckel: I am 30 years old and have received Restylane a few times in my nasolabial folds and lips with great results. However, two weeks ago I had it in very mild depression-lines on my cheeks. Instead of smoothing out the lines, the filler caused two ridges, looking like GIANT (very gravitated) tear-troughs!!! I basically think he injected too much, the depressions I had were hardly noticeable before, but 0.7 ml was injected totally in two areas of 1 inch each. The doctor admitted the bad result and apologized for the undesired outcome and have now ordered hyaluronidase to reverse the treatment. Now I am worried that the hyaluronidase will not work or resorb my own soft tissue as well! I am panicking!!! Will the skin look saggy after this? Also will the Resty in my lips and nasiolabial folds disappear as well? I am desperate. Thank you in advance Kara, Boston, MA
Kara,
Soft tissue fillers like Restylane usually work very well when injected into the Nasal Labial fold lines and the Marionette lines. Occaisionally the soft filler injection can cause lumps as you describe.
The soft tissue filler Restylane will dissolve in time-at most 3-4 months. My approach would be to wait for the Restylane to dissolve and not inject hyaluronidase-Hyaluronidase could cause other problems and make things worse.
Vigorously massage the lumpy areas in your nasal labial fold lines, -you can spread the material around and make it less obvious.
To learn more about soft tissue fillers visit my clinical site in Boston.
For more information about fillers and non-surgical facial rejuvenation read Save Your Face or contact me.
Boston, Massachusetts