Correcting Restylane and Dermal Filler Mistakes

Restylane is a trade name for hyaluronic acid (HA), a substance that is used as a dermal filler, to correct fine lines and wrinkles. It smooths out creases in the skin and is also used to augment the lips, giving a fuller pout.

As with any cosmetic surgery procedure, there are associated risks with injecting Restylane and other types of HA fillers.  There are two known reactions – the Tyndall Effect and lumps and bumps from overfilling the treated area with careless application of the injections.

The Tyndall Effect

The Tyndall Effect is an avoidable issue, and is due to the incorrect positioning of the Restylane, injected too close to the surface of the skin. This causes a prolonged blueish tinge which is unsightly, and is most obvious in the lower eye area around the tear duct.

Lumps and Bumps

Overfilling can cause the appearance of lumps and ridges. These can persist for 6 – 9 months until the Restylane is absorbed by the body, depending on the area where it was injected.  In areas of the face where there is very little movement, HA tends to stay much longer.

How can Dermal Filler Mistakes be Corrected?

The most effective way to resolve the Tyndall effect and lumps from overfilling is through the injection of a substance called Hyaluronidase.

This is an enzyme which reacts with the hyaluronic acid, (Restylane) modifying its permeability, thereby allowing it to diffuse into the body. The result is instantaneous, allowing the surface of the skin to calm down quickly and the lumps to subside. It takes about a day or two for the full effect to come about.

The US Food and Drug Administration (FDA) has approved Hyaluronidase for helping disperse certain drugs throughout the body. It is not FDA approved for the correction of Restylane mistakes; however, it is being widely used off label for this purpose.

It is important that the Hyaluronidase is injected into the exact same area as the Restylane, so that its effects are optimized; otherwise, it may prove ineffective.  Subjects should be aware that the results will completely reverse the effects of the initial dermal filler injections.

It is important to choose a reputable clinician, as the costs and effects of getting it wrong are significant.


Are there any side effects to Hyaluronidase?

There are some risks associated with the use of Hyaluronidase, although these are rare. Occasionally, some people have an allergic reaction, which can prompt itchy swelling of the area, dizziness and possibly trouble with breathing. In this instance, it is best to seek medical attention.

It is advisable, therefore, to carry out a test injection prior to carrying out the treatment to check for any possible reactions to the substance.

This treatment is not advised for pregnant or breast feeding ladies, or anyone suffering from cancer. Anyone who is allergic to other substances is at higher risk and should declare this during the medical checks prior to any treatment taking place.

Are there alternatives to the use of Hyaluronidase?

There are some doctors who are knowledgeable and quite comfortable with piercing the problem area with a needle and either expressing out or aspirating the unwanted Restylane. This procedure obviously requires the patience and skill of an experienced practitoner, as it usually takes more than one session to achieve the desired results.

It has also been documented that use of the Yag laser has been successful in eradicating the blue tinge of the Tyndall Effect. The Yag laser is used successfully in cosmetic surgery to relieve the symptoms of thread veins, helping break down the blood vessels or capillaries so that they dissipate throughout the body.  In correcting the Tyndall Effect, the Yag laser operates in the same way, helping to break down the Restylane so it can disperse in the body.  It should, however, only be conducted by a very experienced practitioner, as this is still an emerging technique.
Correcting Restylane & Dermal Fillers Mistakes

Correcting Restylane & Dermal Filler Mistakes


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About Victoria Strander

Writes about the latest beauty procedures. Her articles are available for syndication. Use Contact Page for inquiries.

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