Restylane™ - Related FAQ's

Q: If I am going on vacation in three days, can I have fillers injected tomorrow?

A: It's not a great idea if you're concerned about how you would look with a bruise. Bruising with fillers does occur but it doesn't happen commonly, but why should you ruin your vacation. Plan ahead and have it done not less than two weeks before the next important social function. Otherwise, it is not a medical concern to have Botox and fillers if you are flying in two days.

Q: If I had Restylane injected for my lips earlier today and see a lump, can I massage it smoother?

A: Yes, with gentle pressure you can massage the filler into a flatter contour but if you're uncomfortable doing this, see your doctor. If the enlarged area does not improve, hyaluronidase, an enzyme, can be injected to flatten it. Sometimes, though, it is not the filler, but a small bruise that will take time to go down.

Q: I want to have Botox injected for my frown lines and also filler since they're deep. Can I have them together?

A: For someone who never has had treatment for their glabellar lines, the creases between the eyebrows (the "11") I suggest doing the Botox and then waiting to see the response. The skin may get relaxed and smoothened quite well with just the Botox. However, if you have had the treatment before without enough success, or if you have a social function in a short time and want the lines to look their best, then yes, you can have the Botox and filler done the same time. The filler should be done first to avoid the filler disturbing the placement of the Botox which could make it affect relaxation of non-desired adjacent muscle groups. The filler must not be too thick. This area, the glabella, is one in which complications have occurred from the volume of the filler interfering with the circulation of blood flow to the skin. Ulceration and scarring can occur from a thick, viscous, product, too much volume, or intravascular injection. I would only use Restylane or Juvederm in this area. If needed, hyaluronidase can be injected to dissolve the product should impending necrosis be threatened.

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