LAM FACIAL PLASTICS

I had restylane injected into my nasiofolds 4 years ago and have developed permanent scarring. I have not had any restylane since then. The three doctors I've seen, say it is very rare. Two had never seen this before. This is not granulated scarring. It is as though the restylane has turned into scar tissue itself and is becoming more noticeable with time. It can be felt when placing fingers on the inside and outside of my mouth simutaneously...and the area of scarring is noticeably thicker. As I get older it is becoming more prominent as my skin is thinning and loss of elasticity. I am 48 yrs old.
I have been told it cannot be removed. It is quite noticeable and something I deal with everyday. Non-ablative laser was performed in the area which did nothing. My doctor is now suggesting the 2940 fractional laser to tighten the skin...making it less noticeable. I do not think it will help...and to be honest too nervous to try it, for fear of scarring.
I had collagen before the restylane with no scarring and think that if I had a very, very minut amount of collagen injected at the seams / edges of the scarring - that this will soften the lines - but I need someone who is very good with injectables...or even better, someone who has seen and worked on this particular issue before.
I feel the collagen will not dissipate as quickly as with most patients...even with such a small amount.
Has you heard of this before? If so, are there any other solutions?

hi,
i have not heard of this before. however, anything is possible. here are my thoughts:
1. if it is restylane (because some doctors have used products that are not restylane but claim it to be restylane), i would dissolve it with hyaluronidase. that should be easy and quick and at least stop the process if that is what is going on.
2. i would manage the scar tissue using KTP laser and 5FU injections. to me the 5FU is going to be more important than any laser.
3. if all of that fails despite a few treatments, i would either biopsy it to see what is going on or put you on a low-dose tetracycline to see if your body is having some kind of low grade infection to it.
that is the sequence that i would use.
best,
sml