Restylane Side Effects

Daniel Reichner, MD answers: How long before Restylane bumps in tear troughs go away?

I had Restylane injected in my tear troughs 9 months ago. After I had it done, you could see a little bluish mark under each eye where it had been injected and what looks like half moon ridges there under my eyes as well. There were hard bumps on each side of my eyes as well that I was told to massage with a hot cloth very hard.

The bumps, I thought, went away but recently I can notice them again and they are very hard and the ridges and bluish marks under my eyes never went away.

I am very self-conscious and petrified to see someone, only to have it made worse. Will it ever go away? What should I do? Please help.


Daniel Reichner, MD
10 months ago
By Daniel Reichner, MD - Orange County Plastic Surgeon

The best treatment for restylane lumps in the tear trough is early and aggressive massage.  However, if you have had restylane injected behind the orbital septum (into the orbital fat pads), I perfer to treat with a hyaluronidase which enzymatically degrades the restylane.  The bluish discoloration under the eyes could either be bruising (which gradually resolves) or restylane injected too superficially under the skin which is referred to the "Tyndall Effect".  This can also be treated with hyaluronidase.  Since your treatment was 9 months ago, its sounds like you have superficially injected restylane or the Tyndall Effect.

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More answers to “How long before Restylane bumps in tear troughs go away?”

A: All depends on the anatomy

Hisham Seify, MD, PhD
10 months ago
By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

It should go away if it is only Restylane . By 12 month most of this material is gone. The discoloration could be from pigmentation from bruising at the time of injection.This could require more treatment

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