Always be careful with injections around the eyes

David Shafer, MD answers: How should I deal with bumps and bruises after Restylane?

I had a Facial Plastic Surgeon inject this filler under my eyes on September 5th, and they've caused certain bumps and bruises. I've had to hide since, wondering how to deal with them. Should I massage them to even them out? I'm very desperate. It was a very expensive treat for myself after 2 years of tragedy and illness, and I did this in anticipation of an event abroad that I've been working towards for 10 years. I am desperate beyond words. Please help me out.


David Shafer, MD
12 months ago
By David Shafer, MD - Manhattan Plastic Surgeon

J.J.,

Injections around the eyes should always be done by someone with extensive injection experience.  However, even with experienced injectors, you may get a bump or lump.  This may be due to the injected material, a reaction to the material, a bruise, or just swelling. 

If the area does not smooth out over a few weeks, then it may be necessary to inject the area with a special medication (hyaluronidase) which will help dissolve the product.  The hyaluronidase breaks apart the hyaluronic acid which is found in Restylane and Juvederm products. 

Good luck and hopefully you will have a nice trip abroad.

 

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More answers to “How should I deal with bumps and bruises after Restylane?”

A: Curing bumps and bruises after Restylane.

George J. Beraka, MD
13 months ago
By George J. Beraka, MD - Manhattan Plastic Surgeon
You need to think of bumps and bruises as being quite different. Some bruising after Restylane injection is fairly common and can sometimes last several days. It is always gone by one week and is easily covered with a little makeup.
 
Bumps are caused by too much Restylane being injected in one area, and perhaps too superficially. Bumps should be very rare and they should be tiny when they do occur. Bumps do tend to fade over two or three months as the Restylane dissolves, and the very rare persistent bump can be treated by injecting a medication called Hyaluronidase. 
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A: Bruising is a common occurrence after injection...

Steven Wallach, MD
14 months ago
By Steven Wallach, MD - Manhattan Plastic Surgeon

Bruising is a common occurrence after injection especially around the eyes.  Unfortunately, because the eyelid skin is very thin, you may see or feel lumps or bumps.  I always tell patients that for the first few days they can massage the area to flatten this out.  If it doesn't flatten by massage at this point, then some physicians will either make a small nick in the skin to express the product or inject a little hyaluronidase to basically dissolve the filler.

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