I had Restylane injected under my eyes, just above my cheeks. I developed severe bruising that lasted for almost 6 weeks. It has been 6 months since the procedure, and I still have what looks like lingering bruises where the Restylane was injected. Also, the doctor who did this over-filled the right side and you can clearly still see the filler bulging out in a line under my eye where he injected it.
Will the bruising and bulging go away? What can I do about it? Do I need to have other treatments? I don't want to have any injections to dissolve it at this point because of the bruising.
Even though most of the injectable fillers show significant resorption at 6 months some patients can experience lasting effects beyond that.
Try gentle massage and give it another 3 months. The bruising should resolve within this period of time. You are right to not consider additional treatments at this time.
I hope this helps.
Lower eyelid fillers are a very difficult procedure with a high incidence of bruising in the best of hands. Your description sounds like bruising. As Dr. Beraka said, it is possible that the bruising is not actually bruising, but is the Tyndall effect instead.
For most patients, bruising will resolve. It may take several months. 6 months is on the longer end... some may take 8 or 9 months. Infrequently, some patients will have "permanent bruising" where the lower eyelid skin retains the pigment. That is a very troubling problem and may be helped with certain lasers.
If it is the Tyndall effect (fine blue lines or drops), then it will go away once the Restylane wears off (6 months to one year). I would wait for a few more months and see. If it is the Tyndall effect, it should wear off as the Restylane is absorbed. Injected hyaluronidase to dissolve the Restylane does not usually cause bruising, but it may not be worth the risk in your eyelids.
Contact the doctor
