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Can Restylane Be Dissolved Few Days After Injection?

I had Restylane injected under my eyes to fill in wrinkles, and now I have big bags under each eye that makes it look 10 times worse. I also had major bruising on the right eye. Can I go back in and have it dissolved with hyaluronidase even though it was injected just 4 days ago?

Asked 36 months ago by unhappy with restylane in hampshire,il, usa

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side effects

I advise against Hyaluronidase injections to dissolve Restylane

I do not use hyaluronidase injections to dissolve Restylane. In my opinion you are just compounding the problem. Especially 4 days after injection with bruising, it would be hard to localize the Restylane for accurate injection. Restylane will dissolve in time with massage, probably by 3-4 months. I recommend massaging the swelling and waiting. I am sure you can find a doctor who recommends hyaluronidase injection. However, hyaluronidase may also dissolve tissue that you do not want to... more

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Wait 3 weeks before dissolving Restylane or Juvederm.

Hi. It does sound like you have a bad result. The under eyes is the trickiest area for injecting Restylane or Juvederm. See another doctor right away. Sometimes, massage can help a lot. But wait several weeks before considering dissolving the filler.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Hyaluronidase for dissolving Restylane

It sounds like you may have some edema due to a compression effect on the lymphatics that drain fluid around your eye. The bruise is likely worsening the problem. I would give yourself at least 2 weeks before considering any method to remove the filler. The swelling may improve over that period. Although swelling and bruising can happen with any injectable, filler use around the eye requires a skilled, board-certified physician.

Melanie D. Palm, MD

San Diego Dermatologic Surgeon

Dissolving Restylane after injection

Restylane is a very popular and effective hyaluronic acid-base dermal filler. It has been used widely throughout the face for the correction of deep lines and wrinkles. Although it can be used under the eyes, this is one of the trickiest areas because of this area the face has the thinnest skin and has a high concentration of blood vessels which can lead to visible lumpiness and prolonged bruising after an injection. For this reason, it is essential that you work with a board-certified... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Hyaluronidase 4 days after Restylane?

It is possible to use Hyaluronidase 4 days after Restylane injections. The only issue you may wish to consider is whether or not the swelling has subsided. You may want to wait up to 2 weeks to see that the swelling has gone down before injecting Hyaluronidase. Call your practitioner to schedule a checkup and see if he/she has the Hyaluronidase product and how long to wait before considering reversal.

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Restylane and swelling

Swelling from hyaluronic acid products is common after injection. You should really give it a few more days before you decide to have it dissolved. Once the initial swelling resolves, you may be happy with the results.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Give it a few more days

Yes. Depending in which plane the doctor injected the Restylane, there might be more temporary swelling so you might just give it a few more days to see if it comes down. Ask you doctor if ice packs or Arnica would be advisable.

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Ronald Shelton, MD

Manhattan Dermatologist

Yes, the Restylane can be dissolved with hyaluronidase

Injection of filler around the eyes can be reversed with an injection of hyaluronidase. Restylane is a form of hyaluronic acid, so the enzyme hyaluronidase can reverse any fullness. You do need to make sure, however, that what you are seeing is not just swelling from the injection. Restylane can certainly cause redness and swelling for a few days, and this may be all that is occurring. It may be best to call the office where the injection was done to let them know what is going on, but to... more

Roger P. Friedenthal, MD

San Francisco Plastic Surgeon

Dissolving Restylane early is safe, but waiting has advantages

Restylane can be dissolved at any time. It is just as safe to do that after 4 days as after 4 months. This issue is that what you are seeing may be swelling. Restylane works by attracting fluid and often swells much less after a week or two. In addition dissolving the Restylane will not help the bruise (which might also be contributing to the swelling. I would wait another week. If you don't see a significant improvement by then you can have it dissolved at that point. Hope this helps.... more

Marc Cohen, MD

Philadelphia Oculoplastic Surgeon

Yes, it can be corrected early with hyaluronidase

Yes, even after six weeks, the injection of a hyaluronidase solution will usually correct it. It usually takes four to five days to see the resolution.

Barry H. Dolich, MD

Bronx Plastic Surgeon

ASAPS ASPS

Yes, it can be dissolved at this point

You should be aware that considerable swelling (as well as bruising) can occur up to 2 weeks after Restylane injections. You will not see the "final" effect of the restylane injections until then. I realize it would be a lot to ask you to wait 2 weeks before taking action - hyaluronidase in small volumes certainly can be injected at this time. Good luck.

Bryan K. Chen, MD

San Diego Dermatologist

Generally, wait a few more days before getting Restylane dissolved

Hi Unhappy, Speak with your injecting physician. Generally you should wait a few more days to let the Restylane settle, if it is still unsatisfactory then consider hyaluronidase. The problem can be exacerbated if you follow other patient’s experiences here on RealSelf.com who have had similar problems. Make sure that your physician is experienced, especially in the eye lid area. Filler injections under the eyes should be performed only by very experienced board certified (facial... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

You have some healing to do first

The great thing about Restylane and all of the hyaluronic acid fillers is that the treatment can be modified after the fact with hyaluronidase, an enzyme that breaks down the hyaluronic filler. However, swelling after a Restylane treatment is normal and especially when you bruise. The incidence of bruising varies quite a bit but if it happens to you, it was a 100%. The blood that makes the bruise causes its own swelling. My best advise is let the bruise fully resolve before making up your... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Yes you can

Restylane is not the best product to inject for treating the under eye wrinkles, but it may work in some occasions with a really good injector. You can absolutely have it dissolved. I would, however, recommend waiting another week or so to make sure what you see is not just swelling that will go away in several days.