Restylane: Q&A

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How Can I Fix a Botched Under Eye Procedure?

I had very deep recesses under my eyes and so had Restylane injected to fill them out. BUT 4 years later I STILL have extreme swelling in pouches where the Restylane was injected. I was told by a Cosmetic Surgeons nurse 3 years ago that the filler has long gone and now I am left with oedema - which will resolve in time. But it seems they are not going anywhere! As it is fluid and not fat I have been told I can't have blepharoplasty. Does any one have any suggestions for me please?

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6 Doctor Answers | Asked by Bridgie in Hamilton, NZ

Doctor Answers (6)
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You last had this evaluated by a "cosmetic surgeon's NURSE" 3 years ago.

This sounds like a serious and complex situation that could have been caused by many factors. I highly recommend that you see a board-certified plastic surgeon or oculoplastic surgeon (MD's, not assistants) as soon as possible. The longer you wait, with an unresolved medical issue like this, the harder it may be to correct. Please go soon.

Swelling under eyes

You will need an evaluation in person. By three years I doubt that the product is still there. Is it swelling or herniated fat?

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Erase Restylane with Vitrase

If the edema your experiencing is from Restylane or any hyaluronic acid product then I should be easily treated with an injection of Vitrase into the area. Vitrase is an enzyme that litterally eats hyaluronic acid within 24 hours of injection. If you do have the Vitrase but still have the edema, then look for another cause (fat herniation from under the eye, thyroid problems...) . Good Luck!

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Lower eyelid swelling

There are possible nonsurgical (injections) and surgical treatment options, but first need to find out exactly what the problem is. I recommend a consultation with eyelid specialist (oculoplastic). Dr Taban

Swelling and Edema of Lower Eye Lids 3 Years After Restylane Injections

Hi Bridgie, We have had some success in patients such as yourself with fractionated CO2 laser treatment. I have used Fraxel repair in a few patients who improved. Make sure that you choose your physician carefully. Good luck and be well. Dr. P

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Persistent swelling after Restylane

Without a personal evaluation with exam, it's really hard to tell you what's going on. Sometimes this area responds to almost any intervention by swelling in what is called the Malar Bag. We don't have a great treatment for the malar bags, but they may become less prominent with grafting of fat and stem cells (if this is indeed the problem). It is likely that the Restylane is gone, though in certain protected areas (like the superficial dermis) it can persist for years.... more

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