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.

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8 answers to “How should I deal with bumps and...”

A: Bumps from Restylane

Steven Hacker, MD

The best way to deal with bumps from Restylane is to show them to your dermatologist and most of the time, "time" itself will resolve all bumps. On occasion , the "bumps" can be surgically removed but I dont recommend that. Restylane is not permanent so I have never seen any permanent bumps... more

A: Restylane under the eyes

Steven H. Williams, MD

Restylane under the eyes can leave bumps which typically are small collections of Restylane secondary to the very thin nature of the under eye skin. Bruising typically will resolve on its own. The bumps may not. Your treating physician can treat these with Hyaluronidase. However you may still have some... more

A: Always be careful with injections around the eyes

David Shafer, MD

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... more

A: Curing bumps and bruises after Restylane.

George J. Beraka, MD

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... more

A: The lower lid skin is the thinnest skin in the body and...

Robert W. Kessler, MD

The lower lid skin is the thinnest skin in the body and placement of filler there must be done carefully to avoid exactly what has happened. Massage in this area works well. What you are trying to do is spread or flatten the product by pressing it against the bone with the pad of your finger. If you are unable... more

A: Bruising is a common occurrence after injection...

Steven Wallach, MD

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... more

A: Some bumps can be reversed

Edgar Franklin Fincher, MD, PhD

Any filler can cause swelling or bruising.  usually this is avoided or minimized by avoiding aspirin, ibuprofen or other medications that can worsen bleeding, using ice prior to and immediately after injection and by having a doctor with a good injection technique.  Sometimes despite all best efforts... more

A: There is unfortunately no easy answer to this question. ...

Shahram Salemy, MD

There is unfortunately no easy answer to this question.  The ability to heal after injection of fillers depends on several factors: The type of filler used The location of injection The amount injected The technique of injection The patient's inherent ability to heal or tendency toward bruising   I... more

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Comments

K DAWSON
2 posts
21 Oct 2008

Hi there I've had restylane twice under the eyes to correct the hollows. The first time the dr. put the restylane all the way from the corners to the outside of my eyes, in line with the full circle. Unfortunately this had the opposite effect of being "puffy" so I had some of it disolved. After about a year I was becoming depressed about the hollows again so i visited Dr. Chawdary at Derby Laser & cosmetic clinic. He only put the restylane in the dark areas, from the corner (nearest the nose) to half way across. One of the eyes did indeed turn out lumpy so i went back. He put the disolving sol in the lumpy bit and put restylane in another part. Well I must say i am amazed at the result now. I can look in the shop mirrors and see someone who looks more awake. I still have a bruise under the problem eye but cover with revlon colorstay (a great concealer for only £7). I hope this helps you. I would not lose heart and would definitely recommend {edited}. He is a specialist eye dr. and I am going back to him for botox under the eye rim to get rid of the wrinkles there, which unfortunately haven't been shifted. Good luckx -- Editor note: If you would like to review your experience with a particular provider or clinic, please write your treatment review and enter the provider or clinic name in the field provided.

Joannagabs
1 post
12 Nov 2008

Please tell me - where to get Hyaluronidase in Europe - how to apply, as a gel or does it need to be injected Thank you.

LindaAnn
1 post
3 Dec 2008

I had restylne inserted in the hollows under the eyes over two months ago. Now in December, still have swelling and noticable brusing. Used highly experienced board certified Dr. He recently prescribed steriods for swelling. Helped some. Concealers only minimize injury. It is senseless to spend a considerable sum of $ only to be brusied for as long as this stuff is suppose to last!! I am very disappointed.

Bradley Younggren, MD
3 posts
15 Oct 2008

If you are feeling pressed at this point in terms of your upcoming event, I would encourage you to talk with the physician who injected you and discuss hyaluronidase, as that will be your quickest potential fix for the problem. Many lumps will disappear with time and gentle massage. So if you have a little time before your departure, why not push off any "removal" strategy until the last moment to see if you might end up with a satisfactory correction. I am sorry that you have had such an experience at such an important time.  Mineral makeup like True or Jane Iredale might be very helpful in the interim.

Raisa Howard CNP
11 posts
11 Nov 2008

Restylane will not last more than 2-3 months, It is not the best choice for under the eyes because of the bruising and short correction time.Request local anesthesia with Lidocaine to constrict the vessels and therefore avoid or minimize bruising.I have great results with Radiesse in that area.

awalk
465 posts
25 Mar 2009

I am not a nurse but had great results with restylane in this area..You should get a local and my doctor uses a simple ice cube before each injection for few seconds.... Makes a big difference if you bruise...Bruises can last a long time around the eye... My results however lasted 4 years with two 1 c.c touch ups and some left over for my lip border...There is not a lot of movement in this area so it last longer.... Your doc should hit bone and be injected deep in the hollow but not so deep it goes behind the bone....This requires a very skilled injector... I went to a plastic surgeon who specializes in eyes...Ask around town or spend some time on the phone. Expect a touch up after the first go for the best and even results and you can hold off getting your eyes done for years.... Tell the doc you bruise easy so he is extra carful... I don't think I would do Radiese..What if you don't like it... Also for those of you who have bumps,,Try a vibrator or I think juvederm can seep between and fill in areas to make them smooth and less noticable if the area is not already filled to much...

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