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How Should I Deal with Bumps and Bruises After Restylane?

asked 3 years ago by j.j. montana in USA
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 39,864 times
Tags: under eyes, bruising, bumps, side effects

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.

14 answers to How Should I Deal with Bumps and Bruises After Restylane?

Always be careful with injections around the eyes

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... more

David Shafer, MD
New York Plastic Surgeon

Restylane and Bruising

J.J. - I'm sorry that you are experiencing bruising and bumps to your treatment area. I am sure it is causing distress. First, please know that it is normal to experience some bruising and swelling after a Restylane or dermal-filler treatment. In some cases of over-correction or asymmetry, a product called "Wydase" can be used to soften and even remove some of the product. Ask your treating physician about this option. To minimize bruising for... more

David Mabrie, MD
Bay Area Facial Plastic Surgeon

Restylane under the eyes

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 unevenness that only time will fix. I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon

Curing bumps and bruises after Restylane.

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... more

George J. Beraka, MD
Manhattan Plastic Surgeon

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

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 to do this on your own, you should return to the physician who placed this so that he may help you. If massage fails than and you are unable to achieve a good contour, I would inject... more

Robert W. Kessler, MD
Orange County Plastic Surgeon

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

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 have found that of all injection sites, the lower eyelid is the least forgiving, requires the most experience to inject, and even in the best of hands, will take the longest for the bruising and... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Bruising is a common occurrence after injection...

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.

Steven Wallach, MD
Manhattan Plastic Surgeon

Some bumps can be reversed

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 there will be bruising. The usual bruise can last 3-7days depending upon the patient. Swelling from fillers usually subsides over 2-3 days. If there are bumps or lumps that persist beyond the... more

Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon

Bumps and Bruises After Restylane

If lumps or bruising occurs, contact your injector's office. Each office has different protocols to rectify. Generally, time and light massage are the best remedies. Some offices prefer to do the massage themselves in order to avoid a patient who may massage overly.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

www.drkrisreddy.com

Bumps after restylane injection

The bumps after the injection can be massaged or hyaluronidase may need to be injected. I would recommend waiting and massaging the area first.

Gary Goldenberg, MD
New York Dermatologist

Bumps in the Lower Eyelids after Restylane Very Fixable

The lower eyelids are easily the most complex "routine" area that one might treat with Restylane. In my hands, about half of patients get some bruising and pretty much all get some swelling. Most of these people can cover with makeup. Bruises, of course, resolve in their own time and can be helped along with warm compresses. Immediately after the treatment you should be very calm and ice the eyes for several hours to minimize bruises and swelling. ... more

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

Bumps and bruises from Restylane

the bumps may be gone in a few days, but if they persist longer they can be injected by hyaluronidase which dissolves the product. If the bump is related to bleeding under the skin it will be gone on its own most of the time, but warm compresses may hasten its resolution, as they can improve the bruising.

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Options for Restylane bumps and bruises under the eyes

First, let's discuss options for fixing the current problems. Hyaluronidase is an enzyme that can be injected immediately if the bumps cannot be resolved by massaging the product. This enzyme will break down the product and get rid of the bumps. Ask your injector about this option. Pulsed dye lasers are used in our practice to remove bruises from injections. We do not agree that all injection bruises will usually go away after a week and have seen patients with bruises 1-2 months after... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Bumps from Restylane

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 from that treatment. Patience and gentle massage are the two best approaches.