Restylane Bruising Still Blue and Swollen

As other posters have noted, I cannot explain your Physician's reluctance to use hyaluronidase, because it sounds a classical indication for it. Likewise, the bluish discoloration (Tyndall effect) is a classic example of Restylane injected too superficially. I personally feel that Restylane injection around the eyes is a a relatively poor procedure and one that should be very conservatively approached, if at all.

Hi Puffy. What you are experiencing is very unfortunate. The under eye procedure is very technique dependent and it sounds like he/she may not have been that experienced. With that said, we agree with the other practitioners that hyaluronidase can and should help and we are not sure why your physician would not have at least tried it. In addition, if there is bruising from the hyaluronidase injections, those can be remedied fairly quickly (2-3 days) using pulsed dye laser treatments. If... more

Your problem can be fixed easily and quickly with hyaluronidase. The blue you are seeing probably won't go away for a very long time--it is Restylane close to the skin surface, which is refracting light and causing a blue hue (Tyndall effect). Hyaluronidase is the Restylane eraser--it dissolves the product literally over night. A tiny volume of hyaluronidase is injected, and usually does not cause a significant amount of bruising.

I respectfully disagree with the doctor who suggested hyaluronidase would not help. The blue discoloration is probably due to the "tyndall" effect or light scattering of restylane at a certain depth under the skin, rather than bruising. Small volumes of hyaluronidase administered at 1 week intervals would probably help the restylane resolve much faster. Good luck.