Can Fat Herniation After Restylane Look Different Every Day?

Dear Debhon
I would be cautious following up on Dr. Born's recommendations. There is no scientific evidence to support his recommendations regarding homeopathic medications or alternative medicine. Many fraudulent practices scare the public with unsubstantiated claims to encourage unnecessary testing and unproven treatments.
The swelling in your lower eyelids certainly could be due the Restylane that was injected. Although I thought I read in one of your earlier posts that the filler you had was Juvederm.
In either case, it has been my experience that these materials can last in the eyelids more than a year. Herniated fat does not come and go. However, how much water that is held in association with the filler does seem to vary during the course of day and from day to day.
I am impressed that in the picture with the swelling, your eyes actually look more prominent. It makes me wonder if you have some form of early thyroid eye disease although I would not expect the inflammation from this condition to fluctuate so much. I do believe that it is worth your while to have additional treatment with hyaluronidase, the enzyme that breaks down the hyaluronic acid filler.
Also it might be reasonable to have your internist check your thyroid function and consider a consultation with an oculoplastic surgeon.
Dr. Steinsapir

Debhon,
Many things can affect the appearance of your eyes on a day to day basis, including allergies, stress, fatigue, water retention from menses, etc. If you have bags on more days than not, then consider a blepharoplasty procedure. Things that may help decrease morning bags: sleep with your head elevated, apply cool compresses just before bed, minimize stress in your life, get a good 8 hours of sleep each night. Good luck!

Dear Debhon, the sweliing looks like edema from the lymphatics around the eyes. This may have been present to some degree before your Restylane injection and can be made worse with trauma/injection to the area. I can not confirm without examining your eyes.
it does not look to be in the area where the fat from the lower eyelid exists.
Treatments may include- 1) do nothing- let it improve over time, 2) steroid injections, 3) lymphdiuoral drops and cream, 4) injection with Hyaluronidase to melt any residual Restylane.
You may want to have a check up with an MD that speacializes in alternative Medicine- checking for disorders of metal toxicity and hormone balance.
With Warm Regards,
Trevor M Born MD