Can fat herniation after Restylane look different every day?

You had responded to a previous question indicating that the puffiness under my eyes cannot be due to Restylane injected a year ago. You stated it looked like fat herniation due to tissue damage. Is it characteristic of fat herniation to be present only sporadically? Some days, I wake up with no bags, other times with bags of varying severity. It fluctuates from day to day (see enclosed photo; pics taken the same week.) Because of this, I assumed it was water. Please let me know what you think. Thanks.

Can fat herniation after Restylane look different every day?
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6 answers to “Can fat herniation after Restylane...”

A: Changes can absolutely change day to day

Christopher L. Hess, MD

I see this often, not only with my own patients but in myself.  Depending on what we eat, drink, the temperature outside, allergies, the list goes on and on why lid bags change.  For example I recently saw a friend at a party who I had done a lower lid fat transposition/fat removal on.  She... more

A: Many things can affect day to day eye appearance

Kenneth R. Francis, MD

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: ... more

A: Swelling of lower lids.

Steven Wallach, MD

At 1 year after filler injection, there may be some "left over" in the space that was treated. This certainly can cause intermittent swelling as the product breaks down.  On the other hand without a proper exam, it would be hard to give you a definitive answer. It could also be some fat... more

A: Difference in pictures probably due to different muscle tone.

George J. Beraka, MD

Hi.   Of course , it is really hard to tell without actually examining you, but my impression  is that you have bags with some overlying swelling.  Slightly different muscle tone (slightly different expression) in the eyelid muscle (orbicularis oculi) can account for the different... more

A: I recommend checking your thyroid function

Kenneth D. Steinsapir, MD

 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... more

A: Fat Herniation

Trevor M. Born, MD

 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... more

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