Can Fat Herniation After Restylane Look Different Every Day?

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 looked great and everyone commented on how good she looked. A week later she came in to get post operative photos and she had a great looking left eye but her right had a minor "bag." She... more

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!

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 herniation that can be treated by simple excision. In addition, some patients have malar bags which actually are usually more lateral( to the side of the cheek) that retain water just like some... more

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 appearance of the pictures. When the muscle tightens, the bag are pushed in. Try it in the mirror. I don't believe that your old injections have anything to do with your current appearance. Your bags can almost... more

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... more

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... more