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More Bags After Restylane in Tear Troughs - What Happened?

asked 1 year ago by ski180 in cranford, nj
Latest answer by Harold J. Kaplan, MD
Question viewed 977 times
Tags: tear trough, causes, eye bags

I had Restylane put in my tear troughs several weeks ago. I have more bags and the contours of my face have changed. At 2 week F/U, RN injector said she under-corrected and this was NOT a result of the Restylane. I elected not to have it dissolved; I have read it could make it worse. I can't imagine looking any worse! What happened? What can I do?

11 answers to More Bags After Restylane in Tear Troughs - What Happened?

Swelling after Restylane injections in tear troughs

The function of hyaluronic acid in the skin is to hold onto water. That is what happens when hyaluronic acid fillers are injected into the skin as well. So there is swelling in the area of injection. How long the swelling persists is partially a function of how distensible and thin the skin in the injected area is. The eyelid is one of the thinnest areas of the skin and also the skin in the area has a lot of give. So the water that gathers there takes a long time... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

Bulges after Restylane to under eye area

As others have mentioned, it's not clear if the first photo was the "before" photo or "after" photo. Regardless, an in-person evaluation will always be recommended for a treatment to be designed. It would appear that you may have already have fat bags/bulges immdiately under the lash line which cannot be corrected with a tear trough procedure. The goal of this treatment is always to camouflage or fill in the depression under the bulge if this is the... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Botox for lower eyelid bags

It is not fair to evaluate your condition from photos as opposed to an in-person exam where a physician could evaluate your tissues with different eyepositions and to feel your skin swelling. Your before photo, when enlarged, reveals a hypertrophic orbicularis oculi muscle band. That is, your lower eyelid has a bulge slightly below the eyelashes. You also have a slightly depressed tear trough below that area. If the nurse who injected you was trying to even out the bulge of... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

More bags under eyes after tear trough Restylane?

Do not be alarmed. It is not uncommon to temporarily experience swelling beyond what you expected with a small amount of under eye filler such as Restylane or Juvederm. The extra bags below the bony orbital rim are from fluid that can accumulate as normal swelling after injection. Ice packs, gentle massage, and time will allow the excess fluid to resolve and should leave everything much closer to where you expect.

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Bags after restylane

First, I would only let a doctor inject you. Second, it doesn't look like you needed this area injected. Sometimes less is more. Third, see a doctor to have it dissolved.

Gary Goldenberg, MD
New York Dermatologist

Restylane in Tear Troughs

Restylane and the other hyaluronic acid fillers work by attracting and holding water. This is also what this naturally occurring substance normally does in the skin. The tear trough can be a challenging area because the skin there is thin and the area is distensible. I have seen a few patients seem to have trouble with persistent edema (excessive swelling) after h.a. fillers to the tear trough. This is a known complication that may occur even with careful... more

Mark J. Lucarelli, MD
Madison Oculoplastic Surgeon

www.UWHealth.org

Restylane in tear troughs is very tricky.

Hi. If I understand the sequence of pictures correctly,you did not need Restylane in the first place. Also the exact technique is very important. Probably, you should have it dissolved.

George J. Beraka, MD
Manhattan Plastic Surgeon

Injection of lower lids

Injectionof filler in lower lids may make bags worse because or retention of fluid. If the bags you see are fat, then perhaps you need them removed or softened?

Steven Wallach, MD
Manhattan Plastic Surgeon

Filler injections around the eyes

Thanks for posting the before and after pictures. It makes is much easier to answer your questions and more helpful for other patients. First of all, if the picture to the left is your before, I am not sure why you were having injections in the first place. One must be very careful about injections around the eyes as the tissues are dynamic and also very thin, so any lump or bump shows up considerably. Now that they problem has occurred, my suggestion is to have your... more

David Shafer, MD
New York Plastic Surgeon

Eye bags after Restylane

Injecting filler into the tear trough or under eye area is hands down the most difficult area to fill successfully on the face. It requires a keen eye, an artful touch, and a lot of experience filling this region. From your pictures, It appears to me that the material was placed to high in the eyelid, and not low enough to contour the true tear trough. This can be remedied by either further injection to contour this area better with correct placement, or starting from... more

Louis M. DeJoseph, MD
Atlanta Facial Plastic Surgeon

Please do not have these types of services with a nurse.

You need a real doctor to assist you with this type of treatment. Your are under treated and treated in a way that does not work for your lower eyelid area. Also one week may prove to be a bit early for this treatment. Despite what you might have read, the enzyme is the way to resolve these types of issues. The bottom line is these services require an injector with a deep understanding of midface and eyelid anatomy. Additionally there treatments need to be... more