Grayish Under Eye Lines After Restylane

Although I suppose it is possible, if restylane was injected very superficially it has been known to hang around for a year or more.  But 4 years after ...I do not think so?

It's difficult to imagine that what you are seeing is related to the Restylane injections if it has been over 5 years. There is a side effect of Restylane injections called the Tyndall effect whereby Restylane that is injected too superficially (near the surface of the skin) can cause a bluish hue. But in cases where this effect is present, it normally wears off within about 9 months for the area under the eyes. We are wondering if you still have swelling as you mention it, but then focus... more

Under eye Restylane injections can last a long time. It is certainly not impossible that it could last over a year. However, it would be unusual for the Restylane to be present after 5 years. As a first step I would try some Hyaluronidase injections, just in case some of the product is still present. If that does not work, it is possible that you have a problem called post inflammatory hyperpigmentation. Some people (usually those with more pigmented skin) tend to deposit pigment... more

Greyish-blue discoloration under the skin can be seen after injection of HA fillers. This is due to a refraction of light by the particles, known in physics an the Tyndall effect. It is due to the implant being too close to the skin surface. Since the eyelid skin is so thin, it commonly is seen in this area. I have found that it takes a very long time for these areas to go away by themselves. Sometimes I use a large-bore needle to puncture the skin over the collection of HA and can... more