Restylane Under Eyes - Known Risks and Complications?

I have very fair skin and hollow ridges under my eyes that I was born with. I'm researching treatment, and became interested in Restylane, but it is so expensive for something that only lasts 6 months to 2 years. Can I get permanent pigmentation under the eyes from a bruising at the time of injection? If you can, how is it treated? How often do lumps occur, and are they visible? Any better options?

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4 Doctor Answers | Asked by MothersGlow in MI

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Restylane for under eyes

All fillers can cause chronic swelling reactions around the eyes. All experienced injectors know this. While the incidence is low, it is not zero, even in the best of hands. Experienced injectors are prepared if necessary to recommend hyaluronidase. Some fillers are better (Prevelle, Restylane), some worse (Juvederm). The exact location of the injection is important. With patients from every major news network in our practice, this is especially important since a swollen lid can mean... more

The key is finding an experience injector.

Dear Mothers Glow My father taught me that when the butcher tells you that the meat is bad, you should listen. If a doctor tells you that a treatment is a problem, it generally means that it is a problem in their hands. Translation, don't have service with them for that issue and don't make them do a treatment they are not comfortable with. Think about it. If you can get a result with under eye Restylane that is better than what can be accomplished with surgery and there is very... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Open fat grafting and arcus release for hollow eye circles in thin skin

I have seen patients with permanent discoloration and lumps following filler injections under eyes. Since you have thin skin you are especially prone to complications of fillers under your eyes. The staining caused by bruising is usually permanent and cannot be removed. See before and after pictures of transconjunctival arcus marginalis release and open composite fat grafting.

Be careful with fillers under the eyes

There is no question that fillers under the eyes can result in the problems that you mentioned as well as prolonged swelling and edema (months!). We very rarely advise fillers in this area and if we do we insist on a very conservative treatment with only partial correction of the problem. You must make sure that the person injecting is a doctor with lots of experience with not only injectable fillers but also with surgical blepharoplasty!