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Will Swelling Be Inevitable After Restylane Injection Under the Eyes?

If I get Restylane done under my eyes, will I have swelling and if so, how long?

Asked 30 months ago by fiona hughes in irl
Sort 9 expert answers by:
+3

Eyelid swelling following Restylane injections.

Restylane and other hyaluronic acid fillers are a popular and dependable treatment to improve the appearance of the lower eyelid areas. Since a small needle is used for placement of the filler, variable amounts of swelling and bruising do occur.  I have found that pre-and post-injection treatment with ice helps to reduce swelling and bruising and also provides an anesthetic effect. The main factors that affect the amount of bruising and swelling are the... more
Adam J. Cohen, MD
Chicago Oculoplastic Surgeon
+3

Some short term swelling is normal

Dear Fiona It is absolutely normal to have some degree of swelling under the eyes after an under eye Restylane treatment. If there is no brusing and if your have good skin integrity, then typically the swelling settles down in about 40 hours. Recognize that the treatment is placed by a tiny needle. This means that you can bruise. The bruise can be a little skin bruise that lasts a couple of days (common 20% incidence) to something resembling a huge black eye, shinner, etc. These are rare... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+2

Swelling after Restylane injection under the eyes

Restylane is a very popular and effective hyaluronic acid-base dermal filler. It has been used widely throughout the face for the correction of deep lines and wrinkles. The trickiest area to inject in the face is the area under the eyes, because this area has very thin skin, which can make lumps obvious, and a high concentration of blood vessels, which can create long-term bruising. In our practice, we provide patients with ice packs to use immediately after their injection. If you... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+2

Swelling with Restylane Under the Eyes

As the other panel members stated, burising and swelling are always a potential side effect with these procedures.  Taking this into consideration will help you plan for possible "social downtime."  When having these types of treatments, make certain that the practitioner is experienced and with meticulous technique.  The eye area is a very unforgiving area, and proper placement of the product is needed.  Diligent icing during and after the treatment will go... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+2

You definately will have swelling after Restylane injection under the eyes, possibly for 2-3 weeks

The eyelid tissues are very thin and sensitive. Consequently injections in the eyelid do cause swelling which can last 2-3 weeks. You should be aware that because of the thinness of the eyelid skin, filler injections like Restylane under the eyes can cause permanent discoloration and occaisionally visible lumps. You should also know that this is an "off label" use of fillers-two cases of blindness have been reported foillowing filler injections around the eyes-one in England and... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+2

Everybody responds differently to Restylane eyelid treatments.

Restylane works by attracting fluid to the area where it is injected. Additionally, eyes swell very easily. However, the amount of swelling, and how long it lasts is related to your tendency to swell. Do you're eyelids swell a lot in the morning? Do you have allergies? Does eating salty foods, make your eyes swell? All of these things are hints that your eyelids may swell more with Restylane than the average person. My advice is that the first time you get a treatment, do it at a time... more
Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
+1

Restylane under the eyes

Injecting restylane under the eyes may cause some bruising and may cause some swelling. The selling may be worse for the first few days and then should subside.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Restylane in the Tear Trough

Yes it is inevitable but everyone reacts differently.  In general I would say you could have swelling all the way up to 2 weeks post injection with some bruising. I generally recommend icing the area for the first 48 hours which decreases the bruising and swelling. Good luck.
Farbod Esmailian, MD
Orange County Plastic Surgeon
+1

Swelling after restylane injections under the eyes

A variable degree of swelling and bruising are normal and expected after Restylane injections to the lower eyelid area. Although swelling frequently resolves within 3-5 days, I have seen swelling from this procedure last up to 2 weeks. Please plan accordingly. Good luck.
Bryan K. Chen, MD
San Diego Dermatologist
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