Ask a doctor

How Long Before Restylane Bumps in Tear Troughs Go Away?

I had Restylane injected in my tear troughs 9 months ago. After I had it done, you could see a little bluish mark under each eye where it had been injected and what looks like half moon ridges there under my eyes as well. There were hard bumps on each side of my eyes as well that I was told to massage with a hot cloth very hard. The bumps, I thought, went away but recently I can notice them again and they are very hard and the ridges and bluish marks under my eyes never went away. I am very self-conscious and petrified to see someone, only to have it made worse. Will it ever go away? What should I do? Please help.

Doctor Answers (17)

Restylane lumps under eyes

+4

Of course all the answers below are all excellent and I have only a few comments"

Did the Restylane achieve your goals? Are the lumps visible but not palpable?

  • If the answer is yes then there are a couple of answers. The restylane may be too superficial but then your options are to remove it and suffer the condition which originally occured; I presume hollows below the eyes
  • However, it is also likely affected by the thin quality of your skin which cannot be reversed. It is similar to saying why do you have blue veins on the back of your hand? If your skin is thin you will see nearly anything placed beneath the surface.
  • How do you hide this? Well I would advise you to use camouflage make-up. Although this may seem paradoxical and you may be asking why you had the restylane injected in the first place. Well if the Restylane filled the groove or trough or fold then it achieved a significant goal and the trade-off is the color. I like analogies so I will use one. IF you have a dent in your car they need to pull the dent out or fill it with bondo. That achieves correction in form but not necessarily in color or surface texture. The car will need painting and you may require make-up. That may be overly simplified but it makes a point.

If the Restylane did not achieve your goals

  • Contemplate having it removed by using hylauronidase (off label) or having it expressed with a needle as described by others.

I hope the helps!


Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

It may take up to 2 years

+4

The injection of restylane and juvaderm to the tear trough can last up 2 years and if you do not like the result it may be because of injection in to fat pockets. The best thing would be to consult with your doctor and he may inject it with Wydaze(hyaluronidase) to dissolve any remaining restylane

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.5 out of 5 stars 56 reviews

Restylane

+3

Fortunately you have had Restylane rather than a semipermanent or permanent filler. Restylane is a hyaluronic acid and should therefore go away entirely on its own.

In patients with very thin skin, filler can have a bluish hue to it.

Also, although much rarer, chronic bumps can develop. This permanent lumpiness problem occurs much more frequently in permanent or semipermanent fillers. However, the lifespan of Restylane around the eyes and even the cheeks is prolonged (up to one year) compared to when it is used in the nasolabial folds.

Hyaluronidase dissolves hyaluronic acid and would be a good choice for a problem that has persisted so long.

If you decide to do something about your eyes once your problem has resolved, you may want to consider a shorter acting hyaluronic acid such as Prevelle, which is easier to mold and has fewer swelling and lumpiness issues. It may also "get you through" the lumpy phase which sometimes characterizes the last stages of hyaluronic acid fillers.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 92 reviews

You might also like...

Restylane= Reversible

+3

The placement of restylane under and around the lower eyelids is an advanced application and requires extensive experience in anatomy and aesthetic judgement. The bluish tint under the skin is called the Tyndall effect and occurs when Restylane is placed too superficially under the skin. Persistent half moon shape of restylane is likely the result of persistence of product. Restylane tends to stick around longer in the periorbital area then around the perioral area, as is the case with most facial fillers and facial fat. A study by Vartaninan , et al in Archives of Facial Plastic Surgery examined the use of Hyaluronidase and found it effective in the use of break up of NASHA (Restylane or Restylane like products). After injection with Hyaluronidase the product is no longer palpable after 24 hours if utilized properly. Hyaluronidase is more painful to administer and is more likely to cause a bruise than administration of NASHA agents.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 67 reviews

All depends on the anatomy

+2

It should go away if it is only Restylane . By 12 month most of this material is gone. The discoloration could be from pigmentation from bruising at the time of injection.This could require more treatment

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 6 reviews

Restylane bumps can last a while, hyaluronidase/Vitrase may be needed

+1
These bumps can last up to 1-2 years and there is a published report of up to 5 years.  I would be careful with vigorous massage because this may cause your lower eyelid fat to bulge.  You may consider Vitrase/hyaluronidase injections to speed up this process.  Consult with a physician in person that has expertise in using this medication and discuss the risks and benefits of this procedure.

Debra M. Kroll, MD
New York Oculoplastic Surgeon
5.0 out of 5 stars 3 reviews

Restylane Bumps in Tear Troughs

+1

Tear trough fillers can last longer than the usual 6 months. You may want to do a laser resurfacing procedure to smooth out the skin and help with the visibility of the product, or you can inject a dissolving product called hyaluronidase.

Tim A. Sayed, MD, FACS
Palm Beach Plastic Surgeon
5.0 out of 5 stars 14 reviews

Restylane lumps

+1
I am sorry to read about your problem. Restylane lumps should ultimately resolve with time. I would also encourage you to consider Selphyl, which is injection of your own platelet fibrin matrix to fill the tear troughs. This will stimulate dermal collagenesis. It will take more time to create improvement than Restylane but, after the first time, you will not have any bruising.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 11 reviews

Tear trough lumps with Restyalane or Juvederm

+1

The hyaluronic acid fillers have been an exciting treatment option for patients who have noticed deepening of the groove between the lower eyelid and cheek/nose. Due to the thinness of the skin in the area, occasionally irregularities occur. I generally like to see patients back at two to four weeks after the injection to make sure the area is smooth. If there is an irregularity, Hyaluronidase can be injected to help smooth the filler out. This part may be a little tricky even in the most experienced hands, and require a dedicated team of cosmetic surgeon and patient to get it just right,

  The bluish discoloration, called the Tyndall effect occurs when the optical qualities of the patient's overlying skin and the small particles in the hyaluronic acid reflect the light creating a bluish hue. In my experience, this is rare, and when it has occur ed seems to be self limiting. As the body metabolizes the filler and carrier, the discoloration disappears. It is never permanent. Occassionally a patient may not be aware of the discoloration of their lower eyelid skin naturally and then incorrectly attribute that to the HA treatment.

Brian Maloney, MD, FACS
Atlanta Facial Plastic Surgeon
3.5 out of 5 stars 6 reviews

How Long Before Restylane Bumps in Tear Troughs Go Away?

+1

at 9 months it is possible to still have restylane remaining and I understand you woory about making it worse but some hyaluronidase may be needed at this time. get an opinion.

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.