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How Long Before Restylane Bumps in Tear Troughs Go Away?

asked 3 years ago by ssafe in Las Vegas, Nevada
Latest answer by Brian Maloney, MD
Question viewed 22,386 times
Tags: tear trough, bumps, lumps, recovery, restore, side effects, tyndall effect

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.

14 answers to How Long Before Restylane Bumps in Tear Troughs Go Away?

Restylane lumps under eyes

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... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

It may take up to 2 years

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

Restylane

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)... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Restylane= Reversible

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... more

Anil R. Shah, MD
Chicago Facial Plastic Surgeon

All depends on the anatomy

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
Los Angeles Plastic Surgeon

Tear trough lumps with Restyalane or Juvederm

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... more

Brian Maloney, MD
Atlanta Facial Plastic Surgeon

How Long Before Restylane Bumps in Tear Troughs Go Away?

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

Restylane bumps in the tear trough

If left untreated, restyalne and juvederm can be apparent in the tear trough for 18-24 months. Massage is a good first stop to correcting irregularities in the tear trough but, if this is unsuccessful, simply "dissolving" the product with hyaluronidase is a simple, safe, and effective solution. You don't have to live with a result you do not like!

Brian Biesman, MD
Nashville Oculoplastic Surgeon

www.drbiesman.com

Proper treatment of tear trough in lower lids

Unlike lips or Nasolabial lines, treating tear trough is much more difficult and technique dependent. Only experienced and skilled doctors ought to perform this procedure. It seems that you might have had your lids treated in suboptimal fashion if you had visible and palpable ridges from the outset. Restylane can last up to 2 years in lower lids, which is great if it is done properly. Unfortunately in your case you might have those lumps for a while longer,... more

Boris M. Ackerman, MD
Newport Beach Plastic Surgeon

Bumps under the eyes after Restylane

We have found that Restylane injected under the eyes last much longer than in other ares of the face. This is because the Restylane degrades more quickly around the nose and mouth because of the increased movement associated with smiling, laughing and talking. You do not have the same movement under the eyes. In this area, we have had the product last up to 1 year, but normally it is completely gone after about 9 months. We suggest that you go back to your original injector or perhaps a... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Restylane

The bumps that you have from Restylane can stay around for a very long time especially if it was injected very superficially. This can last 1 year or more. Sometimes hyaluronidase can "melt" the restylane.

Steven Wallach, MD
Manhattan Plastic Surgeon

Restylane Side Effects

The best treatment for restylane lumps in the tear trough is early and aggressive massage. However, if you have had restylane injected behind the orbital septum (into the orbital fat pads), I perfer to treat with a hyaluronidase which enzymatically degrades the restylane. The bluish discoloration under the eyes could either be bruising (which gradually resolves) or restylane injected too superficially under the skin which is referred to the "Tyndall Effect". This can also be... more

Daniel Reichner, MD
Newport Beach Plastic Surgeon

There is hope

Ssafe, There is hope. If you have not had hyaluronidase injected into the lumps, then it is worth a try. The Restylane is made from hyaluronic acid and hyaluronidase can help break it down so the body can absorb it. However, if you have formed scar tissue which is making the lumps, then this is only have minimal effect. In the future, it is important to be very cautious before having any injections around the eyes, since the skin is so thin in this area. Good luck.

David Shafer, MD
New York Plastic Surgeon

Restylane Lumps Can be Managed Successfully Using Combination Therapy

Restylane can cause various temporary complications including lumps, contour irregularities, and a slight bluish hue underneath thin skin areas such as the tear trough. Preprocedural assessment is crucial to avoiding or minimizing these complications. A bluish skin hue may arise in cases where restylane has been injected under thin skin. In these cases, the benefits of using a temporary filler such as Restylane come into play as the Restylane will slowly dissolve with time. If the... more