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Will I Return to Normal After Restylane is Dissolved?

About 4 weeks ago, I had Restylane injected in the trough of my eyes. Later on, I developed lumps on the area, with bluish-tinge under my eyes. Will I return to how I looked like before the injections if I have the Restylane dissolved?

Asked 37 months ago by dogeez in Bartow, Florida
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+4

It will take months to resolve

Dogeez, Restylane can last for months. If your doctor is experienced in injecting hylauronidase, it may be useful to dissolve the hylauronic acid in the Restylane. However, whenever you have injections around the eyes, you have to be very, very careful. This tissue is very thin and very unforgiving.
David Shafer, MD
New York Plastic Surgeon
+3

Most likely things will return to normal with time

The filler will certainly go away with time. most likely the discoloration will go away with time too. avoid the temptation to treat these problems with anything except time! -since often the treatments will only make matters worse. Be patient. Unlike the other plastic surgeon answering this question, i am less of a fan of fat injections. However that is a function of ones experience with fat injections vs fillers for the tear trough deformity and i certainly would not criticize his... more
David E. Berman, MD
Sterling Plastic Surgeon
+2

Yes, you will look the same as before

Restylane injection in the undereye area is an off-label indication. It means that the company has not studied this product in this particular area. In fact, the only indication for Restylane currently, is its use for nasolabial folds correction. Several other indications are coming soon. So, its use in the lips, cheeks, etc. is all off label. Despite that, it has been used extensively and safely in all of these and other areas. Restylane injections under the eyes can make a dramatic... more
Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon
+2

The bluish tinge is called the Tyndall Effect.

To dogeez, Hi. The fact that you have lumps and blue discoloration means the Restylane was injected too superficially. There is no great solution. These are some of your options: 1) Wait. This may all go away but in this area it may take a year. 2) Laser resurfacing with the QS 1,064 nanometer Nd:YAG laser has been reported to work in 3 cases. I would try this only with a VERY experienced dermatologist. 3) Making a nick in the skin and squeezing out the Restylane can work. 4) ... more
George J. Beraka, MD
Manhattan Plastic Surgeon
+2

For the most part

Dear Dogeez, I hope you don't mind if we use your question to expound about this problem. I think if you read it you will find we answer most of your questions. A few months back, we posted a blog specifically asking: Why is there so much promotion for off label usage of Fillers for the the Treatment of Hollowing and Under Eye Circles? In the blog we ruminated that this treatment is off label and that few studies have been done to check for its safety and efficacy in this setting. A few... more
Peyman Solieman, MD
Beverly Hills Facial Plastic Surgeon
+2

Restylane Will Last Over 6 Months if No Action is Taken

I am sorry to learn of the difficulty that you are experiencing. Perlane, Juvederm, Restylane or Elevess are all Hyaluronic Acids (HA). The beauty of them is that they are soft and work well to fill in lines and wrinkles around the face. Side effects from these fillers and dissatisfaction is rare. When these occasions do occur the wonderful thing about this group of fillers is that we can offer Wydase or Hyaluronidase to reduce or dissolve them. As an Ocular Plastic surgeon, in the... more
Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
+2

Only If You Were Normal to Start With

Hi Dog, Sorry to hear about your complication with under the eye lid filler. The bluish tint is either caused from the Tindall Effect, where the filler is too superficial, or from some residual bruising. In either case, time is the best antidote. Once the Restylane that was placed under your eyes completely dissolves, your eye lid area should return to the way it was before. Unfortunately it takes a while for the Restylane to disappear from this area. Some physicians inject... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+2

Hyaluronidase can help resolve the restylane, but it will take time...

Weekly injections of hyaluronidase can dissolve restylane and speed up the process, but it takes several weeks for the material to gradually dissipate.  The injector of your restylane should be able to follow through with your concerns until the problem has resolved.
Bryan K. Chen, MD
San Diego Dermatologist
+2

Recovery from Restylane eyelid injection can take a year

Dogeez, The lower eyelid tissue is so delicate that filler injections are not recdommended by the companies that make restylane, juvederm and radiesse. The restylane filler will dissolve in a few months with massage. The problem is that discoloration caused by bleeding during the injection may last much longer. Also, often scar tissue developes in response to filler injections in this area, and the scar tissue may take a very long time to go away-if ever. All you can do is to massage the... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+2

Restylane may be too superficial

The skin below the eyes is very thin and injections in this area need to be very deep right along the bone. After the Resylane resorbs you should go back to normal. In the mean time you can massage the are to get the product to disperse a little quicker. This could take a while in the range of several months to occur.
Scott Tucker, MD
Winston Salem Plastic Surgeon
+1

Restylane under the eyes does not dissolve as fast.

I am sorry to say that if you see blue lumps under your eyes, the Restylane will hopefully dissolve away eventually, but for sure it will take longer than the 6 to 12 months you might be hoping for in this situation. In some cases, the tissue reacts around the filler and forms inflammation and scarlike areas, and the lumps never fully go away. I recommend seeing your injector immediately for careful tips on how to begin to get this resolved. The earlier you start working on it, the... more
Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon
+1

What you will look like when Restylane is dissolved

Restylane is a powerful and effective dermal filler that usually lasts approximately 6 months. Once it results, patients almost always return to their initial baseline. If you are unsatisfied with your current results, rest assured that they are temporary and with the tincture of time you should return back to your pretreatment appearance.  
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Restylane in lower eyelid

The bluish hue is form injections too superficial as ar ethe lumps. These will go away with time or you can have hyaluronidase injected to eliminate it quicker.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Bluish Tint under Eye after Restylane?

If the bluish tint under the eye is caused by superficial injections (The Tyndall effect caused by injecting too close to the surface) then this will most likely go away as the product degrades normally over a 6-9 month period. Alternatively, ask your practitioner about Hyaluronidase injections. Hyaluronidase is an enzyme that is used to dissolve the Restylane and may be able to solve your problem much more quickly. The lumps can also be resolved fairly immediately with Hyaluronidase. If... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
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