How Should I Deal with Bumps and Bruises After Restylane?

In the vast majority of patients who undergo lower eyelid
Restylane injections, the results are excellent. Unfortunately, we occasionally
see patients who develop lumps, bumps and eyelid discoloration following these
procedures. These findings are often associated with bruising as well. This
area appears to be susceptible to this type of problem, because of its complex
anatomy and the thinness of the overlying skin.Although,
these problems may be related to swelling in the early post injection period,
after two weeks they are more likely related to uneven distribution of
Restylane. In the first 48 hours following treatment uneven Restylane can often
be corrected with massage of the lower eyelid. After two weeks more aggressive
treatment is usually indicated. In most cases, this requires injection with the
enzyme hyaluronidase.The
best way to address bleeding and bruising following Restylane injections is to
prevent it from happening. Avoidance of Aspirin, Ibuprofen, Motrin. Aleve and
other drugs that cause bleeding is important. Ice compresses pre and post
injection can also decrease the incidence of bruising. Once bruising has
occurred it resolves on its own over the course of 10 to 14 days.It’s
important to discuss these issues with your plastic surgeon. Your surgeon
should be able to address these issues and alleviate your anxiety regarding
these problems.

Thanks for the question. It is such a problem and we all have issues with bruising and fillers. The key is trying to prevent it. I've recently wrote an editorial discussing research into this area. Perhaps it would be of help?I go over alot of information so hopefully it helps in the future!James P. Bonaparte, MD, MSc, FRCSCHead and Neck Surgerypracticing in Facial Plastic and Reconstructive SurgeryAssistant Professor, University of OttawaOttawa, Ontario, Canada

I advise my patients to begin treatment with Bruisestick ointment after injections to minimize bruising and swelling after a procedure. Raffy Karamanoukian Los Angeles