Can Restylane settle in the wrong place? (photos)

Question

I’m 42, and wanted to look less old and tired so I decided to have Restylane done in my eye troughs 7 days ago. Beyond the bruising, there’s bumps, and part of inner eye or sinus area is swollen too! Is this normal? Did the filler go to the wrong place on my left eye? A cannula needle was used to help prevent bruising, but clearly something happened. Plus my plastic surgeon is out of the country so I can’t get in to see them. What’s next? Time, dissolved, laser, more fill? Help!

Kenneth D. Steinsapir, MD · Answer

It stays where it is placed. That makes it a very fussy filler. However that fact makes it the best of the fillers for this location. The cannula is a bit of a scam. I my opinion it is not the best method for placing filler in the eye area. Your service is less than ideal. You actually would benefit from more volume. If you injecting physician is unable to deliver this service, you will need to find a new provider.

Nima Shemirani, MD · Answer

I would recommend waiting 2 weeks for bruising and swelling to subside. If you are still not happy with the results after two weeks, the filler can be dissolved with hyaluronidase injections.

Camille Cash, MD · Answer

Bruising and swelling can occur after tear trough fillers.  You may want to consider Arnica and Bromelain to help it resolve more quickly.  This should improve with time.  See your injector if you have further concerns or do not see improvement.

Tracy Katz, MD · Answer

You need a little more time to heal. Looks like you got a pretty dark bruise and likely had a lot of swelling initially. Wait until it has been 2 full weeks before returning to you doctor to be re-evaluated. Many small imperfections improve with the 2 full weeks as small amounts of swelling can last a while and make filler look lumpy.

Wayne Wertheim, MD · Answer

injecting the eye trough is always somewhat tricky as the skin is thin and the area very sensitive. getting bruised after a canulla is unusual but not rare. as long as there is bruising you cannot evaluate the treatment. wait for all bruising to disappear. there is some migration posssible (spread of product) but rarely significant especially with a well experienced injector. the bumps should not be there. your injector should be able to correct the bumps with hylenex. Good luck

Can Restylane settle in the wrong place? (photos)

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