Restylane in tear trough; how do I fix the puffiness and blue color? 7 wks post op. (photos)

You may combination of filler swelling and underlying eye fat bags. You may or may not benefit from lower blepharoplasty. I have published recently on patients like you who have persistent "fullness" after under eye filler injection. 

It seems from the pictures and the commentary that there is intermittent swelling?  You may be having a hypersensitivity reaction to the filler.  The filler may also have been placed in the wrong plane.  This should immediately resolve upon dissolution of the filler with hylenex or vitrase.
Please go to a board-certified dermatologist or plastic surgeon for a proper evaluation.

Hi Gially.  Thanks for your question.  Yes, we would recommend a Hyaluronidase based product like Vitrase to dissolve the Restylane.  This should put you right back to where you were before treatment.  Best of luck.

The bottom line is that under eye fillers is a very fussy service.  It requires detailed knowledge of the anatomy and a true sense of artistry to get the service right.  That it turns out is a rare combination.  I know because I truly see patients from all over the world who seek me out to fix their under eye filler services.  You would not fly to Los Angeles from London or Dubai if you could possibly find help locally. What do you need?  First you need a doctor who actually listens to your concerns, can assess you and make a plan about your best options.  Usually removal fo the product is best.  Occasionally more product is recommended.  The ability to remove the hyaluronic acid fillers makes them very powerful. The cannula is seldom the solution to these issues.  You need a sculptor.

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. I recommend injections with cannulas to limit complications. See an expert. Best, Dr. Emer

Hello.  Sorry to hear about your disappointment.  Restylane and various other new fillers are excellent products to treat the tear troughs, but results are dependent on injector experience.  You're correct that 7 weeks is too long to be due to swelling and is likely due to the filler placed too superficially.  If you don't trust your original injector, I recommend you search for a board certified facial plastic surgeon, plastic surgeon, oculoplastic surgeon, or dermatologist.  Make sure who you go to has experience with injecting tear troughs.  Good luck.

Thank you for sharing your question. See an experienced Oculoplastic Surgeon for evaluation and guidance. Vitrase probably needs to be injected to dissolve the filler. Good luck,

If you're unhappy with your final results, you can have the filler dissolved with hyaluronidase. I recommend following up with your injector or cosmetic dermatologist. Hope this helps.

It sounds as if the filler was too superficial and also Restylane is not the best filler for this area. Much better is either Belotero or Revanesse Versa. you should seek a second opinion because you are not happy with your doctor

It appears that you may need some hyaluronidase to dissolve the filler. You can follow up with your original injector or you can go to another injector to have this done. Good luck! I agree with you, you shouldn't see this post 7 weeks injections.