Best Way to Get Rid of Restylane Bumps

The most pressing concern is to address the problem at hand and this can be done easily with Hyaluronidase. It's difficult to understand why this practitioner would not be offering this to you given your concerns, but if he/she will not, then try to find a quality injector nearby that can reverse the issue for you.
The "tear tough" under eye area is very technique dependent and many of the patients we see that have been injected above or over the muscle rather than under it. This is what often causes the bumpiness or lumpiness. Find a practitioner that is experienced at injecting under the muscle in the tear trough area and you will have a much more positive outcome.

Thank you for your question. It is difficult to give you advice without examining you in person. However, Restylane can feel a bit swollen and lumpy after injection, but this usually resolves within 1-2 weeks after injection. It is not common to be developing new lumps 2 weeks after injection. I recommend following up with your injector for evaluation and treatment. Best of Luck!

Thank you for your question. Typically, bumps can be resolved by gently massaging them to help smooth them out. If they do not resolve, then the product can be dissolved with an enzyme known as hyaluronidase. I recommend following up with your injector to have this evaluated and treated. Best of Luck

Restylane can last one year or longer under the eyes.  Please return to your doctor to discuss hyaluronidase injections.  After one month, you will not be able to smooth the bumps with massage.

Contact the physician's office and find out what the specific office policy is to address bumps. Typically, they can be resolved with light massage, but some physicians prefer to do the massage in office. If this does not resolve, then the product can be dissolved with hyluronidase. 

Massage is the best way I know of to reduce lumps or bumps after fillers, especially the hyluronic acid products.  However, if this isn't helping, careful injection of hyluronidase can be helpful.  The benefit of massage is that once the bumps go down, you are usually left with some uniform filling and are hopefully happy then.  If the hyluronidase is injected, usually all of the filler will disapate, so you are left with no benefit. 

If you are as distraught as you sound, you need to go back to the physician that treated you and have he/she fix it. Most of the times that patients get these bumps, you can gently massage them out. Hyaluronidase does work very well at eliminating these bumps. We do not have any problem getting this medication at this time.

Sometimes when injecting fillers along the lower eyelids, small bumps appear. This is the filler material. I usually massage them in or have the patients do it at home if they notice it after they leave the office. Hyaluronidase can be used to "melt" it.

A few things to keep in mind. Massage alone may be useful to spread out some of those bumps. I routinely ask patients to return 2 weeks later in order for me to do that.

This is extremely helpful to help improve the results of the inital treatment. Hopefully your surgeon has done that already.

The last resort would be to use the enzyme Hyaluronidase to either partially or completely dissolve the filler.

Although this was recently on back order, I was able to get some.

Good Luck.

Robert F. Gray, MD, FACS

Restylane (hyaluronic acid) injected in the tear troughs under the eyes can persist for many months. It lasts much longer in this area than when it is injected into other areas. Hyaluronidase is an enzyme that will digest and dissolve the injected Restylane without removing your body's natural hyaluronic acid or collagen. It will completely remove the unwanted filler. Keep in mind that when the filler is removed the area will look like it did before you had the treatment-- dark rings, hollows, etc.