Bad Restylane Injection in Tear Trough. What went wrong? Can you please tell me from my photos. (photos)

Question

I had really bad experienced with a very high profile double certified PS, that injected me with restylane and completely destroyed my tear trough as you can see in photos. You can also see my before picture, I did definitely have hollow under eyes but it was a natural smooth hollow, now it looks soo destroyed and much darker. Can somebody please tell me what is wrong, (tyndal or staining or what?) It is 3 weeks post now. Also how to find a doctor that SPECILIZES in TEAR TROUGH mostly? thanks

Mehryar (Ray) Taban, MD, FACS · Answer

It is difficult to tell from the photos. It is best to you see an oculoplastic specialist in person. Options for tear trough hollowness include filler injection, filler injection, and/or tear trough implant. Each has pros and cons.

Jason Emer, MD · Answer

This can be a complication with a specific technique. 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 for a formal evaluation. Best, Dr. Emer

Clifford Albert, MD · Answer

Looks like bruising from blood under the eyelid.the retaining ligaments are circular around the eye and create a pocket that can hold in some swelling for a few weeks after an injection.HA fillers are essentially sponges that hold in water and cause a filling effect.Radiesse is composed of calcium crystals and doesn't cause a swelling effect so I like it for this area. I would gently massage the area laterally about 10x in the morning and night to help dissipate any swelling.should improve within 2 weeks

Richard Ort, MD · Answer

It's hard to tell from the pictures.  You might have Tyndall effect or you might have discoloration from bruising.  I inject the tear trough very frequently with gratifying results. I prefer to use a cannula most of the time.  If needed, Restylane can be dissolved.  Go back to see your injector or get another opinion from another specialist.  Regards,Dr. Ort

Walton Montegut, MD · Answer

This is a good question. This is the hardest area to inject. I have been treating this area since 1994. This area can be treated with fillers, or fat. Board certification does not equate with technique in this area. Experience is what counts. At the present time, without seeing you in person, it is difficult to ascertain the degree of the problem. There are many factors involved in the final result. Factors such as, the type of product, the quantity of product , and the level the product was injected. All of these factors play a role in your result. The good news is in can be corrected. Hyalronidase can be used to dissolve it. Also, male faces are different than female faces. This tissues are different. I do specialize in men also. After training with Dr. Bruce Connell and Dr. Sydney Coleman, the face is unique in many ways. Now, I offer my patients Fat transfer in this area and utilize it in much the same way as filler. Good luck with your result

Warmest regards,

Dr. Walton Montegut

Warmest regards,

Dr. Walton Montegut

Melvin Elson, MD · Answer

You were overcorrected--too much was injected and it is too superficial. Have it removed with hyaluronidase and then start over. are you sure you saw a plastic surgeon and not a so-called cosmetic surgeon?

Arian Mowlavi, MD, FACS (license on probation) · Answer

What went wrong is that you should not inject the tear troughs with a filler; otherwise you get what you are observing, often called Tyndall effect; What you need is a lower blepharoplasty.

Bad Restylane Injection in Tear Trough. What went wrong? Can you please tell me from my photos. (photos)

Answers (7)

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