What do think this lump under my eye is? I had restalyne about a year ago and now I have this ugly lump when I smile. (photo)

Question

About a year ago I had restalyne under my eyes and the eye that has the lump was significantly more bruised than the other eye when I had it done. Now when I smile, I have this lump that pops up below my eye and it looks awful. What is the lump and what can I do to fix it?

Nima Shemirani, MD · Answer

Hi @lolaj83! Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved with Hyaluronidase injections. Best of luck, Dr. Nima!

Brian Maloney, MD, FACS · Answer

Since you experienced much more bruising under this eye after the injection, your body may have formed some extra collagen in the area. It is impossible to know if it is filler or scar tissue or a combination. I would suggest a combination of a small amount of hyaluronidase and a dilute steroid. Small and dilute are the keys. If either are too much, a depresion could result.

Brian S. Biesman, MD · Answer

I am sorry to learn that you are having problems with your filler injections.  Even though they were performed a year ago, Restylane can persist for a longer time under the eyes.  I feel that treatment with hyaluronidase would be your best option at this point.  You may need to essentially start over.  I have seen patients in whom hyaluronidase injections have produced improvement in their appearance to the point where additional fillers are not required.  However if you elect to undergo treatment with hyaluronidase, you may wish to plan on being reinjected by someone who is highly experienced in treating this region.  Best of luck.

Jason Emer, MD · Answer

Under eye can swell even years after filler injections and I am convienced this is due to lymphatic swelling.  This improves with filler reversal and radiofrequency treatments.  Please see an expert.  Best, Dr. Emer.

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  In our experience we have seen lumps from filler years after the initial injection even with HA fillers that should no longer be present.  A little hyaluronidase may improve this.  Other considerations would be gentle RF treatments like Venus or possibly even Inifni to the area.   Regards, Dr. Matt Elias

What do think this lump under my eye is? I had restalyne about a year ago and now I have this ugly lump when I smile. (photo)

Answers (7)

Answer: Under Eye Fillers -- Use Cannulas, Small Needle Injections, and Go Conservative; Reverse With Hyaluronidase

Answer: Under Eye Fillers -- Use Cannulas, Small Needle Injections, and Go Conservative; Reverse With Hyaluronidase

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Answer: Bump under eye

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Our mission is to create a world where every investment in modern beauty is Worth It.

What do think this lump under my eye is? I had restalyne about a year ago and now I have this ugly lump when I smile. (photo)

Answers (7)

Answer: Under Eye Fillers -- Use Cannulas, Small Needle Injections, and Go Conservative; Reverse With Hyaluronidase

Answer: Under Eye Fillers -- Use Cannulas, Small Needle Injections, and Go Conservative; Reverse With Hyaluronidase

Answer: Bump under eye

Answer: Bump under eye

Browse related questions

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.