Blueish Tint/bruising from Restylane on Cheeks

The good news is that whether it's bruising or the Tyndall effect, it can be resolved, either by waiting or using one of the following.
1. For the Tyndall effect, Hyaluronidase can be used to break down the Restylane. This enzyme will cause the Restylane to dissolve, reversing the effect of the treatment and minimizing the blue hue.
2. If the effect is from bruising (we have seen some patients who come to us with bruising that has last for months), then we would suggest pulsed dye or q-switched laser treatments. Pulsed dye lasers for a reddish, bluish or purplish hue and q-switched lasers if hemosiderin staining is a possibility (brownish discoloration left after bruising).

Of course all the answers below are all excellent and I have only a few comments"
Did the Restylane achieve your goals?

If the answer is yes then there are a couple of answers. The restylane may be too superficial but then your options are to remove it and suffer the condition which originally occured; I presume hollows below the eyes
However, it is also likely affected by the thin quality of your skin which cannot be reversed. It is similar to saying why do you have blue veins on the back of your hand? If your skin is thin you will see nearly anything placed beneath the surface.
How do you hide this? Well I would advise you to use camouflage make-up. Although this may seem paradoxical and you may be asking why you had the restylane injected in the first place. Well if the Restylane filled the groove or trough or fold then it achieved a significant goal and the trade-off is the color. I like analogies so I will use one. IF you have a dent in your car they need to pull the dent out or fill it with bondo. That achieves correction in form but not necessarily in color or surface texture. The car will need painting and you may require make-up. That may be overly simplified but it makes a point.

If the Restylane did not achieve your goals

Contemplate having it removed by using hylauronidase or having it expressed with a needle as described below.

I hope the helps!

The most likely cause is a superficial injection of Restylane producing the blueish hue. It can also be acute swelling that gives this temporary coloration.
You may just want to wait it out and let the hyaluronic acid and swelling dissipate, hopefully that will solve the problem.
Always make sure you know exactly what is being injected. Many of our patients have received silicone injections without being specifically told what the substance is. The trouble in those cases starts years later when the patient notices chronic swelling or migration of filler.

Hyaluronic acid fillers can cause bluish discolorations of the face if they are placed too superficially in the skin. That's why it is SOOO important that you go to a good doctor for it, preferably a dermatologist or plastic surgeon who does their own injections. In my office, I am the only one who does the injections and it is my personal feeling that no one other than the physician should do it in any office.
While many doctors are now getting into this in order to escape medicine as a family practitioner or emergency physician, it isn't all that easy to do it well and you have just learned that the hard way. The good thing is that if they did indeed use a hyaluronic acid filler you can use another product called hyaluronidase to dissolve it or have it pushed to the surface of the skin and expressed. But that is so sad as it must have cost you a bit and now you are having to get it out of the skin because the person did it wrong.
Good luck!

Bruising, swelling, sometimes discoloration, lumps, and bumps are normal side effects assuming proper injection. They will be gone in a matter of days. Having them dissolved using hyaluronidase is also an option. ​Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.