Restylane Bruises Still Not Healing After a Year

Restylane is a very popular and effective hyaluronic acid-base dermal filler. It has been used widely throughout the face for the correction of deep lines and wrinkles. The trickiest area to inject in the face is the area under the eyes, because this area has very thin skin, which can make lumps obvious, and a high concentration of blood vessels, which can create long-term bruising. In our practice, we provide patients with ice packs to use immediately after their injection. If you continue to have some bruising in this area, it is possible that some of the skin may have been stained from the blood vessels that were traumatized during the injection. There is no straightforward way to correct this. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in facial rejuvenation and skin care. So that they can review the options that may help correct this tricky problem.
 

You need to be evaluated in person to determine what the bruising appearance really is. If it is in fact a blood vessel, laser treatment or certain creams can help address the "dark circle" appearance. Alternatively, what you may be experiencing is the "tyndall effect." When Restylane is placed somewhat superficially under the skin, the light scattering effects of the material causes it to appear blue under the skin. It is uncommon, but not entirely unheard of for hyaluronic acid fillers to last over a year.
I would encourage you to seek evaluation by a board certified specialist in one of the aesthetic oriented specialties such as facial plastic surgery, dermatology or oculoplastic surgery.
Good luck.