I Had Restylane Injected on 4/14/13 Underneath Both Eyes. Now Have Very Large Lumps! Does This Look Right? (photo)

Question

This is the first time I have Restylane injected. This photo I added is from today 4/17/13. The one with no makeup is me post op. mind you I have extreme natural dark circles around the eyes ( that isn't bruising). The lumps under each eye are very, very concerning to me! Is this normal? When will the lumps subside if ever? Ir was this a bad job done on me. I've also included a before photo to show what I looked like under the eyes regarding wrinkles and no lumps. Help!!

Michael A. Persky, MD · Answer

Hi Giants Girl,

	Sorry to hear about your bad experience with Restylane injection under your eyes.  I agree with my colleague Steve Weiner, MD 100%.  It appears that you received too much Restylane and it may be too superficial.  You should consult with an expert for the treatment of this most delicate and unforgiving area.  You should improve with hyaluronidase injections.  Good luck and be well.

	Dr. P

Nima Shemirani, MD · Answer

Hi @GiantsGirl. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. The filler products that are preferred to treat this area will have some degree of affinity for water molecules so all of these products will exhibit some degree of hydration and swell once injected into the body. 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!

Sam Naficy, MD, FACS · Answer

Based on the photo's you've provided, it looks like you need to visit your provider and let them see what's happened...the product has likely been placed too superficial and needs to be removed.

Kenneth Hughes, MD · Answer

This may be partly bruising and swelling. I would not do anything for 2 weeks. If there is too much product at that time, then enzymatic degrading can be considered. Kenneth Hughes, MD Los Angeles, CA

Louis M. DeJoseph, MD · Answer

This is hands down the most difficult area to inject on the face. It requires patience, artistry, and knowledge of the anatomy. You had a minimal tear trough deformity on the pre op photo giving you a shadow to your lower lids. Very small amounts of restylane make huge changes in these areas. Give it a week or so to settle, and if it is still to full, see your physician. This can be disssolved/erased with hyaluronidase injected into the area. It will resolve the overfilling in a matter of hours. Hope this helps.

I Had Restylane Injected on 4/14/13 Underneath Both Eyes. Now Have Very Large Lumps! Does This Look Right? (photo)

Answers (5)