I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal? (photo)

Question

I had Restylane injected into my tear troughs for the first time 3 weeks ago to improve the hollowness. I went to a Dermatologist who is board certified and an expert injector with a lot of great reviews. The Dr. used 1 syringe to fill both eyes with a cannula. It was not painful. I had some swelling that was gone by the 5th day, and very slight bruising. What concerns me is the darkness under my eyes that was not there before the injections, makeup does not cover it. Is it permanent? Can it be lightened?

Sam Naficy, MD, FACS · Answer

From the photo's you've posted, it's difficult to determine how much of the discoloration is your pigmentation versus possibly the product. I would return to your provider for further assessment and discussion of treatment options for that area.

Kenneth Hughes, MD · Answer

Any darkening noticed after filler placement in the area of bruising will usually go away over a period of months.  If this is hemosidering deposition, then I would leave it alone for now.  It is a bit difficult to tell from the photos how much is pigmentation vs a change in lighting conditions.  If there is residual product, hyaluronidase can be injected. Kenneth Hughes, MD Los Angeles, CA

Hratch Karamanoukian, MD, FACS · Answer

From the photos it seems like it coould be a combination of product (Tyndall effect) and bruising resulting from the injection. Give it several more weeks and see the doctor who did the procedure for further guidance - hyaluronidase or letting it resolve spontanously.

Darryl J. Blinski, MD · Answer

This "dark" effect after Restylane is becoming more common. As to cause there are choices: The Tyndall Effect, Hemosiderin deposits, a small bleed, very thin skin with light reflecting. So best to return to the injecting doc. Treatment could be more filler, dissolve filler with HAidase, or allow metabolize of HA injected.

Jo Herzog, MD · Answer

It is possible that some residual of bruising is still present and needs more time to resolve. It is also possible that rubbing could have caused this. Also, your skin looks darker in later photos. That might just be photo quality but if it is sun, then you might have some darkening from that.

I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal? (photo)

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Answer: I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal?

Answer: I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal?

Answer: Darkness under eyes after Restylane

Answer: Darkness under eyes after Restylane

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I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal? (photo)

Answers (7)

Answer: I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal?

Answer: I Have Dark Discoloration Under my Eyes 3 Weeks After Restylane, is This Normal?

Answer: Darkness under eyes after Restylane

Answer: Darkness under eyes after Restylane

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Everything you need to know about Restylane

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