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How do I reduce the appearance of malar edema from Restylane? (photo)

LachwartzMay 24, 2018
I had restylane done under my eyes 2 weeks ago and have unfortunately developed Malar Edema. I will be having the filler reversed but not before my sisters wedding which is this weekend; I just can’t risk any bruising or additional swelling. I’ve been taking Zyrtec and added Benadryl last night. What can I do to reduce/minimize the awful appearance? Prednisone? Diuretic? Heat? Ice? Massage? Vibration? I’m open to any and all suggestions.

Answers (3)

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Dr. Nima Shemirani, MD
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Dr. Nima Shemirani, MD
Board Certified Facial Plastic Surgeon
4.9 | 279 Reviews
Answered on Apr 12, 2023
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Dr. James R. Gordon, MD, FACS, FAAO
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Dr. James R. Gordon, MD, FACS, FAAO
Oculoplastic Surgeon, Board Certified in Ophthalmology
5.0 | 283 Reviews
Answered on May 25, 2018
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Dr. Jonathan Kulbersh, MD
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Dr. Jonathan Kulbersh, MD
Board Certified Facial Plastic Surgeon
4.8 | 140 Reviews
Answered on May 25, 2018
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Nima Shemirani, MD

Hi @bcerva62. Restylane and Juvederm are great fillers for the Marionette lines. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima.

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Nima Shemirani, MD

Hi @SpritelyBadger! I recommend dissolving the filler with Hyaluronidase. Always seek treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

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Jonathan Kulbersh, MD

Yes, this may be the Tyndall effect, but you'll need a consultation to determine if filler is present and creating these results. If it is filler, it can be reversed with hyaluronidase. Hope this helps.

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Jonathan Kulbersh, MD

It's difficult to tell, but this can happen after lip fillers. Icing, cold compresses and arnica can give improvement. It can take up to 2 weeks for final results. Hope this helps.

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Nima Shemirani, MD

Hi @lyncoto. Based on your photo, you have normal bruising and swelling. This can take up to two weeks to resolve. Best of luck, Dr. Nima!

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Theresa M. Jarmuz, MD

Im sorry to hear that you aren't pleased with your results. Typically filler isn't used in the 11's because it doesn't treat the root of the problem. Dysport and Botox are usually a better treatment because they weaken the muscle that causes the 11's. Another reason most injectors stay away...

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