It is 9 days after my Restylane injection in eye trough and I still have bruise. Will it go away? (photo)

Question

Will this awful looking bruise go away? I have read about staining and now I'm INCREDIBLY nervous. It bruised immediately and the other bruises On sides of cheek already went away, making me more nervous that this one may not. This was 9 days ago.

Nima Shemirani, MD · Answer

Hi @JennaV! Bruising can take up to two weeks to resolve. I recommend you apply arnica. Best of luck, Dr. Nima!

Raffy Karamanoukian, MD, FACS · Answer

Bruising underneath the eyes can be improved by using Bruisestick Arnica ointment twice daily to the skin.

Paul S. Nassif, MD · Answer

Residual bruising following treatment with filler for the tear trough is not abnormal after 9 days. It can take two weeks to resolve, and sometimes longer depending on the patient. I would recommend following up with your physician who performed the injections, as he/she knows the extent of your treatment and will be able to advise you. I hope this helps, and I wish you the best of luck.

Daniel Levy, MD · Answer

Jenna,Your bruise will likely clear up during the next 1-2 weeks.  I recommend taking oral arnica supplements to expedite the clearance.  Lasers, such as Vbeam and KTP, or pulsed light treatments can also help.In the future, you can prevent this type of bruise by having your contouring treatments with a cannula rather than a needle.Good luck!

Harold J. Kaplan, MD · Answer

Hi Jenna.  We have had patients in the past that noted bruising past 9 days.  We now treat them with a pulsed dye laser (Vbeam or Vstar) to resolve any bruising usually within 1-2 days.  In your case because this is not available, we would suggest waiting another week.  If the bruise appears to look more brownish, it may be a longer lasting issue referred to as hemosiderin staining.  This is a darkening of the skin around the area of the bruise that takes much longer to resolve.  In this case, a laser can also help and we use q-switched lasers.Take another week to see how things go and if it is still a problem at that point consider these options for treating it.

Mitesh Kapadia, MD, PhD · Answer

Bruising is very common after filler injections under the eyes and can sometimes last several weeks. Thick foundation makeup such as Dermablend should help cover it up.

Kenneth Hughes, MD · Answer

There is a higher risk of bruising when applying a filler to the tear troughs due to thin skin around the eyes, this is common and you shouldn't worry, give it a full 2-3 weeks to heal before seeing your final result

Michael I. Echavez, MD · Answer

It is possible to get bruising under the eye after a Restylane injection there.  Bruising can vary in severity and how long it lasts, but in most cases, it should resolve completely.  9 days is not an unusual amount of time for a bruise to still be present, so I would try and give it some more time.  If you feel it's still there after a couple of weeks and not improving, contact your injecting physician.

Steven Wallach, MD · Answer

Bruising is quite common around the eye after fillers. It can take longer than a week for some individuals.

It is 9 days after my Restylane injection in eye trough and I still have bruise. Will it go away? (photo)

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