5 Days Post Belotero - is This Normal? (photo)

Question

Belotero in tear troughs 5 days ago. Significant bruising and swelling. Started to subside but now can seen and feel ridges. Will this go down?

Raffy Karamanoukian, MD, FACS · Answer

Our office recommends Bruisestick for bruising around the eyes after facial fillers. The Bruisestick contains Arnica and Bromelain.

Benjamin Caughlin, MD, FACS · Answer

This will definitely improve and can be normal after an injection in this location. Your immediate response is one of the primary reasons why I use cannulas for periorbital injections: there is less bruising and swelling. Cannulas allow for delivery of the product with only one poke and thread the product under the skin. 
For your bruising I would alternate a cold and warm compress every twenty minutes prior to bed. Also, sleep with three pillows to elevate your head. It will get better and I suspect you will be much happier in 1 week. 
Hope this helps.
Best of luck,
DrC

Sam Naficy, MD, FACS · Answer

Unfortunately bruising and swelling can happen with some patients or injectors. If it does happen it can last a couple of weeks Ultimately the bruising and swelling will go away but the product may need some massage to smooth out especially if it was injected too superficially. Check back with your provider to see if and when they want to start massage. After a couple of weeks and some massage, if you are not happy with the results you can consider hyaluronidase to dissolve the product. It's unfortunate but some injectors may not have enough experience with the tear trough area. It does require extra skill and experience to do it well.

Harold J. Kaplan, MD · Answer

Hi Z.  Based on how you appear, we believe that the Belotero was injected superfically (above the muscle that surrounds the eye).  We also tried this with one patient and it did not work out well.  The manufacturer was telling us that the superficial placement could work well (Restylane and Juvederm are placed deeper) but it did not.  

	You may have residual lumps and bruising.  We use Vitrase to dissolve the product in these situations and you can ask your injector about it.  We also use our q-switched lasers to get rid of the staining appearance from the bruising.  Hope this helps.

Michael I. Echavez, MD · Answer

The appearance that you currently have 5 days after your Belotero injection under your eyes will most likely still change. The uncertainty is in how much it will change. I would recommend waiting perhaps a week more for the swelling from your injection to completely resolve and then see how it looks. If you still feel that you have some ridges, you should return to your injector and you can have a medicine called Hyaluronidase injected to help with the ridges.

Monika Soni, MD · Answer

Thank you for your question! Bruising and Swelling is common after injections and can take up two weeks to resolve. You can massage the filler to help smooth it out. If after 2 weeks you are not happy with your results you can have it dissolved with hyaluronidase. It takes a skilled injector to correctly fill this area. I recommend you having this evaluated by your physician. Best of luck!

Damon B. Chandler, MD · Answer

I am sorry to hear your story and see this photo. As others here have suggested it does take several weeks for bruising to resolve in this delicate area -- I doubt, however, that the "ridges" will improve. Treatment of the tear trough area is extremely challenging and requires an expert in cosmetic eyelid surgery. I would suggest discussing with your injector and explaining your unhappiness. I would also suggest that if that injector is not a cosmetic eyelid surgeon that you reconsider who will treat you in the future. Best wishes!Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

Kenneth E. Morgenstern, MD · Answer

Bruising and swelling are very common after filler injection, in particular around the tear trough.With regard to the "bumps", I would give time for the swelling and bruise to resolve, and massage over the area during this time to help soften and spread out the filler. If this does not help, it is possible that the filler was not injected deep enough (in the tear trough area, the filler should be placed deep, just above the bone). If that's the case, it could be dissolved.Please be sure to see skilled and experienced filler injectors, especially for injections in this very delicate area.

Cynthia Stolovitz, MD · Answer

Yes the bruising will go away. Avoid ASA , antiinflammatories and alcohol.They could enhance bruising.
Give it a week to 10 days. 
There should not be ridges. Wait 2 weeks and reassess the result with your injector.

Hardik Soni, MD · Answer

Bruising and Swelling is common after injections and can take up two weeks to resolve. You can massage the filler to help smooth it out. If after 2 weeks you are not happy with your results you can have it dissolved with hyaluronidase. It takes a skilled injector to correctly fill this area. I recommend you having this evaluated by your physician.

5 Days Post Belotero - is This Normal? (photo)

Answers (12)

More Belotero Questions

WE SEND PRETTY
EMAILS

Answers (12)

More Belotero Questions

Will Massaging Belotero Help It Dissolve Faster/smooths It Out?

Does Belotero Pose Less of a Risk for Blindness Than Restylane in the Under Eye Hollows (Tear Trough)?

Will Q-switched YAG Laser Melt Belotero Filler?

How Long Does Belotero Last?

What Areas Can Belotero Be Used to Treat?

Is Belotero Harder to Dissolve?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS