Restylane question...has anyone seen anything like this before? Swelling and purple areas under my eyes.
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Doctor Answers 9
Restylane under eyes 18 months ago
Thank you for your question. It is always best that you contact the injecting professional who performed your treatment for follow up care and to address your concerns. I like to have my patients return 3 weeks post-injection treatment for evaluation and outcome of fillers. If you are stating that you continue to experience swelling 18 months post-injection, it is best to be evaluated to determine the root cause of the swelling. Best of luck to you!
Tyndall Under Eyes From Restylane
Belotero Balance & Teosyal Redensity II More Appropriate Fillers For Under The Eyes
Unfortunately, your story is all too familiar following injections under the eyes with ordinary fillers, like Restylane or Juvederm. The skin under the eyes is particularly thin and when these ordinary fillers, which are best used for routine smile lines, are injected superficially into the delicate under eye region, there is a good chance for the development of the unwanted, bluish discoloration known as the Tyndall Effect. Additionally, the molecules of these hyaluronic acid fillers in particular possess the ability to attract tissue fluid, which can also lead to the kinds of swellings, bags, and edema you are describing.
Experienced injectors tend to use diluted Restylane or Restylane Silk for the under eye region. I prefer Belotero Balance (which I use in my Upper East Side Manhattan practice) and Teosyal Redensity II (my go-to for this in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available), since these agents possess little to no potential to engender the Tyndall Effect and are also less likely to promote the swelling problem just described.
Treatment effects under the eyes may persist for years, which makes patients with great results quite happy. On the other hand, because your less happy results may likewise persist for a very long time, it would be reasonable to seek consultation with an experienced, board certified aesthetic physician with experience and expertise in advanced filler injection techniques who can both treat the current problem,by dissolving the Restylane and then can subsequently treat you properly. Make sure to see his/her before and after photos. Good luck to you.
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The story you are telling is not uncommon and is likely the result either fatty bags or persistence of Restylane. Although Restylane typically last up to one year in certain places, like under the eyes, duration can be substantially longer. Fatty bags can also cause fullness of the lower eyelids. From what you are describing it sounds more consistent with something called a Tyndall effect secondary to the Restylane.
I would see a board certified plastic surgeon to evaluate your eyes and help you get to the bottom of this issue. Also, I would make sure whomever you see is a very experienced injector so they are likely to have seen this scenario
Best of Luck
Addressing concern about Restylane side effects
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.