Under Eye Restylane Massive Swelling? (photo)

It is not at all uncommon for you to experinece swelling after any dermal filler injection and I would recommend following up with your provider minimally 7-10 days post-treatment. Gentle icing helps!

Without seeing you in person it is impossible to give complete advice.  However, one cc under each eye is a large treatment.  HA products are hydrophilic, meaning that they absorb water and swell.  So, in my opinion, it is always better to slightly under correct as the product will swell over the next 24 hours and achieve the full effect.  You may also be experiencing swelling around the product or possibly a deep bruise which has not shown yet.  In any case, at this point, I would suggest icing the area.  If it is too much product, then you can have Vitrase injected to melt the product.

 

Good Luck.

Under eye Restylane is pretty good as a magic wand but it is not quite there.  Swelling and bruising are common and unavoidable.  It is likely that the swelling will be with you for a while because it also looks like you bruised.  The treatment without the bruise can be associated with several days of swelling.  When you bruise, did I mention that there is really nothing that can be done to avoid a bruise in a particular person, it brings its own swelling.  Hang in there, you will get better.

Restylane in tear troughs tends to swell, some more than others. If this was done with a needle, theree is also more trauma and bruising. I always use cannulas here to minimize bruising, swelling, and to lower risks of a vascular compromise. Sleeping on 2-3 pillows is needed for 2 nights after this filler. It should subside in 3-5 days. Rarely, a steroid shot/prescription can be added to accelerate resolution of the swelling. I don't see this as being out of the ordinary. It is something that all filler patients need to be aware of in this area of correction.

While your bruising and swelling is disconcerting, it is not unusual.  Likely it was mentioned in your consent form.  The hydrostatic pressure when you were lying flat in bed and the product itself drew fluid to the area of your injection.  Bruising and swelling occur naturally in the healing process. Arnica, a homeopathic found at most pharmacies, some high end grocery stores or online can be purchased for $6-$25. It comes in gel, tiny pellets and packs to reduce bruising with or without vitamin K to help blood leakage.  IPL, an energy based treatment can speed healing of bruising if necessary.  Old-fashioned ice packs are underutilized and definitely help. You should be returning to your doctor for a follow-up consultation in a week or two but do notify him or her to voice your concern and perhaps schedule a visit sooner.  You should see your final result in about 2 weeks.  In the meantime avoid aspirin, garlic, wine, anti-inflammatory drugs and sleep on your back on a couple of pillows.  Good luck.

Thank you for your question. It is normal to have some bruising and swelling after Restylane injections, and typically takes up 2 weeks to fully resolve. I recommend avoiding any NSAID’s such as Ibuprofen before and after treatment as they tend to thin the blood and lead to increase bruising and swelling. Another way to help reduce swelling is with cold compresses. The good thing about Restylane is that it is not permanent and can be dissolved with an enzyme known as hyaluronidase if necessary. If this persists after 2 weeks please follow up with your injector. Best of Luck!

Thank
you for your question and photos. It is
common to have swelling and bruising after filler injection, which can take up
2 weeks to resolve. You can ice the treated area to
help minimize swelling. Also, you can take Arnica to help resolve bruising. If
you are unhappy with your results you can have the filler dissolved with an
enzyme known as hyaluronidase. Best of Luck!

The fact that the swelling appeared 5 hours after the procedure makes the infection quite unlikely -- too soon.  Most likely, your swelling is a result of the procedure itself (mechanical injury) -- this area of the face is particularly sensitive and is prone to edema and bruising.  Some bleeding into the field could have added to the amount of swelling as well, although it does not appear that you have a hematoma.  I guess, an allergic reaction is a possibility, but we don't see it as much with HA fillers.  In any case, it is a good idea to get checked by your doctor, but eventually you are likely going to just need some time and head elevation during sleep for the swelling to go away.

Call, run, see your injecting doc ASAP. There is an issue! I hope there was not a break in sterile technique vs a severe allergic reaction. 

Yes,some fillers can cause a lot of swelling, because they are hydrophilic, absorb water.Under eye swelling can last 1-2 wks.Cool compression, arnica pellets under the tongue, sleeping more up right will all help during the healing.Best. Dr Brecht Seattle, Wa