Under Eye Restylane Massive Swelling? (photo)

I had restylane under my eyes injected yesterday almost 1 cc each side. Procedure was painless and instant results were astonishing. I have never looked better in last 5 years. Unfortunately about 5 hours after procedure I have noticed swelling developing slowly and some soreness. Today in the morning ca 15 hours after procedure I have woken up with massive swelling under my eyes. I look like I was assaulted. There is very little tenderness in the area and slight bruising maybe.

Doctor Answers 8

Swelling after Restylane injection

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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!

Summit Emergency Medicine Physician

Restylane and swelling

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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!

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Swelling after Restylane injection

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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.

Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 32 reviews

Restylane Swelling

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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.

This degree of swelling is not unusual.

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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.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Eyelid swelling after Restylane injection

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This is fairly common side effect.

If it's due to bleeding, soon you will see external bruising and the swelling will resolve with in a week.

Hyaluronic acid (HA) fillers such a Restylane tend to attract water to the area. If the injection is superficial or very close to the eyelid, the eyelid will swell because the soft tissue is looser than the cheek. If this the case, you may see prolonged swelling of the eyelid. In extreme cases, treatment with enzymes dissolving the HA might be needed.

At this point, keep on icing, contact your doctor and avoid making premature decisions.

Wait at least one week before making a decision on how to treat further.

David Evdokimow, MD
Morristown Plastic Surgeon

Restylane massive edema

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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. 

Restylane swelling

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While I tell patients to expect some swelling and bruising under the eyes, as the skin is thinner, what you are experiencing is quite a bit more extreme than I would have expected one day out. Continue to ice for sure. And I would suggest an evaluation by your injector too.

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.