Puffy cheeks/eyes after filler. (photos)

Question

i got restylane and the result was perfect for about 6 weeks. now, i am having these ugly bags under my eyes/on my cheek on both side:(... did the filler caused this? there is no medical reason, blood tests were fine. lymphatic massage etc does not help...thanks a lot for your help!

Brett S. Kotlus, MD, MS, FACS · Answer

Hyaluronic acid fillers can attract water- some more than others.  If you have a tendency toward fluid cheek bags (fluid festoons) then the fillers can exacerbate them, particularly if the filler is placed superficially (close to the skin surface).  You may wish to have some of the filler reduced with an enzyme injection.  I suggest you see your injector to discuss.

Nima Shemirani, MD · Answer

Hi @Lena_81. Most Hyaluronic acid filler including Restylane attract water. This swelling can happen when the filler is placed to superficially.  I would recommend returning to your injector and dissolving the product with Hylanex. Best of luck, Dr. Nima!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. It appears you have fluid retention in the area where Restylane was injected. Vitrase can be injected to dissolve the product and your problem should resolve. Make sure to go to experienced injectors for all treatments. Best of luck,

Monika Soni, MD · Answer

Thank you for your question. From your photo it appears you have significant swelling and redness. I recommend having a follow up with your injector to have this examined immediately, as this could be a reaction to the product or an infection. Best of Luck!

Joel E. Kopelman, MD, FACS · Answer

If you are prone toward fluid festoons, this is a possible undesired result of fillers. Hyaluronic acid tends to attract water and if it is injected in a superficial layer, then such 'bags' can form. It is possible to dissolve it by injecting Hyaluronidase, but I recommend you consult with your surgeon and talk about this in order to come up with a solution. Good luck!

Hardik Soni, MD · Answer

Restylane is a hyaluronic acid filler and attracts water. What you are seeing is this. This can happen when the filler is superficially (close to the surface of the skin). You can have some or all of the filler dissolved with hyaluronidase. I recommend having this evaluated by your treating physician.

Steven Wallach, MD · Answer

It looks like malar edema and that can be contributed to by the fillers which retain fluid.  Best of luck.

Puffy cheeks/eyes after filler. (photos)

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