Under eye swelling with onset several days after Restylane injection. Any suggestions? (photos)

Hi @anomb! I would recommend waiting two weeks to allow the swelling subside. If you are still unhappy after two weeks, you can dissolve the product with Hylenex. Best of luck, Dr. Nima!

If swelling or unhappy in this area, please reverse the filler and try another one with less swelling capacity.  Best, Dr. Emer.

Thank you for sharing your question. Swelling is common following the injection of Restylane. It will likely resolve in a couple of days. You are probably going to regain the attractive appearance of the eyes which you saw immediately following the injection of Restylane into the tear troughs. Good luck,

Usually, swelling like this will occur immediately after injection of any hyaluronic acid filler, such as Restylane.  I usually tell my patients, "It looks great right now, but by the time you drive home and look at yourself in the mirror, don't be surprised if it looks a lot more swollen."  The fact that yours did this two days later is a little unusual and the presence of a bruise suggests that maybe a blood vessel was damaged (not usually a big deal; happens all the time).  Injury to tiny blood vessels happens frequently and bruises are more rare.  If you were touching the area a lot, then maybe you caused some additional bleeding under the skin.  My advice is to give it a full two weeks from the day of the injection, and if it's still swollen, make an appointment with your injector.  Most likely, in that time, it will have gone down.  In medical school, we were often told to prescribe "tincture of time."  That's what you need right now: 2 weeks of waiting.  During that time, you may want to apply arnica gel or cream to the area, as that may help take down the swelling a little.

Don't worry as swelling after restylane is common and in most cases resolves. If you have some noticeable bruising on the same side it can cause increased swelling in the adjacent area to the actual bruise. Gravity will cause the fluid to pool in the lowest area.   This may take a couple of weeks to fully resolve so try to hold off on dissolving the filler. If you liked it the first couple of days I think you have an excellent chance of liking it in the end. Best of luck!

Hello anomb,It is not uncommon to have some swelling after any filler injection.  This can last up to two weeks. Depending on how much filler was used on each side, the swelling may be more noticeable on one side compared to the other.  I also like to use Restylane under the eyes because it tends to cause less swelling than other fillers.  As far as whether you are touching too much or not enough, each injector has his or her own preferences.  At this point, time is likely your best friend.  If you have concerns, I would recommend you discuss them with your injector.  If you are not pleased with your injector, consider consulting with a facial plastic surgeon who performs his or her own injections in the future.  I hope this helps and good luck.