This is my second time restylane filler in my tear troughs. The first time there was swelling that lasted about 4 days it was "poofy" but not hard. This time where it is bruised and swollen it is hard. Is this normal? Or is it over injection/poorly done?
Answer: Tear Trough Injections with Hard Swelling When injections are done with a needle there is bound to be some injury to small blood vessels and variable bleeding under the skin and bruising. So this is a side effect of treatment. To avoid these kinds of problems, I do not use needles. Rather I use the TSK Steriglide cannulas. Through one or two distant points of injection that are anesthetized, the cannula glides through the tissue and filler can be precisely injected and distributed without causing any blood vessel injury, bleeding or bruising. It is also comfortable for the patient. Also, in the very vascular area under and around the eye, because it is not sharp, the cannula is much less likely to penetrate a blood vessel, and thus decreases the risk of injecting filler into a blood vessel which will cause an embolism.
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Answer: Tear Trough Injections with Hard Swelling When injections are done with a needle there is bound to be some injury to small blood vessels and variable bleeding under the skin and bruising. So this is a side effect of treatment. To avoid these kinds of problems, I do not use needles. Rather I use the TSK Steriglide cannulas. Through one or two distant points of injection that are anesthetized, the cannula glides through the tissue and filler can be precisely injected and distributed without causing any blood vessel injury, bleeding or bruising. It is also comfortable for the patient. Also, in the very vascular area under and around the eye, because it is not sharp, the cannula is much less likely to penetrate a blood vessel, and thus decreases the risk of injecting filler into a blood vessel which will cause an embolism.
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January 2, 2017
Answer: Plato's Bruise balm followed by Hidef Hyaluronidase I would use Plato's Bruise Balm first followed by Hidef Hyaluronidase injections to reduce the material in the tear troughs. Best, Dr. KaramanoukianLos Angeles
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January 2, 2017
Answer: Plato's Bruise balm followed by Hidef Hyaluronidase I would use Plato's Bruise Balm first followed by Hidef Hyaluronidase injections to reduce the material in the tear troughs. Best, Dr. KaramanoukianLos Angeles
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December 12, 2016
Answer: Bruising After Restylane--Tear Trough Injections with Cannulas Yes, it's normal to have some swelling and firmness after under eye injections and it can last 1-2 weeks. You also have some bruising, which can happen in this area and cause firmness. I recommend using a cannula with injections to this area to reduce the risk of bruising. If you're concerned, you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer
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December 12, 2016
Answer: Bruising After Restylane--Tear Trough Injections with Cannulas Yes, it's normal to have some swelling and firmness after under eye injections and it can last 1-2 weeks. You also have some bruising, which can happen in this area and cause firmness. I recommend using a cannula with injections to this area to reduce the risk of bruising. If you're concerned, you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer
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December 12, 2016
Answer: Tear trough filler Hannah, thank you for your pictures. Sometimes when bruising develops the product itself absorbs more fluid and can become a little "harder". that being said, it should soften up after a few days. Tear troughs are particularly delicate due to the sensitive nature of the skin - therefore, I would suggest you visit your injector to see if there is anything that needs to be done as it may need to be dissolved with hyaluronidase. Best of luck.
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December 12, 2016
Answer: Tear trough filler Hannah, thank you for your pictures. Sometimes when bruising develops the product itself absorbs more fluid and can become a little "harder". that being said, it should soften up after a few days. Tear troughs are particularly delicate due to the sensitive nature of the skin - therefore, I would suggest you visit your injector to see if there is anything that needs to be done as it may need to be dissolved with hyaluronidase. Best of luck.
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January 9, 2017
Answer: Swelling and Bruising After Restylane Thank you for your question. The tear trough area is a very delicate area. It is normal to have some swelling, bruising and firmness in this area after injection. This can take up 2 weeks to resolve. It is best to use a cannula in this area to reduce the risk of bruising. If you are unhappy with your results you can have this dissolved with an enzyme called hyaluronidase. Best of Luck!
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January 9, 2017
Answer: Swelling and Bruising After Restylane Thank you for your question. The tear trough area is a very delicate area. It is normal to have some swelling, bruising and firmness in this area after injection. This can take up 2 weeks to resolve. It is best to use a cannula in this area to reduce the risk of bruising. If you are unhappy with your results you can have this dissolved with an enzyme called hyaluronidase. Best of Luck!
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