Can Restylane injections under the eye cause tearing, watery eyes?

Question

I got Restylane injections under my eyes 2 days ago and I had some swelling and a black eye. The black eye diminished quickly, but there was still some bruising. The worst effect has been the constant tearing and watery eyes. My eyes will force themselves shut and begin to tear up. Called doctor who performed procedure and they said it could be swelling putting pressure on tear duct. Is thi

Constantino G. Mendieta, MD · Answer

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Jason Emer, MD · Answer

Tearing and wattery eyes is not a common after Restylane. Swelling due to Restylane usually takes 2-3 weeks to subside. It takes a few weeks to see the final outcome and I suggest you wait to see how it all settles. I suggest following up with your injector if this persists. Best, Dr. Emer.

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

Sorry to hear of your problems. Swelling and bruising can occur with lower eyelid injection of Restylane. It should resolve without a problem if the correct amount of Restylane was injected. Cold compresses might help. I am not sure of the cause of the tearing, but it is probably not from swelling blocking the tear duct. Monitor how things progress over the next week and follow up with your doctor if you do not seem better at that time. Good luck,

Richard Ort, MD · Answer

I don't typically see this problem after Restylane injections under the eyes.  I would stay in close contact with your injector and see an ophthalmologist if it persists.  I am a strong believer in using a cannula for injections under the eyes to minimize the risk of bruising and swelling.Regards,Dr. Ort

Melvin Elson, MD · Answer

Bruising is common under the eye and I do not think there is a big difference between using the cannula or a needle--it is more the expertise of the injector, but I have heard of the tearing side-effect although I have never seen it. If it does not go away in 10days reconsult  your injector

Michael Bowman, MD · Answer

Thank you for your question.  When done properly, especially if performed with a micro-cannula, swelling and bruising is extremely rare in this sensitive area.  I have never had any problems like this in my practice (0which is why I use the micro-cannulas exclusively for this area), but your symptoms could be due to pressure on the tear duct from the product and/or bruising and/or direct injury to the tear duct.  I certainly hope your symptoms will improve with time as the swelling and bruising resolves.  I would make sure you have a follow up appointment with your injector in 1-2 weeks.  If you symptoms don't resolve by 2-3 weeks, you should probably seek out ophthalmologist.   Best wishes. MKB

Can Restylane injections under the eye cause tearing, watery eyes?

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