Help! I had fillers yesterday and both my eyes are swollen! Is this normal?

Question

I had Restalyn injected 24 hours ago and I look like I got punched in the eyes. I'm scared, is this normal? how long will it last and can I do anything aside from ice to reduce the swelling?

Harold J. Kaplan, MD · Answer

Hello,Yes, it's quite normal to have immediate or delayed swelling 24 hours after injections - especially in the sensitive area under the eyes.  We advise our tear trough patients to avoid massaging, sleep with a little elevation of head/shoulders, consider Benadryl, gentle icing in AM, and ask your injector about taking Ibuprofen.  Swelling will improve with each passing day.

Alexander Rivkin, MD · Answer

Hi and thanks for your question. I know it must look scary, but swelling after filler injection in the tear troughs is indeed very common. If it persists another day, I would recommend having your injector take a look at you. The great thing about Restylane and all the other hyaluronic acid fillers we use is that they are reversible with hyaluronidase injection, so your injector can reduce the area any time. In the meantime, use ice, Benadryl and Arnica. Hope that helps.

Nima Shemirani, MD · Answer

Hi @PatientD! Swelling and bruising is expected after tear trough fillers. I recommend sleeping elevated and icing. If you are unhappy with the results after two weeks, I recommend dissolving the product with Hyaluronidase. Best of luck, Dr. Nima!

Julia Ann Sullivan Miller, MD · Answer

It is normal to have some bruising and swelling following filler injection as the skin of the under eyes is very thin, sensitive, and highly vascular.  This swelling can last up to 2 weeks.  I would give it that amount of time before I would decide if reversal is necessary.  In the mean time, I would use some ice packs to help minimize the swelling.  Good luck!

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

Thank you for sharing your question and posting your photograph. Swelling is normal after injection of fillers under the eyes. It usually resolves with a few days to a week. Cold compresses and Arnica might help. Good luck,

Joseph J. Castellano, MD · Answer

Thank you for your question and photo. It’s understandable that you are worried, but rest assured, your swelling is not abnormal for injections around the tear trough area. This area tends to be extra sensitive, but most swelling should go down within the following 1 to 2 weeks. Try to be patient and use cold compresses in the meantime. Good luck!

Mehryar (Ray) Taban, MD, FACS · Answer

It is normal to have worse bruising/swelling the day after eyelid filler injection. Discuss with your injector too.

Jason Emer, MD · Answer

Yes, you may have swelling, which can last 1-2 weeks after injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. I recommend injections with cannulas to limit swelling. See an expert. Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

However, if this persist more than another day, I recommend getting reassessed by your injector. I maintain an open door policy for my patients who get under eye treatment.  These are complex services and unfortunately not all injectors are created equal when it comes to under eye treatment.  If necessary, enzyme can be used to shape and release excessive swelling.

Daniel Barrett, MD · Answer

Dear PetientD,dermal fillers can cause swelling after injecting. In most cases it resolves within a few days. If you are concerned, you can always consult your injector.Daniel Barrett, MD, MHA, MS
Certified, American Board of Plastic Surgery 
Member, American Society of Plastic Surgery

Help! I had fillers yesterday and both my eyes are swollen! Is this normal?

Answers (19)

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