Restylane injection - black eye. The surgeon did not use a cannula. Should she have?

Hi Carter.  We use needles exclusively for under eye injections because it allows us to be more exacting for where the filler is placed.  Because the needle goes through the dermis rather than injecting into it (we inject under the muscle), we very rarely have bruising with this type of injection.To see examples of a under eye injections using needles and Restylane for our Los Angeles patients, click on the link below.

I only use cannulas to tear trough to prevent bruising and swelling but with any injections you can get bruising.  It is common to use needles and expect bruising there.  I suggest seeing someone in the future who only uses cannulas if you are concerned.  Best, Dr. Emer.