Restylane under eye area (on eye socket bone). Left ridges and bumps. Went back had some removed but still looks awful (Photo)

Question

Jason Emer, MD · Answer

More hyaluronidase injections are needed and i typically then add fractional laser or radiofrequency to improve the wrinkles/swelling.  I see this everyday in my practice and am constantly fixing this.  I suggest filler injections with cannulas in the future.  Best, Dr. Emer.

Stephen Weber MD, FACS · Answer

The underye is notoriously difficult to inject. If you are still concerned by bumps and ridges and an unnatural look, I'd recommend having additional hyaluronidase placed to remove the remainder of the objectionable filler. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Harold J. Kaplan, MD · Answer

Hi Helene.  We fix concerns quite often with patients in your situation using Vitrase (Hyaluronidase).  Proper use should dissolve all of the product but an in person evaluation is required to understand what areas you are still concerned about.  To see an example of Los Angeles Juvederm reversal click on the link below.

Michael A. Zadeh, MD, FACS · Answer

I agree, it would probably be best to have all of the filler dissolved and then start over again after 2-3 weeks. Make sure your injector is experienced in treating this area and dealing with potential complications.

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

Thank you for your question. Your eyelids should be injected with hyaluronidase to dissolve the Restylane. Then you should have an in-office consultation with an eyelid specialist (oculoplastic surgeon) to determine a tailored treatment plan for you. I hope you find this helpful.

Mehryar (Ray) Taban, MD, FACS · Answer

Best to obtain in person examination from an oculoplastic specialist.  It appears there is both areas of hollowness and fullness present. It may require more reversing injection and/or filler injection elsewhere.

Melvin Elson, MD · Answer

It appears you were over-corrected which is not uncommon in this area. You should go back and have hyaluronidase enzyme injected to remove it. if you want to try again, wait 2 weeks and then you can have it done again

David Reinstadler, MD · Answer

It looks like there may be a small ridge that still needs to be dissolved. I would either continue to follow up with your injector or see someone else in person to assess your options. Best of luck

Restylane under eye area (on eye socket bone). Left ridges and bumps. Went back had some removed but still looks awful (Photo)

Answers (8)