Restylane under eye is making me look like I'm covering up a burst or black eye. Is this normal? What should I do? (Photo)

Question

I got Restylane injected under my eyes 2weeks ago today. The swelling is now gone, but there is a lump under one eye that now is making me look like I have an eye bag. The lump is also discolored and even with makeup it looks like I'm covering a bruise. The PA said he under filled and would see me in 2 weeks to place more, but I hate how I look right now. Each eye looks diffr. Will removing the restlyane have side effects? Will I get bags if I remove it because the lump is stretching my skin out

Harold J. Kaplan, MD · Answer

Hi Liz.  When injecting under the eyes, we use a procedure that uses a technique where we inject "under the muscle".  If you inject hyaluronic acid based fillers too superficially under the eye, you can get an outcome called the Tyndall effect that looks like a blue-grey color under the skin.  Not sure if this is what you have, but if the product is injected near the surface of the skin, you can also get bags like the one in the photo you posted.  Doing deeper injections helps to avoid bruising, the Tyndall effect and also lumpy injections.  You can also have the product dissolved with an enzyme named Vitrase and this should take care of the bruising color and the lumpiness.To see examples of other Los Angeles patients that have had under eye injections for Restylane, click the link below.

Nima Shemirani, MD · Answer

Hi @Liz_Woods! Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Michael A. Persky, MD · Answer

HI Liz,Sorry to hear about your poor experience with injections of Restylane under your eye by your PA.  The lower eye lid area is an extremely delicate and unforgiving area for injection and should be done by only the most experienced physician injectors.  The lump under your left eye may be dissolved with hyaluronidase, and then some time later you may have Restylane reinjected in the proper place.  You should not get "bags" be removing the Restylane and then replacing it.  It is important to choose your injecting physician most carefully.  Good luck and be well.Dr. P

Mehryar (Ray) Taban, MD, FACS · Answer

Probably best to wait a few more weeks before doing anything else as there is still bruising/swelling present. If it does end up being to full or discolored on the right side (tyndall effect), then the Restylane can be removed.  See an oculoplastic specialist.

Steven F. Weiner, MD · Answer

The hardest area to fill with the most problems here on Realself is the eye/tear trough area. This won't get better without it being dissolved with hyaluronidase.  Future fills should be done by a more experienced MD, not a PA.  No, there are no side effects with removal, and no, you won't get eye bags.

Restylane under eye is making me look like I'm covering up a burst or black eye. Is this normal? What should I do? (Photo)

Answers (6)

Answer: Eyelid filler problem

Answer: Eyelid filler problem

Answer: Restylane lump under eye needs hyaluronidase to remove

Answer: Restylane lump under eye needs hyaluronidase to remove

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.

Restylane under eye is making me look like I'm covering up a burst or black eye. Is this normal? What should I do? (Photo)

Answers (6)

Answer: Eyelid filler problem

Answer: Eyelid filler problem

Answer: Restylane lump under eye needs hyaluronidase to remove

Answer: Restylane lump under eye needs hyaluronidase to remove

Browse related questions

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.