4 months ago I had Restylane injected to tear troughs, and since then have had a problem with recurrent swelling, an apparent immune response to the Resty. Lower eyes are now bumpy, saggy and uneven. Originally wanted lower bleph but doc talked me into Resty instead. Now it is advised that I dissolve it with hyaluronidase. Question: After dissolving it can I still have a lower bleph? How long should I wait?
Answer: Bleph and restylane
Hi,
thanks for the post. Yes, you can have the restylane dissolved. i doubt this is an allergic reaction.
it does appear that perhaps too much restylane was used. this area typically needs a very small amount. since restylane is hydrophyllic it tends to swell and expand.
in regards to the surgery, you would need a face to face consultation. The lower bleph is a risky procedure if you have weakness in the muscle. If I do a snap test, and find the muscle to be even marginally weak, i will not do a lower bleph. instead, i would use the laser to tighten the skin. the main concern here is something called an ectropion. This is a downward pulling of the lower lid and is a disaster of a complication that can be difficult to correct.
best to you.
Helpful
Answer: Bleph and restylane
Hi,
thanks for the post. Yes, you can have the restylane dissolved. i doubt this is an allergic reaction.
it does appear that perhaps too much restylane was used. this area typically needs a very small amount. since restylane is hydrophyllic it tends to swell and expand.
in regards to the surgery, you would need a face to face consultation. The lower bleph is a risky procedure if you have weakness in the muscle. If I do a snap test, and find the muscle to be even marginally weak, i will not do a lower bleph. instead, i would use the laser to tighten the skin. the main concern here is something called an ectropion. This is a downward pulling of the lower lid and is a disaster of a complication that can be difficult to correct.
best to you.
Helpful
March 5, 2013
Answer: Lower blepharoplasty after Restylane and Hyaluronidase
It is best to have the Restylane removed with Hyaluronidase. It's important to make sure that all of the Restylane has been removed prior to embarking on an elective cosmetic eyelid surgery. A second shot of hyaluronidase may be required if all of the Restylane has not been dissipated. One month would be an acceptable time period to proceed with a blepharoplasty
Helpful 1 person found this helpful
March 5, 2013
Answer: Lower blepharoplasty after Restylane and Hyaluronidase
It is best to have the Restylane removed with Hyaluronidase. It's important to make sure that all of the Restylane has been removed prior to embarking on an elective cosmetic eyelid surgery. A second shot of hyaluronidase may be required if all of the Restylane has not been dissipated. One month would be an acceptable time period to proceed with a blepharoplasty
Helpful 1 person found this helpful