Lower Blepharoplasty After Restylane and Hyaluronidase? (photo)

You can definitely have a lower blepharoplasty following Restylane and Hyaluronidase injection.    You basically want to return the lower lids to their natural state before proceeding with blepharoplasty.  That is all the Restylane should be dissolved and any swelling or bruising either from the Restylane or Hyaluronidase injection should be gone.  This is usually 2 -7 days following Hyaluronidase. 

Thank you for your question and photo.  Hyaluronidase will be very helpful to reverse the filler and you should proceed at your earliest convenience.  You will be back to baseline in a day or two.  Resty usually performs well in the tear troughs in comparison to the other HA's. Your findings may  be technique related not product related.  You are still a candidate for a blepharoplasty.  Best wishes.

We have been seeing an increased frequency of intermittent swelling after restylane injections under the eyes, but this usually occurs 1 - 2 years after the initial injection.  We find that the swelling resolves within a few weeks of injection with hyaluronidase and we usually do it about 2 weeks before surgery.  It is important the some form of volume, probably fat transfer is part of your lower eyelid treatment.  I would imagine your doctor would agree with this as he suggested volume replacement initially.