Lump on Eye Bone 17 Months After Restylane Injection

You mention that the lump developed after the Restylane was injected.  Your photographs show a significant bump. I would doubt that this was a movement of the Restylane, and it could certainly have been  a hematoma which then over months, solidified rather than liquified. Some organized hematomas can even calcify and become quite hard! Surgical excision may be needed.  As the lump occurred quickly after the injection, it rules out an immune reaction termed a granuloma from the Restylane.  It also then would not be a traumatic epidermal inclusion cyst.  If the mass on examination is softer rather than hard, and a scan with contrast does not show any intracerebral connection and does not reveal any vascular connection, then possibly a trial of a hyaluronidase or corticosteroid injection may help. There are risks with injections around the eyes so be cautious.

Hi @SOBND! I recommend a trial of Hyaluronidase. Always 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!

Hi SOBND,

Sorry that you have had this complication from Restylane in your lower eyelid area.  I have seen this one time, though it appeared 7 months after the injection of Restylane in the same area.  There was no hematoma or lump/bump until 7 months after treatment.  Make sure to have a small amount of hyaluronidase injected as a skin test in your arm prior to having it injected under your eye.  The  patient that I treated had a severe allergic reaction that took about 12 hours to resolve.   I hope that you lump resolves soon.  Good luck and be well.

Dr. P