Lumps after Restylane fillers. What should I do? (Photo)

Hi @kate03rich. Chances are the filler was not placed in the proper tissue plane. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections.

Thank you for your question.  I would recommend seeing a Board Certified Plastic Surgeon or Dermatologist in person to talk about dissolving the product.  Massaging will help break the product down a little faster as well.  Congratulations on the wedding and best of luck. 

Filler to the tear troughs are among the most
challenging injection as scrupulous technique and follow up are routinely
required.  For this reason, I suggest evaluation and treatment by a
provider well versed in injectables and with extensive experience in facial
anatomy and treatments.  Follow up 2-4 weeks after tear trough injection
is my standard protocol.  I suggest that you follow up with your provider
to discuss the best next step to reach our optimal outcome.  Best of luck!

Thanks for your question and photos. At this point, I think your best bet may be to dissolve the filler as soon as possible to give the area time to heal before the wedding. However, you should schedule an in-person consultation with a board-certified plastic surgeon who is also an expert injector for a full assessment and treatment recommendation. Best wishes for a wonderful wedding day!

If you're feeling pain, you should follow up with your injector / physician. Or see an experienced cosmetic dermatologist to get a formal evaluation, resolve the issue, and develop a new treatment plan to address your acne scars. Best of luck, Dr. Emer

Bruising, swelling, sometimes discoloration, lumps, and bumps are normal side effects assuming proper injection. They should be gone in a matter of days. In general, if it continues to feel uncomfortable up to this time, consult your doctor to get a complete assessment or have the filler dissolved if filler is still left.

I'm sorry to hear of the issues you are having from your Restylane treatment. Visit with your injector for an evaluation. It is likely since the treatment was 6 weeks ago that if you want them gone you will need to dissolve them with hyaluronidase. To keep bruising to a minimum avoid aspirin, NSAIDs, Vitamin E, fish oil, and other medications that can cause blood thinning prior to treatment.

Hi thank you for your question. Bruising typically heals in about 2 weeks.  Based on the photos alone it appears dissolving the filler may be your best option if you have 3 weeks to heal.  However, the best way to find out what is right for you is through an in person consultation with a board certified injector. Best of luck!

You have material placed unevenly and superficially. the  color sounds like the Tyndall effect. with the wedding so close i would not suggest any treatment other than try to massage the area and warm compresses