i had restylane under the eyes. one side there is a pillow, the other, a ridge, causing more of a undereye circle than before.. first injection was 4 weeks ago and follow up about 12 days ago. will massage help at this point? i hate it, and i don't want an enzyme injection.
Does Massage Help Speed Up Restylane Removal
Doctor Answers 12
Making Resylane/Jeuvederm go away: Massage, Hyaluronidase and time
Restylane - Does Massage Help Speed Up Restylane Removal
Massage is used regularly to help "swelling" dissipate (it is successful to varying degrees). But what you have is not (primarily) swelling; it's the actual product that was injected.
I'm not sure why you don't want the "enzyme" but I think that this is by far the best and most efficient way to help correct this situation.
I hope that this helps, and good luck,
Restylane can be dispersed with firm, skilled massage.
Restylane can be dispersed with firm, skilled massage performed by an expert who has lots of experience dealing with Restylane injections. An experienced dermatologist or plastic surgeon who does lots of Restylane injections would know what to do.
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Restylane and lumps under eyelids
The hyaluronidase is really the only thing that will remove the Restylane. You might bruise the delicate lower eyelid skin if you massage to vigorously and IMHO massage won't help. You can certainly just wait until the Restylane dissolves which should be within 9 months, or so.
Getting Rid of Restylane
The easiest and fastest way to remove unwanted Restylane, Juvederm or other HA products is to have the Vitrase enzyme injection. You will literally see it melt away almost immediately. Massage and other techniques will have little if any effect.
Fixing Restylane with massage
Massage is not going to remove Restylane. Hyaluronidase is perfect for this kind of a problem. It's safe, easy to perform and the results are instantaneous. If you are unhappy I would go this route. If you don't want hyaluronidase eventually the Restlyane will dissolve on it's own.
Massage After Restylane Injection to Lower Lids
I can't comment on your situation without seeing photos, but I have had good results in massaging Restylane to smooth it out. However, if your case is to extreme for this, you will likely benefit from hyaluronidase injection. I have had great results injecting this enzyme, and I don't think you should reconsider your reluctance to have a hyaluronidase injection.
Massage will NOT Help Speed Up Restylane Removal
Massaging will push the Restylane from one place to another but will not help break it up. If you wait long enough, the Restylane will break up by itself. Otherwise, the only option to break up Restylane (and other hyaluronic acid fillers such as Juvederm and Perlane) is to inject Hyaluronidase in the area.
Dr. Peter A Aldea
Massage For Restylane Removal
Massaging the area of Restylane injections will only minimally help to smooth out the area. However, it will give you something to do while you are waiting for things to get better. Hyaluronidase is the only way to speed up the process. There seems to be numerous questions on RealSelf about problems with injections in the tear troughs. I do not believe that experienced injectors have problems with treating this area. Always ask about the experience of the injecting physician and make sure they have all of the "tools" to use, such as all of the various facial fillers (Sculptra, Radiesse, Perlane, Restylane, and Juvederm) that are approved for use in the United States. The effectiveness of your treatment depends on your physician’s ability to visualize the desired changes and to select and skillfully administer the best treatments alone or in combination. Since every face is different, the experience and technique of your physician injector is the most critical part to your achieving a beautiful, natural result. Always ask to see before and after pictures of patients they have personally injected. If possible, look for someone who is on the medical education faculty for one of the facial fillers. If they have been selected to train other physicians how to treat the aging face they are likely to be good, experienced injectors.
I am sorry, why don't you want to be injected with the enzyme?
I personally wil not treat someone with fillers for the tear trough or under eye hollow who is not willing to be adjusted after the fact with the enzyme, hyaluronidase. It is the ability to adjust this product after the fact that makes it feasible to reliably treat this delicate area. I find that about 10% of patients who have this treatment benefit from some type of an adjustment. WIthin about a week of the initial service, the adjustment might be possible with direct manipulation (i.e. pressing on the area of fullness). However, some need to be injected with enzyme to make the necessary adjustment. Why can't the injector put the right amount of volume in the first place? The answer is that part of the treatment effect is the amount of water the body hold with the service. The exact amount of this water can't be controlled. Also the quality of the lower eyelid skin and in particular how thin this skin is a big factor in how things settle after a treatment.
Message will be completely ineffective for what you need. I encourage you to have your treatment adjusted with the enzyme by a physician you trust.