I had 1 syringe of Restylane Silk placed in the under eye area. One day later I swelled up. What caused this reaction? (Photo)
Doctor Answers 9
Swelling of lower eyelids following Restylane Silk injections
Good luck, Dr. Downie
Swelling after Restylane-lower eyelids
The skin under the lower eyelids tends to be quite thin and therefore, sensitive and prone to swelling. In my practice, I use a micro-cannula when I inject dermal fillers to reduce the likelihood of minor bruising and swelling. Your reaction is relatively common and you are on the right medications. You will benefit from avoiding high sodium foods, sleeping with an extra pillow and staying upright as much as you can. This will resolve quickly and your filler should be settled within two weeks. If it does not settle, it is a sign that the filler was placed too high and you should return to your physician.
Dr. Ariel Ostad
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Festoon formation following Restylane Silk injection of the lid / cheek junction
Thanks for sharing your photo. This is quite helpful. Other than the crescent shaped swellings in each cheek, it appears that Restylane Silk has accomplished your desired goals.
Restylane (hyaluronic acid, HA) is a relatively "new" type of filler as compared to prior bovine or human collagen and calcium hydroxyapatite (Radiesse).
Each provides a structural lattice made of human like molecules to provide a structural support to the skin and soft tissues underneath.
The Restylane Family of HA's are linked together and cleaved or filtered to achieve their particular virtues, ie., strength, projection, volume or fluidity and smoothness.
Silk has the least number of links and shortest molecules further exposing more polar sites and therefore attracts more water. It is therefore more fluid and smoothening.
Based only on what I interpret from your photo, you have thin and draping skin. There is a poorly understood tissue in the upper cheek which swells particularly with allergies and crying. These festoons attract water as well and swell.
Silk with a high polarity to attract water will exacerbate a festoon. The medications you were placed on are the best option to reduce the swelling without using hyaluronidase to enzymatically degrade the injected filler.
So sorry for your troubles. I hope you get better soon.
Under eye swelling
Now for the good news - this will go away. It can take another few days to completely go away as the product settles. The skin around the eye is very thin, so it may show longer than in other places. Make sure you ice on and off for another 24 hours, keep your head elevated, and the steroid that was prescribed will certainly help. If it is persisting and you are concerned, go see your injector. They may want to re-evaluate the area to ensure that you are not having a reaction to the product. In all honestly, asking your injector about any issues or questions that may arise after treatment is always a good idea. I hope this helps! Best of luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.