What is this lump under my eye years after Restylane in tear trough? (Photo)

Question

I previously asked this question and included a picture of my eye area with make-up on. In searching thru my pictures, I found this one from several years ago that shows the filler looking like a worm shaped lump under my eye. It has now almost all dissolved except for this one lump that is not budging. I'm beginning to wonder, if this is not a lump of filler then what is this lump?? If it is scar tissue, can it be excised in this location?

Brian S. Biesman, MD · Answer

I am sorry that you are having an ongoing issue.  It is difficult to say exactly what is causing your problem.  It could be persistent Restylane or could even represent a reaction to the Restylane.  I would recommend seeing a specialist who is highly experienced in dealing with complications and side effects of dermal fillers such as Restylane.   Best of luck.

Jason Emer, MD · Answer

I suggest biopsy of this are to ensure no infection or granuloma.  Injections, lasers, and surgery can remove this.  Best, Dr. Emer.

Kyle Coleman, MD · Answer

Nodules that persist after dissolving of hyaluronic acid filler by hyaluronidase may by foreign body granulomas or tissue reactions by the body that create a scar like bump.  Granulomas are treated first with direct injection of steroid solutions to shrink them; occasionally, a regimen with oral antibiotic or other anti-inflammatory medications may be used.  Seek consultation with an expert in facial injections for possible steroid injection, antibiotic regimen, or possible surgical excision if all else fails.

Michael H. Gold, MD · Answer

Thanks for the additional photo. As I said in my previous answer, this needs to be evaluated by a board-certified dermatologist or plastic surgeon and I would recommend that someone do a small biopsy from the area, as I am concerned that there is something that is going on, such as what we call a granuloma or some other kind of reaction that means something that was wrong with the product or the injection itself. A biopsy here might be the way to help determine the best way to treat this.Find the right provider and get this taken care of.

Michele S. Green, MD · Answer

Restylane injections under the eyes can sometimes cause lumps.  In your case I am so sorry for your trouble.  It appears that there is still probably product remaining under the eye.  I would try to have this lump dissolved again before doing anything else more invasive.  Best, Dr. Green

What is this lump under my eye years after Restylane in tear trough? (Photo)

Answers (7)

Answer: Biopsy may help resolve post Restylane bump issue

Answer: Biopsy may help resolve post Restylane bump issue

Answer: Restylane and Lump

Answer: Restylane and Lump

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What is this lump under my eye years after Restylane in tear trough? (Photo)

Answers (7)

Answer: Biopsy may help resolve post Restylane bump issue

Answer: Biopsy may help resolve post Restylane bump issue

Answer: Restylane and Lump

Answer: Restylane and Lump

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.