Necrosis, is This Possible in the Tear Trough Area?

I have not seen one example of necrosis in this area.  It is the glabellar area that experiences necrosis.  That does not mean you can't bruise and the bruise can be nasty. I advise my patents to think of these services as surgery in a syringe.  The incidence of a black eye in my practice is about 2 out of 100 treatment.  However that black eye is memorable.  I recommend that you call your injector and let them assess what is going on.  The black eye can last 3 to 4 weeks and it is embarrassing.  People think you are the victim of domestic violence and these bruises are very hard to cover up.  Hang in there and do repost and let us know how things went.

It is not uncommon to have bruising that can last up to 2 weeks (or longer) in the tear trough area, and you will be swollen for the first several days after treatment. However, I wouldn't hesitate to contact the provider/injector and have an assessment right away to help alleviate your fears of necrosis. While it's not likely, it's best to have a person trained and experienced to assess this, rather than wait and worry.

It is possible to develop a hematoma following Restylane injections.  Necrosis is typically caused by a lack of blood flow to a given area, and is very rarely caused by filler injections to the tear trough.

 

In general, if there is necrosis present, you may experience:

1) Severe burning and pain
2) Skin turning black in the affected area

If you are concerned that you are experiencing necrosis, I would go to the ER or find the doctor on call ASAP and see a professional.

 

The typical side effects of Restylane may include:

1) Minor bruising and swelling
2) Infection
3) Hematoma
4) Redness
5) Irregularities due to poor technique

Thanks, and I hope this helps!