Restylane in tear trough, sudden swelling. Is it possible that my body suddenly broke down the Restylane?

Question

I had restylane injected into my tear troughs three months ago. About a week ago, I woke up with a swollen face, especially in the eye area. The swelling persisted for one day. Afterward the swell subsided, my restylane seemed to be diminished. I can no longer feel the product under my skin. Is it possible that my body suddenly broke down the restylane? Why did I suddenly swell up months after my treatment, when I have no allergies to any products or food?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. Your inflammation was probably not related to the Restylane in your tear troughs. You might have had an allergic process for some other reason. It is probably coincidence that the filler started to dissolve. See an expert injector for further evaluation in person.Good luck,

Kyle Coleman, MD · Answer

Given that many months have passed, this is not likely related to the filler injection.   It is more likely to have been an allergic reaction, insect bite, or infection.  It is possible that residual swelling is masking the filler's presence; however, a large inflammatory reaction could theoretically affect the filler by increasing breakdown.

Michele S. Green, MD · Answer

I would definitely return to my treating physician for examination. It is possible that you have an allergic reaction or an infection that may need attention.  Consider Belotero in the future. Best, Dr. Green

Steven Wallach, MD · Answer

While I have not heard of this, I suppose it could be possible.  These fillers take on water as they dissolve. It could have also been a bug bite, or some other reaction as well.

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  Delayed swelling after fillers like Restylane and Juvederm is extremely rare.  Please follow up with your board certified Dermatologist/PS for further evaluation and management and to make sure you did not have an infection that requires oral antibiotics.  Regards, Dr. Matt Elias

Restylane in tear trough, sudden swelling. Is it possible that my body suddenly broke down the Restylane?

Answers (5)