I had tear trough Restylane filler 24 hours ago and I now have a dark red/blue eyebag-like shape.

Question

Only under my left eye. I'm wondering if this is due to overfill or bruising.

Daniel Levy, MD · Answer

Your left under-eye appears bruised.  This is a common risk, when a cannula is not used in this area, and should resolve within a week.  Either way, follow up with your doctor to re-assess.Good luck!

Jonathan Kulbersh, MD · Answer

This is most likely due to swelling and bruising which is typical after tear trough injections. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Jason Emer, MD · Answer

I would give it two weeks and if it doesnt settle down then i would consider reversal with hyaluronidase.  If it worsens over the next few weeks see your physician to determine if this is just swelling or an inflammatory reaction.  Best, Dr. Emer.

Aldo Guerra, MD · Answer

I doubt this is over corrected and we can’t assess for this until 2 or 3 weeks have passed. I would suggest this is a combination of swelling and bruising. In my experience, injections here with a microcanula leads to less complications. Best wishes. Dr. Aldo

Monika Soni, MD · Answer

Thank you for your question. From your photo, it appears your left eye is bruised. This is common with hyaluronic acid fillers, especially in the tear trough area as the skin is very thin and this should resolve in 1-2 weeks. You can help reduce the risk of bruising with the use of a cannula. I recommend having a follow up with your injector to address any concerns you may have. Best of Luck!

Melvin Elson, MD · Answer

Bruising is a common side effect after filler and if espoecially common after injection into the tear trough. Apply ice a few times a day and take Arnica or apply vitamin K cream/  It should resolve in a week or so

Michael H. Gold, MD · Answer

Thanks for your question and sorry that you are having this concern following your Restylane injections.  It appears from the photo that there may be a bruise here and I would recommend using ice to the area for a few days to see if it resolves. If it does not, I would return to your injector and let them evaluate the situation. And we always recommend that you have these injections performed in the offices of board certified dermatologists or plastic surgeons – the experts in these injections.

J. Daniel Jensen, MD · Answer

I agree that this looks primarily like bruising. Gentle application of ice packs periodically, as well as daily use of Arnica 1x cream, can need helpful. If your physician has a pulsed dye laser, they may be able to able to resolve this bruising a bit faster.

I had tear trough Restylane filler 24 hours ago and I now have a dark red/blue eyebag-like shape.

Answers (8)

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