Fixing Bumps from Perlane Injections

I just had Perlane injections on my tear troughs. It seems as though she also injected it higher under the eye where I have fat deposits. This may have been done too superficially?

I look like Star Trek, bumps everywhere, scary. Tear troughs do not seem improved, actually seem worse!

I am 52 and have a big graduation party to attend in 2 weeks. Near Toledo Ohio. Anyone you can suggest to fix this?

Doctor Answers 7

Perlane Issues

It depends on how far out you are from your treatment. If it is within a couple of days, the HA (Perlane) can be "massaged" into a smoother contour. If weeks and massage does not work, and the product is superficial, have your care-giver use a mid-sized needle to open a small access port into the skin and express or "squeeze" out the product. If this does not work, then a medicine to desolve the HA product, called hyaluronidase, can be used as previously described.

Good luck and I hope you have a great time at the graduation!

Dr. C

Atlanta Plastic Surgeon
4.8 out of 5 stars 47 reviews

Perlane Bumps

The Perlane can be dissolved with an enzyme call Vitrase or Hylenex. This takes about a week to take effect. You can experience some double vision if it is mixed with local anesthetic and can give you some bruising. It may take more that one treatment to get rid of the Perlane. The doctor should do a small skin test in your forearm before treating you.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 115 reviews

Perlane and bumps

It is best to follow up with the provider for further assessment, and give them the opportunity to correct. It is always expected you'll have swelling, so if it's within a 2-week time frame, it might pay to wait.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Perlane bumps


Sorry to hear about your unfortunate experience with Perlane.  Thankfully, one of the great traits about Perlane is that it is very easily and quickly reversible or dissolvable.  By injecting Hyaluronidase into the area where you have the bumps, the majority of the Perlane will dissolve almost instantly. You'll be back to your non-bumpy, non-Star Trek self before you know it.

Good luck!

Dr. Grant Stevens 

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Bumps from Perlane

Injecting Perlane in the tear troughs and lower lid can often lead to small lumps. I fyou can not massage them down, I recommend hyaluronidase to melt it.  This will cause more swelling, but will improve over a weeks time.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Fixing Bumps from Perlane Injections

Injecting hyaluronidase will dissolve the Perlane (hyaluronic acid) that was injected.  You will go back to the way you were before injections.  Sometimes you can get bruising from this as well.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Bumps with Perlane

Perlane is a hyaluronic acid product that is injected for filling and plumping. In cases where too much has been injected or it has been placed in the wrong area the material can be reduced with a product called Wydase which is hyaluronidase. This is an enzyme that breaks down hyaluronic acid and will decrease the amount of Restylane/Perlane. However, sometimes the best thing to do is to simply wait for the stuff (filler) to dissolve naturally. Restylane lasts 5-6 months and Perlane can last 8-9 months. In my opinion, more often than not its better to let it go away than possibly cause more inflammation with further injections. If the side effects you are experiencing are too severe to wait, you can consider the enzyme treatment. Given your event you might want to try the hyaluronidase treatment.

For future reference, I find Perlane to be too thick for treating the tear-trough area. You might want to consider using Restylane next time, and ask the doctor to inject TINY amounts. A little goes a long way.

I hope this info helps!

Adam Rubinstein, MD
Miami Plastic Surgeon
4.9 out of 5 stars 19 reviews

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.