I've been experiencing random swelling/puffiness months after having Restylane Silk injected under my eyes.

The 1st time I had filler under my eyes it was Restalyne & I did not have this issue. The 2nd time, they used Restalyne Silk & now I experience the random swelling. I go to a reputable doctor's office with experienced nurses who administer the filler. I do not believe this is an allergic reaction. Is it possible that rubbing my eyes could cause this? Only one eye will swell at a time - Not both eyes at the same time. There are no lumps, just puffiness.

Doctor Answers 7

Post-Injection Edema following Restylane Silk

Restylane Silk is manufactured differently than Restylane, in that the particle sizes are smaller.  Hyaluronic acids are hydrophilic.  Since Silk has more particles, it tends to pull in more water.  This could be one of the reasons you are describing intermittent late onset residual edema.  Also, the tear troughs, or lower eyelids, have thin skin and many times product may migrate through the layers of the skin to different areas for which was injected.  There is an "art" to treating loss of volume in the tear troughs for which experienced injectors are highly recommended.  Although, even the expert injector often times cannot predict the outcome of volumization of the lower eyelids.   If the swelling bothers you, I would recommend injection of Hylenex.  This enzyme will "melt away" the Silk.  The edema should resolve.  I would discuss all options with your provider. Just understand, this is not highly unusual. 


Louisville Plastic Surgeon
4.7 out of 5 stars 46 reviews

Restylane Silk / Tear Troughs/ Under Eye Fillers

I appreciate your question.

I would recommend that you follow up with the Nurse that administered the Restylane silk so that the Nurse and MD can evaluate you.  You can ask that the filler be dissolved with hyaluronidase which would help reverse the intermittent swelling you describe.

The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz


Swelling after Restylane Silk

While using it in the this area is technically "off label" it is also one of the best fillers for this area. I don't think you are having an allergic reaction either. But I would suggest returning to your injector to be checked.

"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Under Eye Fillers -- Use Cannulas and Go Conservative

If you are puffy, reversing with hyaluronidase and doing venus legacy treatments should reverse the issue.  This is likely lymphedema from the fillers.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 168 reviews

Swelling from filler

Call your doctor. You may try a few days of antihistamines such as Claritin or Zyrtec.  Be well.

Estee Williams, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

Swelling from fillers

 Restalyne silk is one of the newest products thats used to inject in the tear trough area. As you probably know Restylane silk is the most innocuous substance to inject in this area as it causes the least amount of swelling afterwards. You may have another issue going on whereby the product was placed above the muscle. If this is the case you can talk to your doctor about injecting Wydase into that area in order to digest the restylane. I hope that this helps 

Roberto E. Garcia, MD, FACS
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Swelling after Restylane Silk under eyes

It sounds as if you might be having an allergic reaction to the product. I would definitely consult a board certified dermatologist to assess the area. Perhaps next time you could consider Belotero for the delicate under eye area.  Best, Dr. Green

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.