What Do You Suggest For Immediate Post Restylane Care? Had Injections Under Eyes/ (photo)

I had 1 syringe of Restalyne injected under eye (by my double certified surgeon) 4 days ago, and determined it was not enough so had another (almost full) syringe yesterday. I like the results, but I do have some bruising (to be expected) and lumping. How much massaging is okay? Am I redistributing or dissolving with massage? Also, if bruises last (I am olive skinned and bruise very easily) is it safe to use a V-Beam to remove, or will this dissolve the product?

Doctor Answers 10

What Do You Suggest For Immediate Post Restylane Care? Had Injections Under Eyes/

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Ice, more ice for a few days. If still with edema than return to the injecting doctor for evaluation. 

Post Restylane care

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I recommend ice packs and no massaging! Patients can easily move fillers around and cause problems by touching and massaging their fillers. Don't do that. V-Beam and Laser Genesis are both safe to do within a day or so of Restylane to help with bruising, and I do have patients do Laser Genesis if needed. However, your bruising actually looks like it's already in the final healing stages so I think I'd skip the laser treatments and just let it resolve on its own.

Laser can reduce post injection bruising

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Don't massage, you could potentially move the product. I have been very happy with the use of PDL (pulsed-dye laser) for post-injection bruising. The laser doesn't erase the bruise but it helps it fade more quickly.

Deirdre O'Boyle Hooper, MD
New Orleans Dermatologic Surgeon

Post-restylane care

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Every doctor is a bit different.  Some recommend gentle massage for lumps, some recommend ice, and some recommend nothing. Ask your treating doctor.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Restylane under the eyes.

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It is possible to redistribute the product with massage so be careful..  The Veam works wonderfully for bruising and I recommend it now.  It will not dissolve the product but may cause some temporary swelling.  

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon

Restylane aftercare

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Thank you for your question. I would recommend the following after filler injections:

1) Use an ice pack on/off throughout the first day or two to help minimize swelling and bruising
2) Don't massage the areas that were injected as this may increase the amount of swelling
3) Avoid activities that make you hot, sweaty or flushed: Examples include strenuous activities, alcohol, saunas, hot baths, etc… This will increase your chance of bruising. If not bruising by the next day, you should be good to go. If there is, then wait another day or two to make sure it is not getting worse
4) Take Arnica to help minimize the bruising/swelling potential
5) Return to the clinic for: any abnormal visible lumps/bumps for within the first week or two
6) Return to the clinic if you experience bruising that cannot be covered with make-up - we may consider IPL or lymphatic stimulation to help with the healing.

Once all the early stages of injections have passed, then return when you notice your concerns start to return. One usually uses less product to maintain the desired result.

Restylane and massage

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I wouldn't recommend that you do the massage, but leave the product as it was placed and allow for swelling and bruising to subside. Then it's time to re-visit your provider if you feel there needs to be some manipulation or massaging, addition of product or whatever may need to be done, if anything.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

What Do You Suggest For Immediate Post Restylane Care? Had Injections Under Eyes

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Massaging 3 to 4 times a day is fine, and what you are doing is simply evening everything out, and helping to decrease the swelling and bruising .  I doubt that your bruising will last and  I would give it a couple of weeks before venturing to other avenues. 

Jonathan Ross Berman, M.D. , F.A.C.S.

Jonathan Berman, MD
Boca Raton Plastic Surgeon
4.7 out of 5 stars 19 reviews

Under eye massage after filler is usually not recommended in the first few days.

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Your photos don't appear to show any actual problems with your treatment, though it is a little difficult to see where your doctor would have fit two entire cc's of filler under your eyes within a 4 day period. I would recommend ice packs only, low activity, and time to see how the bruising fades and the natural swelling resolves before taking on any other active treatment like laser or massage, which could move your filler and alter your results. I think you will do fine. See your injecting physician any time you have any questions. He should always be available with ideas or to reassure.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Swelling after Restylane Injection Under Eyes

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Swelling after Restylane injection is very common.  I recommmend that my patients not massage because it is very easy to move the product and change your end result. 

Michael McCracken, MD
Lone Tree Oculoplastic Surgeon

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.