Restylane Injection Hit Blood Vessel in Eye Lid. I Wonder if I Should Look for Another PS?

Hi Lilianna.  The question of whether you should look for another injector is only one you can answer.  If you trust your injector and are comfortable with the possibility that this sometimes happens then you should stay.  If you are not comfortable any more, then look for someone new.

Outside of this, we do have some other observations.  Regarding the blood vessel issues.  If an injector uses a retrograde motion (moving backward during the injection), it is much less likely that puncturing a blood vessel will occur.  Is your practitioner injecting in this way?

Secondly about the aftermath.  At our practice, we use pulsed dye lasers for those patients that get bruised during injections (our patients or other practices).  The pulsed dye laser can usually resolve even deep problematic bruising within 48 hours when used within 48 hours of the original injection.  Once the bruise turns yellowish, it will no longer respond to pulsed dye treatments.  Hope this helps.

Bruising is possible with filler injection to any area, even with the most experienced injector. If you are otherwise happy with your results I would not switch providers. There are ways to minimize risks of bruising, such as icing, stopping any blood thinning agents (including common herbals), using Arnica Montana and Bromelain before treatment, and holding gentle pressure. Even with these measures, there is no guarantee a bruise will not develop. The undereye area and lips are at higher risk for bleeding compared to other locations such as nasolabial folds, marionette lines, or cheeks. Try a thicker cover-up products to help camoflouge the bruising in the meantime (more dense coverage than your every-day type makeup).

The majority of patients do not have bruising with injections.  However, areas around the eyes and lips have the highest incidence of bruising.  Even the most experienced injectors cannot guarantee no bruising.  I always warn patients that there is a possibility of bruising and tell them not to have injections if they have an important event coming up in the next week.  That said, there are some treatments that can help reduce the incidence of bruising such as pre and post treatment with Arnica Montana, icing of the area and injection techniques to reduce bruising such as using a blunt micro cannula to inject the produce instead of the sharp needle with comes with the kit.  I hope this is helpful.

 

Good Luck.