Recurrent swelling 4 months after Restylane to rear troughs? (Photos)

Based on your photo's I would highly recommend you give your provider the opportunity to remove the product and treat that area. You can read horror stories about virtually anything and everything on any website, however, the horror stories don't always provide all of the information and don't apply to everyone.

Based on the photos provided it looks like you may have an allergic reaction, not to Restylane but other facial products you may be using on a daily basis. I suggest having a follow-up consult with your medical provider

Hello, and sorry to hear about the issues you are experiencing following your treatment with Restylane. It is possible the swelling can be a result of something else, as it is abnormal to have swelling appear randomly at 2 months. Were you swollen at all 1-2 weeks following the injections? When used properly by an experienced physician, hyaluronidase can have a fantastic outcome and successfully eliminate any filler that is present. And you are correct, filler can last longer than usual in the tear trough. Do you trust your doctor and his experience? If so, hyaluronidase may not be a bad option for you. In general, the side effects of Restyane may include:

1) Swelling
2) Light bruising
3) Irregularities
4) Lumps or bumps

I would recommend following up with your provider. Go over your routine with him or her, and communicate any changes in your habits that may have led to swelling in this area to rule out any other causes. I hope this helps, and I wish you the best of luck.

The enzyme is highly effective at helping situations like yours.  It is improbable that this represents and allergic reaction to the hylauronic acid filler.  However, clearly you are holding too much water in association with the product.  The enzyme can be very effectively used to help this.  The reason why you hear horror stories about the enzyme it that using this product well requires significant experience. 

Thank you for your answers.  I agree it could be an allergic reaction: perhaps new creams, new soaps, etc.  However, I have seen this with people who have festoons.  Festoons are genetic swelling in the lower part of the lower lids into the cheek region that some people develop.  Perhaps your mom or father have that too.  It is thin skin with chronic swelling.  A mild inflammatory process, made worse with fluid retention, spices, allergies, hormonal changes, etc.  If fillers were injected into the festoon, it could worsen a pre-existing festoon.  We normally try to inject around the festoons, not into them.  So best to revisit your injector.  Medications exist to dissolve the restylane if the restylane was injected into the festoon.

Best, Dr. Marc DuPere, Plastic Surgeon Toronto