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

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