Restylane Under Eyes: Swelling and Lumpiness on Day 5, Will this Subside? (photo)

This is a very irregular filler treatment.  You do not seem to have an associated bruise.  The bruising brings it own swelling and it is advisable to wait for the bruise to resolve before attempting to adjust the filler service.  You appear to have a significant over fill on the right side, a bump in the left lower eyelid and incomplete fill in the left tear trough.  I think you will most definitely need hyaluronidase enzyme to resolve these issues.  If your injector is not up to this task, please find an experienced injector who can help you.

It is still a bit early to be critical. There is always a bit of swelling. Some restylane products have more swelling than others.    If there were bruises then the healing time can take a bit more. I would see your injector ASAP to make sure there is nothing more serious going on.The good news is it will most definitely improve and if not, they can always absorb it.Hope this helps,Best of luck,DrC

I’m sorry to hear about the swelling and lumpiness you’re experiencing. These may be a normal part of your recovery which gradually subsides in a week or two. You might want to wait out, and if by the two week mark no improvement is seen, return to your injector for an assessment. As you’ve mentioned, you may need hyaluronidase to smooth out the lumps. I wouldn’t recommend that you massage the area, as it can cause displacement (leading possibly to more lumpiness). The injector should be the one to massage the area if needed.

Swelling is normal and can be asymmetric. You can expect swelling to last for one to two weeks, depending on the area treated and how your body reacts to the treatment. Keep your head elevated to help ease swelling, particularly when sleeping. You can use a few pillows to prop your head up.If it doesn't improve after a week or so, please see your injector for an assessment. Do not massage the area in the meantime.

It is difficult to gauge with your photo if I am seeing misplaced product or swelling. I encourage you to follow up with your injector to determine the course of action.  The product can be dissolved if necessary using Vitrase.  It is important that you don't manipulate the area too much, as that can increase your swelling as well.

I would let things settle down for about another week. Sleep elevated on a few pillows and gentle massage might be helpful. Sometimes swelling can occur in pre-existing malar bags and this might be the case in your situation. If still not happy in one week, set up another appointment and discuss with your provider.

As a general rule, it is recommended that you wait at least 14 days before altering the initial treatment.  Everyone heals differently and you may need more time.  Having said that, it appears that you were under treated on the right and over treated on the left.  Highly recommend Hylnex to dissolve the product.  Tear troughs can be a rather difficult area to treat, do your homework for specialists in your area.

Thank you for your question. It is possible that you are still experiencing swelling and can take up 2 weeks to fully resolve. If you are still experiencing lumps and puffiness after 2 weeks I recommend having a follow up with injector. The good thing about Restylane is that it is not permanent and can be dissolved with an enzyme with hyaluronidase if necessary. Best of Luck!

Puffy Piper, from your photo it looks like the swelling under your eyes could be caused by more than one thing. Some of it is definitely normal swelling that can be very dramatic after under eye injections of hyaluronic acid fillers. These fillers absorb water from the body's tissue, and can swell up like a sponge for 1 to 2 weeks after injection. Most of this swelling does resolve and even with the amount of swelling you show in your photo you could still turn out just fine. Other lumps showing in your photo may be from a large amount of filler showing through the skin (left eye). Even so, this may be just swollen filler that will reduce as the natural water absorption resolves. Either way, keep in very close touch with your physician injector to make sure things go the way you expect. If it seems there is too much filler material in the area, it can be dissolved if necessary.

Hi Puffy-Relax! My wife looked exactly the same way after being injected. Remember that the skin under the eyelids is thin and bruising in this area takes a while to go down. Hopefully, you will be pleased with the result in the end.