Restylane Under Eyes 5 Weeks Ago; Tear Trough is Dark and Swollen? (photo)

Question

i am 29 yrs old..i been working real long hours the past few months with very little sleep....i noticed i had some under eye wrinkling and bags under my eyes when i smile and it made me look older...i also had some slight hollowing on the left side eye so i went to get it fixed.. dr. injected 1 syringe of restylane under both eyes "contour" my lines and bags for when i smile.. 5 weeks later i have depressed tear troughs and dark circles,swelling...what to do`?..please help!!!!

Kenneth D. Steinsapir, MD · Answer

Monocheek is a cheek contour that blends right into the lower eyelid lashes. Not so pretty. You are simply too full in the inner corner at the top of the cheek. This is a very common situation. Please do not attempt to wait this situation out. I have seen these persisting for years without intervention. It is not natural, it does not make you look younger or more rested. The material does not need to be completely removed, it simply needs to be shape. This is easily done using the enzyme hyaluronidase in expert hands. The problem is that your injector may lack this expertise. However, this is the logical person to ask for help. If they tell you to wait, please find an ethical injector who can help you. This has absolutely nothing to do with how many hours you are working. You are not bruised, you are overfilled.

Sam Naficy, MD, FACS · Answer

It's very difficult to answer this question based on the photo's you've posted (lighting, angle). I would suggest going back to your provider for follow-up and to discuss whether or not you may just need more product.

David Shafer, MD, FACS · Answer

It is hard to tell from your photos as the lighting and magnification is different in the before and afters.  It would be best to see you in person.  If you are referring to bruising, this can sometimes occur with injections around the eyes - usually about 5% of the time.  However, bruising will resolve usually in less than a week.  Additionally, for wrinkles around the eyes, usually a combination of Botox Cosmetic and Restylane will give the best results.  If you do not like the look of the filler, ask your doctor if they use Vitrase to melt the product away.

	 

	Good Luck.

Alexander Ovchinsky, MD · Answer

The swelling could be due to injection/ manipulation, and it is occasionally known to persist beyond five weeks. Another possibility is allergic swelling, which you could have had even before the injections. Dark circles under the eyes can be your pigmentary skin changes, or it could be some bruising related to the procedure. Unfortunately, your photos are not very helpful. I suggest, you discuss your concerns with the doctor who performed your injections.

Robert L. Kraft, MD, FACS · Answer

The photos aren't great in terms of showing the condition.  If you are overworked and do not get enough sleep, then Restylane can produce an improvement but does not address the underlying stress and conditions.  You may also have allergies which can contribute to this appearance.  Prolonged bruising is atypical. I recommend that you follow up with the physician who injected the Restylane and, if you have sinus or allergy conditions, that you see an allergist for appropriate treatment.

Restylane Under Eyes 5 Weeks Ago; Tear Trough is Dark and Swollen? (photo)

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