Just had Restylane tear trough injections - how long does it take for the swelling to go down?

Question

Had Restylane injections for the tear troughs for the first time 5 days ago and I am wondering how long it takes for the swelling to go down and the area to smooth out to the cheekbones? The injected area is raised (puffed). I also have a lump under my right eye - there was quite a good bruise on that side - and I am wondering if that will disappear too and how long it will take...

Edward J. Gross, MD · Answer

Typically the swelling will last less than a week, however 10-14 days is common as well.  Without pressure, you can apply cold compresses under your eyes to help reduce the swelling.  If you are noticing swelling after 14 days, I would schedule a follow-up appointment with your provider.  I would set the same standard for the lump under your eye; seeing your provider if it is still there after 14 days.

Robert M. Lowen, MD · Answer

Swelling usually goes down in a week, bruises take one to two weeks. If a lump, unevenness or contour problems seem to be lasting much longer than that, it is possible in most cases to smooth out lumps caused by too much or too superficial injection to be dissolved with hyaluronidase. This only works for hyaluronic acid fillers. Fillers such as Radiesse will not be dissolved and many months may be needed for a significant irregularity to diminish. Thin skin around the eyes makes doing fillers a delicate job.   I do like the catheters that have blunt, tapered tips now, rather than needles. They are less likely to cause bruising.

Kenneth Hughes, MD · Answer

Bruising and swelling is common when treating the tear troughs, I advise my patients to wait a full two weeks for the product to completely settle and bruising  eliminate before seeing their final result

Benjamin C. Stong, MD · Answer

Hello,Typically, it can take several days (possibly up to a few weeks) for all post-injection symptoms to dissipate.  The under eye area is extremely sensitive, so sometimes symptoms can last longer than they would in other areas of the face.  I would recommend you schedule a follow up visit with the office that provided the injections if you are still noticing after effects 10-14 days post treatment.Best of luck!

Tracy Mountford, MBBS · Answer

Directly after
treatment one of the common side effects for a Tear Trough treatment can be
swelling, this can vary from patient to patient and treatment to treatment. If
you experience excessive swelling, I would always recommend that you contact
your clinic. After your treatment please try and avoid exercise and alcohol for
the first 24 hours, facial and sunbeds for the first week. If you experience
discomfort, please take paracetamol and not ibuprofen. Holding a cold compress
over the area and an extra pillow under your head at night time helps with the
swelling. It can take up to 4 weeks for the final results to be evaluated. This
is when we book a new appointment. Hope this helps to answer your question.

Michele S. Green, MD · Answer

The swelling of Restylane injections, especially in the tear trough area, can take up to two weeks to subside.  When you say that there was significant bruising as well I would recommend you take Arnica to help resolve the bruising faster.

Christopher I. Zoumalan, MD, FACS · Answer

It is common to see swelling and bruising persist 1-2 weeks after hyaluronic acid (i.e. Restylane) filler injections to the eyelid/cheek area. I would discuss your concerns about the bump with your surgeon when you see them for a followup to see if that lump is either swelling or product that may have to be locally dissolved with hyaluronidase.  Good luck.

Andrew Pichler, MD · Answer

The swelling could take up to a week to subside if there was nothing unusual such as perhaps some bleeding deep, in which case it could take up to 4-6  weeks.the lump could suggest the latter. Discuss with your doctor.

Martie Gidon, MD, FRCPC, FAAD · Answer

It can take 2 weeks for any swelling and bruising to subside.  If you are unhappy with your results at that time, please return to your doctor for assessment.

Just had Restylane tear trough injections - how long does it take for the swelling to go down?

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