Rippling and Lumpiness in Injection Site from Filler?

Question

Hello Everyone, I had Juvederm and Restylane injected in the upper eyelid/brow and under eyes. I had the injections 1 week ago. Last few days I have noticed rippling and lumpiness around my eyes. I still have a little bruising on the outer brow on left side. Is this part of the process? Also, I had been injected by a well known PS from Beverly Hills. I don't live in that state and can not easily return for a follow up. Thank you for your time

Jonathan Kulbersh, MD · Answer

In general, the side effects of treatment with filler may include the following:

	1) Lumps
	2) Swelling
	3) Bruising
	4) Redness around the injection site
	5) Asymmetry

	After one week, it is not abnormal to have some bruising. At this stage, lumps or bumps can be due to swelling. If they are the result of excess product, the lumps can be dissolved with hyaluronidase. The rippling will likely resolve over time. I would recommend giving it another week and see how you respond. If necessary, a board certified dermatologist or facial plastic surgeon in your area can be contacted and they can have a look. I hope this helps, and good luck.

Paul S. Nassif, MD · Answer

Lumps can be caused by swelling and/or excess product in the area. Bruising can occur after the injections and will resolve over time. It is best to wait around 2 weeks before evaluating the final result, as swelling may interfere with the appearance. Hyaluronidase can be used to dissolve excess filler if necessary. I would recommend communicating these concerns to your physician if possible, as they know the details of your procedure and will be able to provide you with advice. I hope this helps, and I wish you the best of luck.

Raffy Karamanoukian, MD, FACS · Answer

It seems as though most early 'complications' with lumpiness are associated with swelling. If the problem persists more than a few weeks, you may need to seek further expertise. Raffy Karamanoukian Los Angeles

Kenneth Hughes, MD · Answer

Bruising is extremely common in the tear troughs. The lumpiness could be swelling. I recommend visiting an office in your area to have them assess whether you need to have the area massaged or injected with anything to dissolve the unevenness. Best of luck.

Kenneth D. Steinsapir, MD · Answer

These services benefit from adjustment.  Approximately 30% of individuals after periocular fillers benefit from some type of adjustment.  This may be more filler, enzyme to modify a service, or some other type of filler manipulation.  It is my opinion that Juvederm is not an optimal product for many periocular filler treatments as it drifts after placement and this can manifest itself as rippling, lumpiness, or a poorly defined volume adjacent to where service was places.  The enzyme hyaluronidase can be very beneficial to shape these treatments.  I would recommend giving your service another week to settle before getting further help with the treatment.

Rippling and Lumpiness in Injection Site from Filler?

Answers (9)

Answer: Eye filler

Answer: Eye filler

Answer: It is very helpful to work with an injector close to home.

Answer: It is very helpful to work with an injector close to home.

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.

Rippling and Lumpiness in Injection Site from Filler?

Answers (9)

Answer: Eye filler

Answer: Eye filler

Answer: It is very helpful to work with an injector close to home.

Answer: It is very helpful to work with an injector close to home.

Browse related questions

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.