It’s been 4 months since my Restylane under eye filler. I have woken up with one eye swollen now 5 different times. Why? (photo)

Question

The swelling has happened about once a month, which makes me think it does have something to do with the menstral cycle. I am retaining water in the tear troughs. It’s always been after sleep. It lasts about 3 days. It’s not an allergic reaction to my skin care products. Do you have any clearer answers to this problem?

Nicolette Picerno, MD · Answer

Hello. I too have seen this occur in some patients.  Your options are to have the product removed, although sometimes the hyaluronidase treatment removes more than expected in the under eye area which can be a downfall.  It certainly can be connected to your menses and can be worsened with excessive salt intake, as might occur when you eat out with friends or drink too much alcohol.  Therefore, I would suggest limiting these items around the time of your menses, sleep with your head elevated during that time of the month as well, and if necessary, apply a small amount of Preparation H twice daily for 3 days and this might improve the appearance. Eventually, this should stop but it can take many months. Best of luck, Dr. Picerno

Jason Emer, MD · Answer

This can happen and is due to a number of things, if it becomes more recurrent, painful, or red/inflamed I suggest reversal with hyaluronidase.  Best, Dr. Emer.

Kenneth D. Steinsapir, MD · Answer

Typically when this occurs, it is premenstrual. What you do about it will depend on how problematic it it.  When appropriate, letting out some of the filler with enzyme may be helpful.  If the issue is just annoying, but does not persist very long, you can live with it.  I would recommend letting a little of the volume out.

Daniel Barrett, MD · Answer

Dear taunya22,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your injector for further assessment. Only after thorough examination you can get proper recommendations and advice. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Aldo Guerra, MD · Answer

Hello Taunya. I'm sorry about your swelling. It certainly could be related to water retention from your menses. However, it would be better to have an evaluation with your injector/physician. Without a good physical examination of this area, it will be hard to tell online what is causing this repeated swelling.Best wishes. Dr. ALDO

Monika Soni, MD · Answer

Thank you for your question. There could be many reasons for your swelling. However, you are correct that your menses can be related to the increased swelling. I recommend having a follow up with your injector to address your concerns. Best of Luck!

It’s been 4 months since my Restylane under eye filler. I have woken up with one eye swollen now 5 different times. Why? (photo)

Answers (6)