How to make Restylane absorb faster? (Photo)

I was slightly over injected in one tear trough with Restylane. I've will not get Hyaluronidase because it's minor and will probably look much better once more Restylane is absorbed. Is there anything I can do to make the Restylane absorb quicker, massage or moving the area more often, for example? Once the Restylane has reduced a bit more, I also think I need a slight addition of filler below the tear trough and above the cheek. What do you think?

Doctor Answers 8

The different absorption rates and longevity of fillers, and why treating hollow cheeks along with tear troughs is a good idea

Thank you for your question. I understand you had too much Restylane placed in one of your tear troughs, however you don’t want to get hyaluronidase, as you’d rather see if you can massage it to get the material to absorb more quickly. You also state that you may add more Restylane in certain areas to further improve the cosmetic result.

I can certainly give you some guidance. I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. Performing eye rejuvenation procedures with the help of fillers is something I do daily in my practice.

When you correct any area with fillers or injectables, you can expect a certain amount of swelling to occur due to the natural reaction of the skin to the injection, and due to the swelling of the material itself from the absorption of water, so the timing of the evaluation does make a difference. That said, I am curious how long since your injection was this photo taken. I usually tell my patients to come back after two weeks because by this time, things would have settled and balanced out to a level where I think they are going to be stable enough for certain amount of time.

Fillers have different levels of viscosity and longevity based on the cross linking of hyaluronic acid. Restylane is one of the softest hyaluronic acid fillers, but in terms of its absorption rate in the tear trough area, there is a certain amount of unpredictability there depending on how deep it’s placed. In scenarios wherein Restylane is placed underneath the muscle, I have actually seen that Restylane can be present in the area for years. This is because the body can sometimes form some type of capsule around the foreign material, which allows it to last longer. So, there is no direct answer with regard to how to make the material absorb faster, but you can try to sculpt or massage it the area. I do not, however, think that there is any merit in being too overly aggressive in doing this.

In terms of the areas of volume that may benefit, when I treat people with concerns of under eye hollows, I don’t consider the tear trough or the eyelid separately — I look at the eyelid and cheek as one aesthetic unit. It is unusual for me to only fill the tear trough, but also fill out the area right in the area of the cheek junction called the V deformity. When you only fill out the tear trough area, particularly in someone with relatively shallow cheekbones, it almost creates the illusion of a ledge or a shelf. Many of my female patients aged 40 – 45 years old, who are also very fit and have relatively thin faces, actually benefit from cheek lifting with help from a filler like Juvederm placed in the deeper, structural levels of the face.

I think there is an art to using injectables and that there are really a lot of ways to look at certain areas. Some physicians are more straightforward than others — if you come with a tear trough complaints, they will fill the tear trough. If you come with nasolabial fold complaints, they will fill the nasolabial folds.

I, on the other hand, prefer to look at it from a more global perspective. Loss of volume, bone, muscle, and fat can actually be more artfully managed by means of structural volumizing, which restores the definition of the cheeks, jaw and chin. When patients see the restoration of the cheekbones and the jaw angle, they don’t even think of the nasolabial folds because the nasolabial folds were not the issue in the first place, but the volume surrounding it.

Ultimately, I think you are on the right track — it’s not just the tear trough, it’s also the cheek with the tear trough and under eye area. I suggest that you communicate with your doctor and discuss what your options are in terms of a realistic potential for improvement. You can wait it out and let it absorb and settle, or you could intervene with hyaluronidase.

I hope that was helpful and I wish you the best of luck!

This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.


New York Oculoplastic Surgeon
4.3 out of 5 stars 61 reviews

Restylane but will not speed its resorption.

If your injections were fairly recent, you may want to wait a bit before doing anything as it may just be swelling that is causing your tear trough to look slightly overfilled.Massaging can even out the bulkiness of the Restylane but will not speed its resorption.You may also want to visit your injector for a follow-up to see what they recommend to address your concerns.

Restylane - Too Much Under Eyes?

Thank you for your question and photos. I suggest being patient and massaging the area daily. The massage should help it to settle down. You can always consider hyaluronidase if you are unhappy with the results. Please see a board certified plastic surgeon who commonly performs these injections. Hope this helps.



 

How to help disperse Restylane

Thank you for the question. Massaging the region injected with Restylane will help disperse the product. It is always best to ask your doctor to under-correct the problem in order to avoid your problem. Good luck.

Restylane Absorption Rate

You are correct in the fact that massage may help the Restylane absorb quicker.  You may also ask your provider about radiofrequency treatment.  Radiofrequency produces heat which may possibly breakdown the Restylane quicker.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 44 reviews

Restylane

If you were just injected, I recommend that you wait a bit longer to let swelling subside.  Especially since you are saying that the "slightly over injected" area is "minor", the same area may look fine after the swelling goes down.  Either way though, I'd recommend that you follow up with your injector so that he/she can determine if anything else can help you.

Sunny Park, MD, MPH
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

How to make Restylane absorb faster?

Hello AnnaSeattle,

I would agree with the other physician to give it more time.  If you were just injected then there will be swelling for several days.  Massages are a possibility early on to help spread out the filler but only if recommended by your injector.  Otherwise, once the swelling does down you will have a better idea of what needs to be done, if anything.  

I hope this helps and good luck.  

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Restylane will dissolve on it's own

If you were just injected you might have a little swelling or retention of some fluid in area. Give it at least three weeks and see what you think then you can consider hyaluronidase

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.