I had Restylane injected under my eyes and now have bags. Can I go to another dermatologist to dissolve it?

Question

I’m not in nyc due to the pandemic so I need to go to an Atlanta dermatologist. Is it bad to go to a new derm to have the restylane dissolved?

Nelson Castillo, MD · Answer

Thank you for sharing your question and I'm sorry to hear of your issues.  it is no issue to have it dissolved by another office if it has been 2+ weeks since placement. Hope this helps and we are happy to see you at your convenience.

Nima Shemirani, MD · Answer

Hi @mhwilliams! Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular.  Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

if you are worried about your filler results because there is swelling, lumps or bumps, give it 2 weeks to settle and then consider reversing it with hyaluronidase. in the mean time you can use redlight such as lightstim, radiofrequency such as venus legacy or forma.. The cheeks always should be injected when doing the under eye and you maybe swollen because of poor technique so see an expert for the best treatment and management. start at home emerageskin refit eye, restorsea 10x and eye serum, sente bio complete serum, and AERIFY microneedling system for the best at home treatment for your eyes. in office lasers like co2 or erbium, fractora microneedling RF, and different fillers should be used after reversal. Best, Dr. Emer.

Dmitriy Schwarzburg, MD · Answer

In cases where the patient wants to dissolve the hyaluronic acid fillers, we use hyaluronidase, which is an enzyme that breaks down hyaluronic acid. It is available under various brand names. You can go to another doctor. You will have to explain the circumstances completely to your new doctor.

Jo Herzog, MD · Answer

It is never bad to seek help from a physician. A good physician will understand that you have relocated and need help. "you might ask their opinion and not go in saying that you need product dissolved. Hear them out then discuss. All dermatologists do not haver experience dissolving so you might ask that when making appointment.

Solomon Facial Plastic - Thornhill · Answer

HI there, 
it is not a problem to have the filler dissolved at another office. As long you know what type of product was injected under you eyes. Hyaluronic acid filler can be dissolved with hyaluronidase.

Kirk Lozada, MD · Answer

Hi thanks for your question! It is not uncommon for patients to go to a different provider due to problems or complications from filler. You circumstance is also different given COVID which I understand. It is important to note that the original provider should dissolve the filler at no additional cost whereas going to someone new will likely see a charge for dissolving someone else's treatment. Good luck and I hope this helps!

Robert T. Buchanan, MD (retired) · Answer

Any good injector should see you without even questioning. Your problem is that your NY injector used the wrong product for the area and almost certainly placed it in the wrong place. Unfortunately, this is very common. When we first started injecting the area, the only fillers we had were those like Restylane.  We began placing it superficial to fill the depression. What we learned was that this frequently caused obstruction of the eyelid lymphatics resulting in swelling. A huge number of injectors still do this. Experts, however, inject deep below the orbital ligament using a heavy filler like Juvederm Voluma or Radiesse. Although there are other options, dissolving the Restylane and later injecting the area properly is the most common treatment. Make sure you see an expert or this problem may happen again.

I had Restylane injected under my eyes and now have bags. Can I go to another dermatologist to dissolve it?

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