Swelling Under Eye from Hyaluronic Acid, Normal or Concerning? (photo)

Question

I received 1ml of hyaluronic acid injections 3 days ago under my eyes for my tear troughs and wrinkles. My left eye didn't really swell and has no more swelling but my right eye is still pretty swollen/puffy. She injected a little more on my right eye as it needed more - so is that eye just more irritated therefore going to stay swollen longer? Just want to know if this swelling looks concerning??

George T. Boris, MD, FRCS · Answer

With any tear trough injection or injection in general, it is common to swell and possibly bruise. Asymmetrical swelling is common, too. I would wait two weeks to reevaluate. If the swelling is severe, painful, or spreads, then I would advise returning to the physician much sooner. Best of luck!

Kenneth Hughes, MD · Answer

I would wait at least 2 weeks after filler injection before considering reinjection or dissolution with hyaluronidase. 

	 

	 

	Kenneth Hughes, MD Los Angeles, CA

Darryl J. Blinski, MD · Answer

Only a few days post injection. Best to allow 10 more healing days. Use ice for first 4 days than warm compresses for next 4 days. This should resolve over the 10 day time frame.

Jeffrey Zwiren, MD · Answer

It may be too early to be really concerned at this may just be soft tissue swelling.  If this persists after another 7 days then it may needed to be treated with Wydase.

F. Victor Rueckl, MD (in memoriam) · Answer

Best to wait it out at this point. At only 3 days out, your swelling looks normal. It's hard to assess at this point what is swelling and what is possibly overfilled. Fillers attract water right away, so that takes at least several days to settle down. 10-14 days after you've had the fillers you can return to your injector for an evaluation. If you need some removed at that point, then you can do so with hyaluronidase. But wait it out for now.

Swelling Under Eye from Hyaluronic Acid, Normal or Concerning? (photo)

Answers (7)