Will Swelling Be Inevitable After Restylane Injection Under the Eyes?

If I get Restylane done under my eyes, will I have swelling and if so, how long?

Doctor Answers 15

Eyelid swelling following Restylane injections.

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Restylane and other hyaluronic acid fillers are a popular and dependable treatment to improve the appearance of the lower eyelid areas. Since a small needle is used for placement of the filler, variable amounts of swelling and bruising do occur.  I have found that pre-and post-injection treatment with ice helps to reduce swelling and bruising and also provides an anesthetic effect.

The main factors that affect the amount of bruising and swelling are the patient's propensity to bruise, skin integrity, injection techniques, and the use of blood thinners.

Patients should allow a window of 7-10 days before any important social or work related events following the injections. This will allow for bruising and swelling to disappear.  Swelling tends to resolve in a shorter time (1-2 days) versus bruising that can last for a week.

Patients planning to have Restylane injections should consider discontinuing blood thinners, including herbal medications. Of course if  blood thinners are used for a specific medical issue, then the patient should check with their prescribing physician to be sure it is safe to stop the blood thinners.

Glenview Oculoplastic Surgeon

Some short term swelling is normal

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Dear Fiona

It is absolutely normal to have some degree of swelling under the eyes after an under eye Restylane treatment. If there is no brusing and if your have good skin integrity, then typically the swelling settles down in about 40 hours. Recognize that the treatment is placed by a tiny needle. This means that you can bruise.

The bruise can be a little skin bruise that lasts a couple of days (common 20% incidence) to something resembling a huge black eye, shinner, etc. These are rare occurring 2% of the time or less but here is the thing, it either happens to you or it does not. It is a risk of the procedure. However, this risk can be reduced by avoiding medicines that thin the blood like aspirin and ibuprofen before treatment, also many herbal products thin the blood.

In addition to looking unsightly, bruises bring their own swelling and this swelling does not go away until every element of the bruise is gone plus a couple of days. Is it worth taking this risk? Having treated thousands of patients, I can tell you absolutely. The results last well over a year and have a profound benefit to making the eyes and face look so much more youthful. So avoid things that will increase your risk of bruising. Be aware of your social calender before treatment and get treatment well before important social functions.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Restylane in the Tear Trough

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Yes it is inevitable but everyone reacts differently.  In general I would say you could have swelling all the way up to 2 weeks post injection with some bruising.

I generally recommend icing the area for the first 48 hours which decreases the bruising and swelling.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

Swelling with Restylane Under the Eyes

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As the other panel members stated, burising and swelling are always a potential side effect with these procedures.  Taking this into consideration will help you plan for possible "social downtime."  When having these types of treatments, make certain that the practitioner is experienced and with meticulous technique.  The eye area is a very unforgiving area, and proper placement of the product is needed.  Diligent icing during and after the treatment will go a long ways in controlling any bruising/swelling.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Restylane under the eyes

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Injecting restylane under the eyes may cause some bruising and may cause some swelling. The selling may be worse for the first few days and then should subside.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

You definately will have swelling after Restylane injection under the eyes, possibly for 2-3 weeks

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The eyelid tissues are very thin and sensitive. Consequently injections in the eyelid do cause swelling which can last 2-3 weeks.

You should be aware that because of the thinness of the eyelid skin, filler injections like Restylane under the eyes can cause permanent discoloration and occaisionally visible lumps.

You should also know that this is an "off label" use of fillers-two cases of blindness have been reported foillowing filler injections around the eyes-one in England and one in the US.

If you are going to do this please see an expert at this technique.

I have frequently seen patients who have had these injections and the material has been placed too low, beneath the tear trough which actually makes the depression look worse.

Everybody responds differently to Restylane eyelid treatments.

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Restylane works by attracting fluid to the area where it is injected. Additionally, eyes swell very easily. However, the amount of swelling, and how long it lasts is related to your tendency to swell. Do you're eyelids swell a lot in the morning? Do you have allergies? Does eating salty foods, make your eyes swell? All of these things are hints that your eyelids may swell more with Restylane than the average person.

My advice is that the first time you get a treatment, do it at a time that you have a week or two that you will not be very upset if you have swelling.

Hope this is helpful.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 26 reviews

Restylane and Possible Swelling

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Swelling after Restylane injections is always a possibility. However, you should know that this will be different from one person to another, as our bodies will be reacting differently to the treatment. Swelling is normal after Restylane injection treatment, as the skin is being injected and penetrated by fillers, it may cause slight irritation thereby causing the swelling. This may last for a couple of weeks, but again, this is perfectly common.

Swelling can be managed by ensuring that your head is elevated when sleeping so that fluids will not pool in your head. You may also use ice packs as these may lessen swelling. On the other hand, you will need to avoid some herbs and medications that serve blood thinners prior undergoing Restylane treatment.

For your case though, you need to know that doing Restylane injection in the area under the eyes is deemed as an off label procedure. Nevertheless, it can still be done by skilled injectors. Some swelling could happen since this area is very sensitive. Do consult your board certified plastic surgeon for this kind of treatment area so as to avoid possible after effects.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 22 reviews

Restylane Requires Short Recovery Period

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Because your skin is being penetrated during treatment with Restylane or another hyaluronic acid dermal filler, it's important that you factor in some recovery time. Though most patients experience very little discomfort, common after effects might include some redness, swelling or even slight bruising. These can usually be managed by keeping your head elevated, using ice packs to reduce swelling, and taking over-the-counter pain medications. Slight swelling for even up to two weeks is perfectly normal. You should also avoid mediations and herbs that act as blood thinners before your procedure. Consult with a board-certified dermatologist to learn more about the benefits and effects of Restylane treatment.

Swelling After Restylane Injection Under Eyes

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The treatment of the under eye area is considered off-label, but can be done by skilled injectors. You will more than likely experience some degree of swelling. The amount and duration of swelling varies from person to person and can depend on the amount of product used. You will also likely have some bruising as this area is very vascular. The swelling and bruising can last anywhere from a few days to a couple of weeks. I usually advise my patients not to have injectable treatments done within 2 weeks of an important event to allow time for resolution of any bruising and swelling.

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.