Swelling \ Uneven Area Under Eyes? Should I Remove It?

    If there was no significant bruising and there has been a period of two weeks after injection, the Restylane can be dissolved or more filler can be placed depending upon what the situation merits.  Kenneth Hughes, MD Los Angeles, CA

Dear Zazifon,


I also wait at least 2 weeks before evaluating the effects from Restylane

The eyelid skin is very thin and just a little swelling is visible and can distort the final product

You should see your injector at the 2 week mark and see what can be done


Best regards,

Nima Shemirani

Swelling and/or bruising are often indicated post-Restylane or any dermal filler treatment. Waiting sometimes up to two weeks for this to reside is a great idea. Allowing for the majority of swelling to come down will give you a better indication of whether or not you need more, less, or massage.

Wait 2 weeks until all of the swelling has resolved.  If you are still unhappy with your result, please return to your doctor for assessment.  If the filler was a hyaluronic acid filler such as Restylane or Juvederm, it can be dissolved if necessary.

Always wait two weeks prior to dissolving any filler because the normal post-procedure distortion/swelling may take that long to resolve. If you have swelling at two weeks, I would consider dissolving the material.

On the other hand, if you feel that the under eye hollowness is still there without much improvement or swelling, further correction of tear troughs can be achieved by building up cheek volume to soften the transition from the eyelid skin to the upper cheek skin. This may help with the lines in your cheeks as well.

I would wait the full 2 weeks after injection and then assess. I assume it was Restylane that was injected? So a small amount of hyaluronidase can remove the overfilled area. But it's really best to wait until all swelling has gone down, otherwise, you can overcorrect in the wrong way and have too much removed.