Tear trough nightmare! What can I do? (Photo)

The Restylane needs to be removed.  This requires and injection of hyaluronidase. How certain are you that this doctor used Restylane and not some other filler? Stop letting this doctor laser you.  It is harming your skin. It is not complicated. When something is not working, try something different.

Hi @Jayboo123. I'm sorry you are dealing with these complications. The dermal filler was likely not placed in the proper tissue plane. 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. Another reason for the prolonged swelling can be due to the fact that too much facial filler product was used. The filler products that are preferred to treat this area will have some degree of affinity for water molecules so all of these products will exhibit some degree of hydration and swell once injected into the body. 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!

Hello and thank you for your question. I'm sorry you had a bad experience.  I suggest having your injector dissolve the filler with Hyaluronidase injections.  This should resolve the issue quickly, although redness may linger for a while after, in which case you should see a dermatologist that may treat you with a low dose topical corticosteroid or mild laser/light treatment to reduce redness. Once all is resolved, please consult with an experienced injector that has plenty of experience treating the tear troughs.  You may even benefit from doing a skin test before the next treatment to be sure there is no reaction. Best of luck!

the picture shows that the product (filler) was placed too superficially in the lower eyelids. The fillers for under eye correction of tear trough should be injected near the bone under the muscle to prevent this tpye of complication. I would recommend to use Hylenex to dissolve the HA product in the area of concern. 

Thank you for sharing your question and posting your photographs. You should see an experienced Oculoplastic Surgeon for comprehensive evaluation and discussion of treatment options. It appears that you need to have the fillers dissolved and use of topical anti-inflammatory creams. Good luck,

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. The redness can be improved with lasers (VBeam, ProYellow, Excel V) See an expert. Best, Dr. Emer

I recommend following up with your injector. The filler can be dissolved with hyaluronidase. It may take a series of treatments to dissolve filler. Hope this helps. 

I would absolutely avoid any further laser treatment and consult a specialist to dissolve the Restylane with Hyaluronidase.  In the future please consult an expert to have the tear trough filler dissolved which will make the area heal.  Best, Dr. Green

Hello. Sorry to hear about this year trough filler complication. At this point the Restalyne needs to be dissolved with hyaluronidase which may require a few sessions with an expert provider. The red color changes in your skin are most likely from having a reaction to the filler. This should resolve after dissolving the restalyne however you also want to make sure that you’re not having a infection. Laser treatments can be considered in the future if you have persistent redness after the filler is gone. Consider a second opinion with an experienced board certified injector. Wish you the best, Dr. Ardeshirpour 

I am sorry to read about your problems to your tear troughs after filler injection. You may have developed an adverse reaction to the HA filler, which secondarily is causing the skin discoloration and reaction on the skin surface. The eyelid tissue is delicate. The hardness and lumpiness suggest that you may wish to ask your physician about "dissolving" the filler with hyaluronidase injections to the area. Hopefully, once the filler is gone your skin will return to normal, but this may take some time. Not sure that the laser is the best way to go for now. Perhaps laser therapy can be used for any persistent skin redness or vein therapy later. Hope this answer helps.