Is This Tear Trough Swelling Normal?

Hi Bremerton.  Unfortunately, your physician does not seem to be experienced with this procedure.  There are very few practitioners that inject Radiesse under the eyes, none that we know of that mix Lidocaine in the way that you mentioned.

Although we would also suggest that you visit your injector for direction on aftercare, we also would suggest you get a second opinion about how to proceed.  Your outcome is not normal.  Hopefully the swelling is just a hematoma, but we are concerned about the volume that was injected.  This area usually does not require a large volume of product.

The treatment you received is highly unusual. Radiesse is a thick material suitable for deep injection in areas where the skin is thicker. It is not appropriate for the eyelids and certainly not 1.5 cc. The lidocaine is already absorbed and it is not what is causing the problem. I think you should see an experienced plastic surgeon to follow you. If what you are saying is accurate it is possible that you might have to have some of that Radiesse removed surgically. I hope everything goes well for you. Everything is possible. I wish you best of lock.

your doctor probably wanted to use a more dilute Radiesse as it is too thick to use for many patients near the eyelid. Your doctor may get fabulous results with this off-label technique, but it is not standard. 

When you inject Restylane in the tear trough you can get swelling. Restylane absorbs water so it’s normal to get some swelling regardless. If there’s a lot of lidocaine mixed with the Restylane, it gets absorbed in 48 hours which will make a difference in the swelling. Swelling can even last up to a couple of months around the eye area.

As Dr.Lupo stated your experience is not normal regarding either the amount or location of the injection. You need close follow up and examination for possible hematoma.