Swelling and white lines after Restylane in Tear Trough 8 days after treatment. Why is this? Will it all settle down? (Photo)

Question

Had restylane injected into tear troughs 8 days ago. Ridges near cheekbones disorting shape & White lines along my tear trough. Seen Doc since, said ridges is swelling. He suggested Hyaluronidase injection yesterday in both sides to reduce swelling. But booked back in Friday to re-assess the swelling. He said white line is where skin in the tear trough was flat/hollow & has now been lifted, new/unexposed layers of epidermis that are now visible, discolouration could take up to 2 months to even.

Kyle Coleman, MD · Answer

Swelling can be normal after injections of the tear trough.  This can be most prominent for the first few days.  However, if too much volume is injected, it may compress the drainage of the area leading to increased malar bags like you are experiencing.  At 8 days, this may still subside.  You and your physician are on the right track, give it a few more days and if its not better, reduce with small amounts of hyaluronidase.

Mitesh Kapadia, MD, PhD · Answer

Eight days is definitely too early to gauge the success of the injections and way to early to consider hyaluronidase. Let the product settle in for a full three weeks and then see your doctor if you are still unhappy.In the photos you sent, it looks like the main problem is loss of volume in the cheek. Patients who need fillers in their lower eyelids often also need volume in their cheeks. If you only treat the lower eyelids, the eyelids will look full compared to the cheeks. Again, it is too early to tell based on your case, but if everything stays the way it is, I would recommend adding some filler to your cheeks to balance the filler in your eyelids. Good luck!

Swelling and white lines after Restylane in Tear Trough 8 days after treatment. Why is this? Will it all settle down? (Photo)

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Swelling and white lines after Restylane in Tear Trough 8 days after treatment. Why is this? Will it all settle down? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.