Bruising 4 months post Restylane Injections to tear troughs? (Photo)

I got Restylane fillers to my tear trough 4 months ago and instead of looking better, I actually look worse as the bruising has not faded 4 months post fillers, plus I don't really think the fillers did anything to improve my look (See picture). What are my options now?

Doctor Answers 2

Tear troughs

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Hyaluronic acid fillers  can be used by experienced physicians for the tear trough area.  It is difficult to identify in your photo, but discoloration may be due to lifting a previously discolored area and making it more prominent appearing. There can also be an effect seen where the area treated  takes on a deeper or bluish tint as well. It is important that you notify your physicians and have them evaluate you further. There maybe some treatments they can do to help alleviate this coloration as well.

San Jose Physician

Restylane for tear troughs

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Restylane and other hyaluronic acid fillers can be a great option for improving tear troughs.  However, often the injections are not carried out well.  Superficial injection can make the product visible with swelling and lumps.  Too much filler can cause swelling of the lids.   One consideration in patients with dark circles is that filler may make the darkness more apparent as it is lifted from the hallows.  In patients with darker skin, it is often best to combine filler with topicals, peels, or laser treatments to reduce the hyperpigmentation of the tear trough.   It is difficult to determine from the picture what exactly is going on.  It could be pigmentation from bruising ore pre-existing pigmentation that was lifted up or swelling from fillers.  I recommend seeing an expert injector in your area to be evaluated.  It pays to see an expert when considering fillers especially around the eyes.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

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.