How Long Before Restylane Bumps in Tear Troughs Go Away?

I had Restylane injected in my tear troughs 9 months ago. After I had it done, you could see a little bluish mark under each eye where it had been injected and what looks like half moon ridges there under my eyes as well. There were hard bumps on each side of my eyes as well that I was told to massage with a hot cloth very hard. The bumps, I thought, went away but recently I can notice them again and they are very hard and the ridges and bluish marks under my eyes never went away. I am very self-conscious and petrified to see someone, only to have it made worse. Will it ever go away? What should I do? Please help.

Doctor Answers 19

Restylane lumps

I am sorry to read about your problem. Restylane lumps should ultimately resolve with time. I would also encourage you to consider Selphyl, which is injection of your own platelet fibrin matrix to fill the tear troughs. This will stimulate dermal collagenesis. It will take more time to create improvement than Restylane but, after the first time, you will not have any bruising.

Restylane lumps under eyes

Of course all the answers below are all excellent and I have only a few comments"

Did the Restylane achieve your goals? Are the lumps visible but not palpable?

  • If the answer is yes then there are a couple of answers. The restylane may be too superficial but then your options are to remove it and suffer the condition which originally occured; I presume hollows below the eyes
  • However, it is also likely affected by the thin quality of your skin which cannot be reversed. It is similar to saying why do you have blue veins on the back of your hand? If your skin is thin you will see nearly anything placed beneath the surface.
  • How do you hide this? Well I would advise you to use camouflage make-up. Although this may seem paradoxical and you may be asking why you had the restylane injected in the first place. Well if the Restylane filled the groove or trough or fold then it achieved a significant goal and the trade-off is the color. I like analogies so I will use one. IF you have a dent in your car they need to pull the dent out or fill it with bondo. That achieves correction in form but not necessarily in color or surface texture. The car will need painting and you may require make-up. That may be overly simplified but it makes a point.

If the Restylane did not achieve your goals

  • Contemplate having it removed by using hylauronidase (off label) or having it expressed with a needle as described by others.

I hope the helps!

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 69 reviews

It may take up to 2 years

The injection of restylane and juvaderm to the tear trough can last up 2 years and if you do not like the result it may be because of injection in to fat pockets. The best thing would be to consult with your doctor and he may inject it with Wydaze(hyaluronidase) to dissolve any remaining restylane

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.5 out of 5 stars 103 reviews


Fortunately you have had Restylane rather than a semipermanent or permanent filler. Restylane is a hyaluronic acid and should therefore go away entirely on its own.

In patients with very thin skin, filler can have a bluish hue to it.

Also, although much rarer, chronic bumps can develop. This permanent lumpiness problem occurs much more frequently in permanent or semipermanent fillers. However, the lifespan of Restylane around the eyes and even the cheeks is prolonged (up to one year) compared to when it is used in the nasolabial folds.

Hyaluronidase dissolves hyaluronic acid and would be a good choice for a problem that has persisted so long.

If you decide to do something about your eyes once your problem has resolved, you may want to consider a shorter acting hyaluronic acid such as Prevelle, which is easier to mold and has fewer swelling and lumpiness issues. It may also "get you through" the lumpy phase which sometimes characterizes the last stages of hyaluronic acid fillers.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 127 reviews

Restylane= Reversible

The placement of restylane under and around the lower eyelids is an advanced application and requires extensive experience in anatomy and aesthetic judgement. The bluish tint under the skin is called the Tyndall effect and occurs when Restylane is placed too superficially under the skin. Persistent half moon shape of restylane is likely the result of persistence of product. Restylane tends to stick around longer in the periorbital area then around the perioral area, as is the case with most facial fillers and facial fat. A study by Vartaninan , et al in Archives of Facial Plastic Surgery examined the use of Hyaluronidase and found it effective in the use of break up of NASHA (Restylane or Restylane like products). After injection with Hyaluronidase the product is no longer palpable after 24 hours if utilized properly. Hyaluronidase is more painful to administer and is more likely to cause a bruise than administration of NASHA agents.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 118 reviews

All depends on the anatomy

It should go away if it is only Restylane . By 12 month most of this material is gone. The discoloration could be from pigmentation from bruising at the time of injection.This could require more treatment

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Discuss these issues with a board certified specialist.

In the vast majority of patients who undergo lower eyelid Restylane injections, the results are excellent.Unfortunately we occasionally see patients who develop lumps, bumps, areas of hardness and eyelid discoloration following these procedures.These findings are often associated with bruising as well.This area appears to be susceptible to this type of problem because of its complex anatomy and the thinness of the underlying skin.
Although these problems may be related to swelling in the early post injection period, after nine months they are more likely related to uneven distribution of Restylane.After nine months more aggressive treatment is probably indicated.In most cases this requires injection with the enzyme hyaluronidase.
Waiting is also an option, but Restylane does tend to stick around for longer periods of time when used in the lower eyelid.
It’s important to discuss these issues with a board certified specialist.This specialist should be able to address your concerns and alleviate your anxiety.

Dissolving Restylane Bumps

It can last for several years… I have dissolved Restylane in over 20 patients under their eyes when it has been improperly placed by another injector or it has migrated. In a few of those cases the filler had been present for over 2 years before I dissolved it. Find an experienced MD in your area and have them evaluate the treatment and consider hyaluronidase

Suzanne Kilmer, MD
Sacramento Dermatologic Surgeon
4.5 out of 5 stars 4 reviews

Restylane bumps can last a while, hyaluronidase/Vitrase may be needed

These bumps can last up to 1-2 years and there is a published report of up to 5 years.  I would be careful with vigorous massage because this may cause your lower eyelid fat to bulge.  You may consider Vitrase/hyaluronidase injections to speed up this process.  Consult with a physician in person that has expertise in using this medication and discuss the risks and benefits of this procedure.

Debra M. Kroll, MD
New York Oculoplastic Surgeon
5.0 out of 5 stars 5 reviews

Restylane Bumps in Tear Troughs

Tear trough fillers can last longer than the usual 6 months. You may want to do a laser resurfacing procedure to smooth out the skin and help with the visibility of the product, or you can inject a dissolving product called hyaluronidase.

Tim A. Sayed, MD, FACS
Boca Raton Plastic Surgeon
5.0 out of 5 stars 15 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.