How Long Before Restylane Bumps in Tear Troughs Go Away?

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.

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.

The hyaluronic acid fillers have been an exciting treatment option for patients who have noticed deepening of the groove between the lower eyelid and cheek/nose. Due to the thinness of the skin in the area, occasionally irregularities occur. I generally like to see patients back at two to four weeks after the injection to make sure the area is smooth. If there is an irregularity, Hyaluronidase can be injected to help smooth the filler out. This part may be a little tricky even in the most experienced hands, and require a dedicated team of cosmetic surgeon and patient to get it just right,

  The bluish discoloration, called the Tyndall effect occurs when the optical qualities of the patient's overlying skin and the small particles in the hyaluronic acid reflect the light creating a bluish hue. In my experience, this is rare, and when it has occur ed seems to be self limiting. As the body metabolizes the filler and carrier, the discoloration disappears. It is never permanent. Occassionally a patient may not be aware of the discoloration of their lower eyelid skin naturally and then incorrectly attribute that to the HA treatment.