How Long Before Restylane Bumps in Tear Troughs Go Away?

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!

What you are describing is the tindell effect that can sometimes happen when fillers are injected too close to the skin surface.  Typically when restylane is injected directly on the orbital bone this should not happen.  Restylane injections in the tear trough can last up to a year.   If you are noticing bluish marks, it is possible it was injected improperly.  Because restylane is a hyaluronic acid it can be dissolved by inject hyalaruonidase.  You should see a facial plastic surgeon or dermatologist to have this done which can dissolve the remaining filler and have it reinfected properly. 

Within 7-10 days, any irregular contour or lumpiness should subside. If it persists, then you should see your treating physician, who can administer hylenex to dissolve any excess product. 

Hope you found this answer helpful.  All the best!

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.

If left untreated, restyalne and juvederm can be apparent in the tear trough for 18-24 months.  Massage is a good first stop to correcting irregularities in the tear trough but, if this is unsuccessful, simply "dissolving" the product with hyaluronidase is a simple, safe, and effective solution.  You don't have to live with a result you do not like!

Unlike lips or Nasolabial lines, treating tear trough is much more difficult and technique dependent.  Only experienced and skilled doctors ought to perform this procedure.  It seems that you might have had your lids treated in suboptimal fashion if you had visible and palpable ridges from the outset.  Restylane can last up to 2 years in lower lids, which is great if it is done properly.  Unfortunately in your case you might have those lumps for a while longer, unless your doctor decides to melt them with Hyaluronidase.

We have found that Restylane injected under the eyes last much longer than in other ares of the face. This is because the Restylane degrades more quickly around the nose and mouth because of the increased movement associated with smiling, laughing and talking. You do not have the same movement under the eyes. In this area, we have had the product last up to 1 year, but normally it is completely gone after about 9 months.
We suggest that you go back to your original injector or perhaps a different one if you are not comfortable with the first. Be evaluated to see if the product is still malleable (does it move around under the skin). If it is still soft and malleable under the skin you should probably ask to have Hyaluronidase injected to dissolve any product that is left. This may help with the bumps and bluish color. On the other hands if the bumps are because of scar tissue created by the initial injections then you have a different type of issue. This is why it is imperative to be evaluated again to determine next steps.

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.