How should I deal with bumps and bruises after Restylane?

Restylane under the eyes can leave bumps which typically are small collections of Restylane secondary to the very thin nature of the under eye skin.

Bruising typically will resolve on its own. The bumps may not. Your treating physician can treat these with Hyaluronidase. However you may still have some unevenness that only time will fix.

I hope this helps.

J.J.,

Injections around the eyes should always be done by someone with extensive injection experience.  However, even with experienced injectors, you may get a bump or lump.  This may be due to the injected material, a reaction to the material, a bruise, or just swelling. 

If the area does not smooth out over a few weeks, then it may be necessary to inject the area with a special medication (hyaluronidase) which will help dissolve the product.  The hyaluronidase breaks apart the hyaluronic acid which is found in Restylane and Juvederm products. 

Good luck and hopefully you will have a nice trip abroad.

Restylane will not last more than 2-3 months, It is not the best choice for under the eyes because of the bruising and short correction time.Request local anesthesia with Lidocaine to constrict the vessels and therefore avoid or minimize bruising.I have great results with Radiesse in that area.

The lower lid skin is the thinnest skin in the body and placement of filler there must be done carefully to avoid exactly what has happened. Massage in this area works well. What you are trying to do is spread or flatten the product by pressing it against the bone with the pad of your finger. If you are unable to do this on your own, you should return to the physician who placed this so that he may help you.

If massage fails than and you are unable to achieve a good contour,  I would inject hyaluronidase to dissolve the product. Your appearance at this long awaited event is more important right now than the money you spent on this product. At least there is a simple solution to this problem.

I wish you good luck

Bruising is a common occurrence after injection especially around the eyes.  Unfortunately, because the eyelid skin is very thin, you may see or feel lumps or bumps.  I always tell patients that for the first few days they can massage the area to flatten this out.  If it doesn't flatten by massage at this point, then some physicians will either make a small nick in the skin to express the product or inject a little hyaluronidase to basically dissolve the filler.

Any filler can cause swelling or bruising.  usually this is avoided or minimized by avoiding aspirin, ibuprofen or other medications that can worsen bleeding, using ice prior to and immediately after injection and by having a doctor with a good injection technique.  Sometimes despite all best efforts there will be bruising.  The usual bruise can last 3-7days depending upon the patient.  Swelling from fillers usually subsides over 2-3 days.

If there are bumps or lumps that persist beyond the first week or if you see a bluish color to the skin, you should consider that they are from too much filler or filler placed too close to the skin surface.  In these situations you can reverse or diminish the bumps using an enzyme called hyaluronidase.  NOTE - This only works for hyaluronic acid fillers ( Restylane, Juvederm etc).  A small amount of this enzyme injected into the bump will dissolve the excess product and soften the lump.

If you think this is your case then consult your physician for evaluation and possible injection with hyaluronidase.