Hello Dr. Naderi,
4.5 years ago, I had Restylane injected in the undereye/top of cheekbone hollow, and ended up with terrible results. The eye hollow skin was permanently discolored (darkened/blueish). I am still faced with that discoloration, along with an assymetrical lumpiness 4.5 years later!
I am now considering Perlane to lift up my cheeks a bit, and I watched your video on YouTube. Is it likely that I will have the same bad reaction to filler in my cheeks, or was my awful undereye experience a result of thinner skin, veins closer to the surface, or poor technique (or a combination)? Bottom line – because I had a problem with undereye injections, should I avoid injections uniformly? I have had Botox injections for a number of years with much success, but I am terrified of ending up with blue skin and moving lumps in my cheeks! Additionally, will the cheeks require as much recovery time as the undereye area? I was horribly swollen and black and blue for a good ten days, with an exceptional amount of pain and almost flu-like symptoms following the undereye Restylane procedure.
One last question- is there anything to be done about the discoloration and solid undereye lumpiness? I try to hide it with makeup…any other suggestions?
Thanks in advance for your help!
Sounds like you had a very rough experience with the lower eyelid tear trough Restylane injection. Your results may have been a combination of poor patient selection and poor injection technique. Patients with very thin skin in that area should avoid injections. The injections should be in small amounts directly on top of the bone and not into the muscle or fat or skin itself. There may be small bruises but considerable bruising and pain equals a rough injection technique.
Your lumpiness at 4.5 years cannot be restylane. Its most likely scar tissue or otherwise. I would suggest seeing a good Oculoplastic surgeon and seeing what he/she suggests.
The bluish discoloration may be from permanent bruise tattooing or from what is known as the Tyndall Effect which is an optical phenomenon.
Here is the midface fillers technique you referred to that my video shows:
In this technique the filler is in an area with much thicker soft tissue overlay and with the use of a safe filler and good technique, the risks of lumps and bumps and discoloration is much less than the injection under the eyelids. But again, its technique dependent.