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Bag under my eye after Restylane 3 weeks ago.

shutterstock_29691433 Question from Costa Rica, CR  I was a football player, with two big lines and a big edema or bag inside. The doctor recommend radio frequency but I still look horrible. He asked me to take diuretic and I don’t really want to take them…what can I do? Dr. Dean Kane, board certified Plastic Surgeon from Baltimore Answers Restylane is a hyaluronic acid (HA) (naturally made in the skin) filler indicated for use in the dermal skin to reduce and soften lines. Its nature is to attract water to give the skin a natural sponginess and resistance against the formation of a fold creating a line. The skin is cross-linked to the underlying soft tissues and bone by a 3 dimensional mesh of microscopic fibers and tissue layers. This is important so these injectibles stay in place and don’t meander down to the ankles. ​Fillers are used to increase the volume of the skin and aging sagging or volume lost soft tissues. Injecting them within these fibrous spaces allow them to attract water and volumize or fill the area for a more rejuvenated and fuller appearance. ​​There are many injectors which use a thin HA, like Restylane, Juvederm Ultra or Silk in eyelid wrinkles to soften them. If the filler is injected into the wrong, thinner soft tissues of the eyelid instead of the dermal skin, they will expand into a “water-filled” bag as you have described. Fillers were themselves cross-linked to maintain themselves for longer periods of time without the natural enzymes breaking them down so your swollen eyelids may not reduce for many months. ​​You may wish to obtain a consultation from a well experienced board certified plastic surgeon or other expert injector to consider your immediate and longer term options. These include: anti-histamines, hyaluronidase enzyme to quickly dissolve the HA injected and then other non-surgical, minimally invasive and surgical options. ​ ​I wish you well. I hope this was helpful! All the best!   Dr. Dean Kane www.DrDeanKane.com DeanKane@DrDeanKane.com 410-602-3322
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