Why do I have a small nodule under my left eye still after Restylane injections under both eyes?

Dr. Dean Kane Q & A

Q. Why do I have a small nodule under my left eye still after Restylane injections under both eyes? I had Restylane injected under my eyes for the troughs and hollowing. I noticed after 2 weeks there was a nodule under my left eye. I went back to plastic surgeon for a follow-up, and he told me it hasn’t settled yet, and to come back in a month. Well, it has been 2 months exactly today, and the nodule is still there. I still have a bit of hollowing in the trough area and shadows. Shouldn’t it have settled by now?

A.  ​The use of injectables such as Botox and Fillers are ART and SCIENCE. Knowing where to use each product with its particular nuances and how to place them, at what level, with what technique and having the patient volume to provide a reliable and consistent experience is not available to every physician. ​ ​Nodules are the body’s response to a foreign body placed in it. Restylane is a synthesized molecule which is made in the body and artificially linked to reduce its enzymatic resorption. You probably have a small accumulation of the gel causing a bump. This can be broken down with an enzyme called hyaluronidase. ​ ​Consider your next injectables with a well experienced Board Certified Plastic Surgeon or ENT Facial surgeon who understands the anatomy and surgical options of injection to obtain your best results. ​ ​I hope this has helped. All the best!

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