What to do When Experiencing Lumps or Hardness from Under Eye Filler

Thank you for your question. You submitted your question with one photo. And you stated in your question that you had
Restylane Silk placed under your eyes to treat wrinkles. And you state that now there’s a hard lump
and this is again 3 days after and you want to know if this is normal. Well, I can certainly share with you how I
counsel my patients after getting fillers in the same area as well as other areas in
order to understand what the process is. A little bit of background, I’m a Board-certified
cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long
Island for over 20 years. Helping people with their under eye area is
a very significant part of my practice both using injectables as well as surgery to help
people with under eye bags. And so when it comes to this particular area,
it is important to understand what the process is when you use a hyaluronic acid filler and
particularly something that’s on the thinner side like Restylane Silk. So to begin with, it is important that you
maintain communication with your doctor. And I can tell you that in my practice, after
doing any injectable filler or even Botox®, I routinely see my patients after two weeks. I think it’s very important, although it
is not that common for my patients to have significant bruising, this is based on different
techniques, but I would say that the timeframe that it takes for a filler to integrate and
soften, essentially stabilize, is reasonable at about 2 weeks. I notice that in your right eye, there appears
to be a slight bruise. Now it is difficult to say whether that bruise
is contributing to any significant amount to that feeling of hardness. When people describe something as being a
hard lump, it can simply be a reflection of the viscosity and thickness of this material
which is now a foreign material that is now in your body that may feel like it is very
hard as opposed to something that is more of a hard rock-like feel. Typically, a filler will feel firm but it
will not feel like it’s that strong like solid. And generally speaking, just talking, moving
and with the advice of your doctor, you can consider massaging as well as a warm compress. The most important thing is to ask your doctor
because your doctor recalls how the procedure was done and what they expect routinely from
this type of process. For example in our process, we routinely do
fillers for the under eye area. And when we do fillers under the eyes, I use
a technique using blunt cannulas. When I use blunt cannulas, I generally find
that I can minimize the amount of bruising as well as minimize the relative trauma to
the skin because of the strategic placement of entry points. This way, if I get a call or my patients sends
a photo that my staff asks me to review, I know the circumstance in which that procedure
was done so I can then advise them accordingly. We do a procedure called Structural Volumizing. Again, it’s a technique of placing a material
using blunt cannulas under the muscle or between the muscle and the bone. Again, this is also something that we’re
very familiar with and it is something that I would know how to counsel my patients if
they have any concerns in the first 48 hours or 72 hours. And of course, I also leave the door wide
open. I always tell my patients, even though you’re
scheduled to come in at 2 weeks, you should come in just for any question or concern where
an examination probably will be more productive. You know, when patients send you photos, photos
can be somewhat challenging to interpret because they’re two dimensional representations
of a three dimensional life. And when you also describe something through
the phone or even using video conference type of methods, once you’re actually in the
presence of the doctor, the doctor can actually examine you and say, “Okay, this feels right. It looks right.” It might help manage any concerns you have
about what is actually going on especially if this is the first time you’ve had a filler
done or filler done in this area, it might just be best, for peace of mind to just see
your doctor in person. So I think that’s worth considering as you
learn about what to expect having the procedure done this way by your doctor. So I hope that was helpful, I wish you the
best of luck and thank you for your question.

9 thoughts on “What to do When Experiencing Lumps or Hardness from Under Eye Filler

  1. I had fillers put in my high cheeks area near my under eyes 2years ago and It formed a lump . Does getting it dissolved effect the quality of the skin in the area?

  2. Please explain about the Tyndall effect. I have Tyndall effect. I also had a lump. Does Tyndall effect go away after all the filler dissipates? I had some removed with hydrolyaise but Tyndall look is still there.

  3. Doctor, aside from your expertise and medical knowledge, the sound of your voice is calm,confident & reassuring. I wish that you had a practise in Canada.

  4. Dr Prasad your educational videos are very informative! I really learn a lot from them. I got under eye filler, itโ€™s been 3 weeks now. Small lump and under eye bag formed under my right eye. I tried twice dissolving it 1 week apart, the lump has softened but swelling persists and lumpy feel still persists too!! Can you help in this regard!

  5. I have had under eye filler 9 days ago, i developed a bag under my left eye within two days of getting the filler done.. its been over a week and the โ€˜bagโ€™ isnโ€™t going down, Iโ€™m feeling paranoid, and has made the undereye worse.. please help

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