Radiesse Developed a Small Bag Under my Eye? (photo)

You have a festoon, which is a collection of fluid/swelling in the junction of upper cheek and lower eyelid area. This is a the area of the face that acts as a sponge and has tendency to collect fluid/swelling from any trauma to the upper face/eyelid area. This anatomical area may be okay for a while and a trauma, such as filler injection, can set it off.  It is also possible that something (?Radiesse) is still irritating the area, causing continued swelling.  Improvement is possible over next few months and avoiding salty diet but it may not go away.  Consult an oculoplastic surgeon for possible treatment options.

Radiesse is an FDA-Approved filler that we use very frequently in our office to sculpt the contours of the face. Since we are a national center of excellence for filler reversal, we also encounter patients from other doctors' offices who wish to have Radiesse fillers removed for one reason or another. In our office, we employ a directed technique to visualize the filler material, if possible on ultrasound, and then use non-surgical methods to dissolve the filler or granuloma tissue using intralesional injections. There are many methods using a combination of enzymes, intralesional modulators of scar tissue, and Kenalog to help reduce volume and remaining filler. These techniques require meticulous attention to detail and can be performed at intervals of two to three weeks to achieve longterm effect.

Best,
Dr. Karamanoukian
Realself100 Surgeon

    This look is most likely remnant filler.  Unfortunately, this cannot be dissolved like the HA fillers. Once it does dissolve, you could consider Restylane - a better choice for the tear trough.  Kenneth Hughes, Los Angeles