I initially met and consulted with 4 very highly rated plastic surgeons in Scottsdale, AZ. When I finally met Dr. Saba Ghorab, I knew she was the one I would trust to perform the surgery. A very skilled, compassionate and caring surgeon, she really spent ample time listening to me, answering all my questions, and addressing my concerns. We had an instant connection, and she perfectly understood my expectations. Her attention to details, honesty, and empathetic attitude truly helped alleviate my stress during and after the surgery. I highly recommend Dr. Ghorab, you will love her personality and commitment to excellence.
Hi, Thanks for sharing your story and photos. 1. Firstly, It is difficult to make definitive recommendations from the history and photos posted. A thorough clinical exam is needed to determine the nature of the swelling and overall eye aesthetics. 2. Under eye filler injection may lead to lymphedema. With lymphedema, the lymphatic channels of the lower eyelid are flooded with filler and unable to do their job in draining fluid from the surrounding areas. This leads to swelling that may fluctuate. The best way to overcome or correct lymphedema is to dissolve the excess filler. 3. The under eye area is quite delicate and I would be careful about injecting more material (be it fat or filler) to "chase" the current fullness. It may lead to an unnatural, puffy look. It's difficult to reverse this, especially if fat is used. 4. My general approach would be to consider: a) Conservative hyaluronidase injection to first dissolve the filler fullness. b) If you're left with unsatisfactory hollowing or contour issues after, I'd likely re-inject more filler. Seems counterintuitive, but filler injection technique and location of filler placement matter! It's important to inject from below, preferably with a blunt cannula, for a filling effect that abuts and lifts up/into the tear trough hollowing rather injecting directly into the hollowing and thereby running the risk of injecting into the delicate lower lid tissues (cue in tyndell effect and lymphedema). Additionally, filler selection matters! Side note - while hyaluronidase is a game changer for reversing unfavorable effects of hyaluronic acid (HA) filler injections, it will dissolve your native HA too. It's important to be conservative and do serial injections, if needed. Be sure your injector knows how to dose and treat your problem areas. Perhaps a long-winded answer but I hope this helps with your question about hyaluronidase injection for under eye swelling after filler injection. Thanks and take care Dr. GhorabSaba Plastic SurgeryScottsdale, AZ This is a good question and an issue that I'm quite familiar
Hello, Firstly, I think you have beautiful eyes! That said, I am all about exploring possible treatment options for something you're less than happy with. In looking at your one photo, I would NOT recommend an upper blepharoplasty. Upper eyelid surgery is primarily indicated for loose, redundant skin or excessive fullness from prominent/bulging soft tissues and orbital fat pads in the upper lid area. In fact, upper bleph may worsen or create a new hollowing or sunken look if it's poorly done! It's worthwhile to see a facial plastic surgeon for a more complete exam of your eyes and discuss alternative treatment options (happy to see you if you're ever in the Scottsdale, AZ area). If you have a tendency to squint excessively, botulinum toxin injection (using a productive like Botox or Disport) would give you a bigger, brighter eye look. Lastly, some surgeons will inject fat around the eye area to improve age-related volume loss. At first glance, I wouldn't recommend this for you either. I hope this helps. Thanks and take care Saba Ghorab, MDSaba Plastic SurgeryScottsdale, AZ
