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HA fillers do last longer than stated.Sometimes we use MRI but MRIS are hard to get approved and take a long time. We are now using Ultrasound more and more.
Delayed swelling after filler is a well known side effect. Even small amounts of filler can migrate down and accumulate fluid. You should see your board certified dermatologist. The eczema should be evaluated as well.
This might be from muscle pulling your chin down. I would discuss neuromodulators with your doctor for this area.
I think for permanent results I would consider looking into liposuction. It’s permanent and can be done safely in the office. Often times it can be cheaper if not the same cost as coolsculpting.
It’s hard to say if it’s muscle. Does it tense like muscle? I would try higher doses of Botox with direction insertion into the muscle. Definitely see a board certified dermatologist!