Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

Question

Hello; I've had under eye filler on several occasions. The new Cannual injections seem to be a mess for me. I keep getting lumps that are obvious under over head lighting and I can see green bruising under my skin where the Cannual goes in. I would prefer to have the under eye filler done with just injections like it used to be done. Is this still possible? Do Dr's find that this can help with those of us who just get a messy bumpy look?

Daniel Ezra, MD, FRCS · Answer

Generally speaking, there is a trend to always use cannulas in order to avoid bruising. This is reasonable, especially when injecting into deeper areas of the face. However, cannulas decrease accuracy in very fine areas like tear troughs. I generally use injections in this area as I would emphasise accuracy over bruising which patients appreciate in the long-term.

Raffy Karamanoukian, MD, FACS · Answer

Fillers can often absorb water in the first few days causing lumps or irregularities. I suggest applying Plato's Bruise Balm twice daily for a few days after injecting my patients. If the filler lumps do not resolve, then a small injection of Hylenex usually can correct an HA filler that is overdone. 
In some cases, Venus Viva RF can help tighten skin thereafter. 
Best 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. Keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry that your cannula results have not been what you anticipated.  Under eye fillers can still be performed with needle insertion if you prefer in the hopes of avoiding lumps but there is a much greater risk of bruising.  Cannula use does take practice so be sure to vet your injector.

Richard Ort, MD · Answer

In my hands, cannula injections reduce the risk of lumpiness.  There is also a much lower risk of bruising with cannulas.  If you have lumpiness, it is likely an injector/technique issue, not an inherent problem with cannulas.Regards,Dr. Ort

Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

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Answer: Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

Answer: Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

Answer: Lumpy filler under eye

Answer: Lumpy filler under eye

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Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

Answers (7)

Answer: Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

Answer: Lumpy filler under eye, can it be fixed? The new cannula injections seem to be a mess for me.

Answer: Lumpy filler under eye

Answer: Lumpy filler under eye

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.