I had under eye filler done two years ago. I feel it’s migrated - can this be fixed without surgery? (Photos)

Hello and thank you for your question. Based on your photographs and the experience you have shared, I would recommend that you seek consultation with a qualified plastic surgeon or facial plastic surgeon in your area who has experience with filler injections and filler dissolution, as well as experience in blepharoplasty and facial rejuvenation. You would be best served by a specialist who can discuss your concerns and history (type of filler, treatment timeline, etc.) in more details, examine your face, and provide personalized recommendations (observation versus nonsurgical or surgical options) and a treatment plan that would maximize your aesthetic results and minimize and prevent any complications. Best wishes and good luck!

If you're experiencing bulging or shininess from migrated under-eye filler, there are several non-surgical options to consider for addressing these concerns:

Further Dissolution: If some filler remains, additional sessions with hyaluronidase, an enzyme that dissolves hyaluronic acid fillers, might be effective. It's important to work with a skilled injector who has experience with corrective filler treatments.

Lymphatic Drainage Massage: Gentle massage techniques can sometimes help reduce puffiness and improve the appearance of the area. A professional trained in facial massage can guide you on this.

Laser or Radiofrequency Treatments: Certain laser or radiofrequency treatments can help tighten the skin and reduce the appearance of shininess or bulging by stimulating collagen production.

Topical Treatments: Specialized skincare products aimed at reducing puffiness and improving skin texture might provide some improvement in the appearance of the area.

Camouflage with Makeup: Using makeup techniques to reduce the appearance of shininess can be a temporary solution. A professional makeup artist can provide tips on how to effectively camouflage the area.

Consulting with a dermatologist or cosmetic physician who specializes in non-surgical facial rejuvenation can provide you with a personalized treatment plan to address your concerns.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Yes, under-eye filler migration can often be corrected without surgery. If it's been two years since your treatment and you're noticing puffiness, shadowing, or an unnatural contour under the eyes, it’s quite possible that the filler has shifted or hasn’t fully broken down. Hyaluronic acid-based fillers, which are commonly used in the tear trough area, can be dissolved using an enzyme called hyaluronidase. This is a non-surgical treatment typically provides fast results, sometimes within 24-48 hours. Dissolving the migrated filler can help restore a more natural look and improve contour irregularities. I hope this helps and best of luck!

Return to your injector to ensure that all of the filler has been dissolved. Sometimes it takes multiple attempts achieve this. To help improve skin tone and texture you can explore Morpheus8. This treatment combines RF technology with microneedling. I've included a video that I hope you find helpful.

From the photos provided, it is difficult to say for sure. However, there does appear to be some volume deficit in the mid cheeks as evidenced by the incipient presence of the smile lines to the sides of the nose. If this is indeed so, then the skillful use of a robust HA volumzing filler to augment the mid-cheeks (which are a major structural support for the under-eyes, would likely smooth the transition between the cheeks and the under-eyes and mask the current bulges. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Under eye filters, AKA tear trough filters, will last for years and the area rarely need to be injected. But remember that your skin continues to age. So the way to keep the volume in the under eye area is to tighten the skin with modalities like IPL or Morpheus and add filler to the temples, another area where lots of people have volume loss.

No kind of HA filler should ever be injected into the lower eyelid, ever. Fillers don’t migrate, but they do draw a great deal of water from your body, and it starts to swell in the adjacent areas. You need to have the filler dissolved with hyaluronidase and replaced by means of fat grafting, which should produce natural and permanent results in the hands of fat grafting specialists.
I hope this helps and good luck from Leonard Grossman, M. D., organic Plastic Surgery NYC

The under eye filler appears to have migrated you did not specify what brand or type of filler was used? Best to do virtual consultation I might recommend the Endo laser treatment to sessions six weeks apart under local anesthesia to give the best non-surgical option. period fees range from $4500-$8000 again best of virtual consult