How can a bad eye injection be fixed? (Photo)
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Doctor Answers 10
Swelling under eyes
Possible causes of your fillers to appear this way under your eyes, solutions to remove them, and improving the under eye area
Let’s first understand what happened and differentiate if it’s a bad injection, reactive swelling, or displacement of the material. People with under eye bags are often averse to surgery, so they try a non-surgical option of camouflaging with filler. Filler may have value for slight eye bags, but they do have a limit. Often in these situations too much volume of filler makes their eyes more puffy, so we use an enzyme called hyaluronidase to dissolve the filler. If there is a fluid reaction to filler, then the fluid will also go away. If the filler was placed superficially and moved closer to the cheek than the under eye area, then the same solution applies. Hyaluronidase can dissolve the filler almost immediately, and you can watch the material disappear during treatment. The enzyme can be injected, then massaged, and an impressive amount is gone in one treatment. If puffiness is caused by reactive swelling or fluid, then it will take some fluid circulation before it’s gone. If the fluid lingers for a long period of time, it may be a couple of things: the material was placed very superficially, or it’s not the right material for you. In that scenario, hyaluronidase can also be useful.
There is often a way to improve the under eye area without actually directly injecting into the under eye area. We do a procedure called the Y Lift® which uses hyaluronic acid filler such as Juvederm to restore structure and balance in the face. Often people look at the under eye area as the focal point of their concerns, but when we restore structure in the cheek area, and the jawline by adding volume in a way that makes makes the face more angular, then very often the under eye is considerably improved. There are options to perceive and treat this area.
Don’t let this one negative perception or experience discourage you from doing something else in the future. If the swelling lasts for a longer period of time, you are probably better off having the material dissolved, then starting from scratch, and maybe using a different strategy. Often people come for cosmetic eyelid surgery after a bad experience with a hyaluronic acid filler where they ended up more swollen. Procedures such as a transconjunctival blepharoplasty, fractional CO2 laser, and PRP treatment are typical for my patients with under eye bags. Facial aging is a complex process even if it’s based on very simple principles of sagging and volume loss.
Rejuvenating the face to look natural at any age is really an art. I think you should investigate this first with the doctor who performed the procedure, then take it from there and maybe seek additional opinions so you learn more about your options. I hope that was helpful. I wish you the best of luck. Thank you for your question.
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Eye Injections and Correction
If you are unhappy with the injections under the eyes you should return to your treating physician for Vitrase to remove the product. Next time perhaps you should try Belotero. Best, Dr. Green
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