Prolonged full-face swelling from very small volume of filler - unresponsive to hyaluronidase, what can I do?

You may have a challenging case that will require a lot of patience and multiple approaches.Prolonged edema is possible after filler injection and could be due to the filler itself or from the filler compressing on the lymphatic drainage around the eye area. Your treatment options may include oral steroid prescription, continuous lymphatic drainage massages and even RF Microneedling treatment around the eyes to help with lymphatic drainage.It is best to discuss these options with your treating physician .
Have a beautiful day, Dr.Anna Avaliani, NYC

It seems like you have a challenging case. Here are a few suggestions:

1. Anti-inflammatory Medications: Oral or topical steroids might be beneficial in reducing inflammation and swelling. Non-steroidal anti-inflammatory drugs (NSAIDs) may also be helpful.

2. Cool Compresses: Applying cool compresses can help to reduce swelling and inflammation.

3. Hydration and Diet - Staying well-hydrated and maintaining a healthy diet can support overall healing.

4. Lymphatic Drainage Massage: This can aid in reducing swelling by promoting lymphatic fluid flow.

5. Consultation with Specialist: If the swelling remains unresponsive, it might be best to consult with a dermatologist or a plastic surgeon who specializes in complications from fillers. They might have more experience in dealing with such cases.

6. Time: In some cases, it may just take time for the body to metabolize the filler and for the swelling to fully subside.

These are general suggestions and you should seek medical advice before starting any new treatment. Further, these steps should be done under the supervision of your treating physician. If you notice any worsening symptoms or new symptoms develop, you should seek immediate medical attention.