Tear trough is still blue and swollen after 4 weeks. Has my plastic surgery has given me too much filler? (Photo)

Your right lower lid is a bit puffy with a bluish hue. If you wish to reverse the effect of your Revanesse Kiss, an HA filler, you could consult your doctor for advice. Some patients may benefit from having a dissolving enzyme called hyaluronidase injected to minimize this effect.Hope this helps you.Dr. Joseph

I suggest having the filler reversed with hyaluronidase.  You have too much filler that was placed superficially and now is causing a blue discoloration and swelling.  Best, Dr. Emer.

Hi Makzz.  When tear trough injections are done well, the dermal filler is placed deep below the muscle that surrounds the eye.  If the placement of the product is too superficial (near the surface) then the patient can end up having an issue we define as the Tyndall effect.  The Tyndall effect is a phenomenon that occurs when the Hyaluronic acid based product (Ravenesse) is placed too close to the surface of the skin and light reflects off of the product creating a bluish or greyish hue to the skin.  The solution is to go back to your injector and have them use Vitase (Hyaluronidase) to dissolve the product.  It will immediately make the bump go down and should take away the bluish color as well.  Good luck.

I have no experience with this particular filler, but the tear troughs do look overfilled. I would probably recommend waiting a few more weeks to make sure the puffiness is not due to swelling and then have the filler dissolved.

Filler can be reversed partially or completely with Vitrase.  Consult your doctor about this.  Sometimes this may be the result of injecting the filler superficially under the skin where it can cause a bluish reflection in addition to appearing too full.