Is this late onset swelling OR migrated filler? How to fix the problem without using hyaluronidase? (photos)

Question

In Dec I got under eye filler, placed only in the area from the middle area to the outer part of the under eye, as the inner parts (close to nose) were still filled from the last time (3-4 years ago). It looked great until I had the flu 6 weeks later. Suddenly I noticed the injected part to be a bit swollen and even after I got better, it still looked the same. Whenever I had lumps prior, I would massage and it would turn out great. Does it look like the filler migrated below into my cheek?

Eric M. Joseph, MD · Answer

I am suspecting overcorrection since you have a bit of a bluish hue to your under eyes skin. This is the Tyndall affect. This is associated with hyaluronic acid filler in the under eye area. You may wish to consider consulting your doctor about having the dissolving enzyme as a treatment. Wishing you well moving forward. Sincerely, Dr. Joseph

Michael A. Persky, MD · Answer

Hi BL,
It is possibly migration of filler.  It would be much better to examine and evaluate in person.  The best treatment without using hyaluronidase would be ultherapy directed at the swollen area.  Feel free to contact our office to schedule a virtual or in person consultation.  Good luck and be well.
Michael A. Persky, MD
Encino, CA

Anna Chacon, MD, FAAD · Answer

It could be either late-onset swelling or migrated filler. Late-onset swelling can occur due to inflammation, infection, or even an immune response. Filler migration can also occur, though it's less common.

As for fixing the problem without using hyaluronidase, here are some potential options:

1. Anti-inflammatory Medication: If the swelling is due to inflammation, taking over-the-counter anti-inflammatory medications may help reduce the swelling.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling and discomfort.

3. Avoid Pressure: Try to avoid touching, massaging, or applying pressure to the area, as this can potentially cause the filler to migrate further.

4. Wait it Out: If the filler has indeed migrated, it will naturally break down and be reabsorbed by your body over time. The duration depends on the type of filler used, but it can take anywhere from several months to a couple of years.

However, it's important to consult with your physician or the professional who administered the filler. They will be able to provide a more accurate diagnosis and appropriate treatment plan based on your individual circumstances.

Jacquelline Leva, DO · Answer

It may be due to the flu. You had an inflammatory response. Sometimes, if it's a severe flu can be up 6-8 weeks Otherwise, I would just melt it with the hylaronidase.

Is this late onset swelling OR migrated filler? How to fix the problem without using hyaluronidase? (photos)

Answers (4)

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