Strange filler movement- Either shifted or dissipated?

Question

I had filler done around the periorbital eye area roughly 3 years ago. I never had any issues with it.My left eye looks great. My right eye looks as if the filler shifted or dissolved? Directly under my outer eyelid, my tear trough appears slightlypuffier than my normal left smooth full tear trough. Closer to and under my tear duct, it appears hollow/empty. Its not fully smooth across my right tear trough as my left. I’ve tried cheek filler which solved the issue shortly. Please help!

Anna Chacon, MD, FAAD · Answer

Thank you for reaching out with your concerns. It's not uncommon for fillers to shift or dissolve over time, especially in delicate areas like the periorbital region. Here are a few considerations and potential steps you can take:

Consultation with a Specialist: I recommend scheduling a consultation with a board-certified dermatologist or plastic surgeon who specializes in facial aesthetics. They can assess the area in person and provide personalized advice.

Ultrasound Evaluation: In some cases, an ultrasound examination can help determine the current state of the filler and whether it has migrated or dissolved.

Hyaluronidase Treatment: If the filler has shifted and is causing an uneven appearance, hyaluronidase can be used to dissolve the existing filler. This enzyme can help in correcting any irregularities.

Additional Filler: If there is a hollow or uneven appearance, additional filler might be recommended to achieve symmetry. A skilled practitioner can help to restore balance and fullness.

Regular Maintenance: Since fillers are not permanent, regular maintenance treatments may be necessary to maintain your desired look.

Alternative Treatments: Depending on your specific situation, other treatments such as laser therapy or microneedling might be suggested to improve skin texture and appearance.

Please make sure to seek advice from a qualified professional who can guide you through the best options for your situation.

Best regards,

Strange filler movement- Either shifted or dissipated?

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Strange filler movement- Either shifted or dissipated?

Answers (1)

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Recommended reading

Everything you need to know about Cheek Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.