Worse under eye area after filler. Will only hyaluronidase resolve this? (Photo)

The way that enzyme works, is that it brakes down the chemical links that hyaluronic acid has and it dissolves it completely. There are different techniques to apply under eye filler, and different hyaluronic acid densities. Maybe your injector didn't choose the right one.

Please return to your provider as soon as possible and ask for it to be dissolved. Based on the photos you have provided it appears the product may have been injected too superficially. The skin under the eyes is very delicate and if filler is not placed properly, it can lead to the formation of a "bag"-like appearance.

Hello and thank you for the question. Your photographs provide a somewhat limited view for assessment. Many factors can be at play when determining the final result of a filler injection. Some patients will require touch up treatments after their initial injection while others may need hyaluonidase to dissolve the filler for various reasons. On review, it does appear as though there is some volume deficiency/assymetry along the nasojugal grooves, and possibly some swelling, although again, the photos are not clear enough to distinguish this. I would recommend an examination by your initial injector, or a board certified facial plastic surgeon to guide you on the best way to smooth out the contour in these regions.