What are my options to treat asymmetry 10 years after filler? (photos)

Question

10 years ago, Belotero caused eye bags. In 2022, I had HA filler for my orbital/cheek ridge and asked MD to avoid the orbital. He put 2ml in tear troughs/cheeks. I had immediate under eye bag, which persists and exaggerates the ridge, even as the filler fades. Is re-treating asking for trouble? Does my facial structure make me less suitable for fillers? Are alternative treatments more advisable? Thank you!

Nelson Lee Novick, MD · Answer

At least from the photos and history provided, this appears to be what has come to be termed under-eye "puffy pillows."  Typically these may result from an improper choice of filler for the infraorbital area and/or too superficial placement of the filler leading to lymphatic obstruction. They can be quite difficult to treat. I have been having success in shrinking these unsightly pouches in patients who have come to me from elsewhere using an algorithm consisting of intralesional injections of varying combinations, concentrations, and amounts of anti-inflammatory agents. You would be wise to make sure to consult with a board certified cosmetic dermatologist and best of luck.

Anil R. Shah, MD · Answer

Hello happiness888! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Thank you for your question. I am so sorry to hear this! It is difficult to determine based on the pictures, I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Oakville Plastic Surgery &amp; Medspa · Answer

Your eye bags were unlikely caused by Belotero, but rather the technique used to inject the filler. Tear trough filler is a complex injection. It is important to select a skilled doctor or nurse who injects them very frequently. PRP is an alternative, however, filler gives a more effective result.

What are my options to treat asymmetry 10 years after filler? (photos)

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What are my options to treat asymmetry 10 years after filler? (photos)

Answers (3)

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Everything you need to know about Dermal Fillers

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