I had under eye filler (<0.5ml under each eye) to help with making the area under my eye look less hollow & slight eye bags look less obvious. One eye looks like the filler is too high. So on the bottom of the eye bag not just below it. Both look like too much filler so the area above and below the filler looks flatter. Would it be best to dissolve the ‘too high’ eye & re-do it lower, then see if both settle, or have I been overfilled so beat dissolve both?
October 14, 2018
Answer: Under Eye Hyaluronic Acid Filler Results May Last Quite A Long Time Injectable natural fillers, such as hyaluronic acid-based fillers, are generally broken down by two major processes: ordinary metabolism and mechanical pressure and motion on the area into which it is injected. Metabolic breakdown is a rather sluggish process, while mechanical breakdown may occur quite rapidly. It is the reason that fillers placed in mobile areas, such as smile lines and particularly around the mouth have relatively short durations of effect. One of the side benefits of filler treatment under the eyes is typically a prolonged duration of results, since mechanical pressure on the injected filler figures very little in this region. So, it is not uncommon for filler results to remain for two or more years. For this reason, I would be inclined towards dissolving the unwanted filler results with hyaluronidase, rather than waiting for them to resolve on their own, and then re-treating properly. I would strongly urge that you consult with a board certified aesthetic physician with experience and expertise not only in the proper use of hyaluronidase, but in the injection of the under eye region, since this is not an area to be left to novice, cut-rate or medspa-type injectors. I would caution against the use of fillers, such as ordinary Juvederm for this region, since this fillers holds on to tissue fluid and can cause the kinds of swellings seen in the photos. I would also caution against the use of plain Restylane, as this filler may give rise to lumps and bumps. In my NY practice, I typically opt for Belotero Balance, since this smooth, cohesive filler possesses little to no tendency to engender the unwanted bluish/gray Tyndall Effect when injected superficially into the delicate under eye tissues. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I would choose Teosyal Redensity II for this area). Do your "due diligence and going forward, seek consultation and treatment by a board certified aesthetic physician, and make sure to ask to see his/her personal befores and afters before agreeing to proceed. Best of luck.
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October 14, 2018
Answer: Under Eye Hyaluronic Acid Filler Results May Last Quite A Long Time Injectable natural fillers, such as hyaluronic acid-based fillers, are generally broken down by two major processes: ordinary metabolism and mechanical pressure and motion on the area into which it is injected. Metabolic breakdown is a rather sluggish process, while mechanical breakdown may occur quite rapidly. It is the reason that fillers placed in mobile areas, such as smile lines and particularly around the mouth have relatively short durations of effect. One of the side benefits of filler treatment under the eyes is typically a prolonged duration of results, since mechanical pressure on the injected filler figures very little in this region. So, it is not uncommon for filler results to remain for two or more years. For this reason, I would be inclined towards dissolving the unwanted filler results with hyaluronidase, rather than waiting for them to resolve on their own, and then re-treating properly. I would strongly urge that you consult with a board certified aesthetic physician with experience and expertise not only in the proper use of hyaluronidase, but in the injection of the under eye region, since this is not an area to be left to novice, cut-rate or medspa-type injectors. I would caution against the use of fillers, such as ordinary Juvederm for this region, since this fillers holds on to tissue fluid and can cause the kinds of swellings seen in the photos. I would also caution against the use of plain Restylane, as this filler may give rise to lumps and bumps. In my NY practice, I typically opt for Belotero Balance, since this smooth, cohesive filler possesses little to no tendency to engender the unwanted bluish/gray Tyndall Effect when injected superficially into the delicate under eye tissues. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I would choose Teosyal Redensity II for this area). Do your "due diligence and going forward, seek consultation and treatment by a board certified aesthetic physician, and make sure to ask to see his/her personal befores and afters before agreeing to proceed. Best of luck.
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October 13, 2018
Answer: The Most Important Aspect of Facial Aesthetic Treatment (Under Eye Hollows) Hi Bobella,Sorry to see that your lower eye hollow injections are unsatisfactory. I would advise you to consult with an expert physician filler injector for evaluation and correction. After examination, I would either dissolve the excess filler with hyaluronidase and/or use Restylane to smooth out the area. The most important aspect of any facial aesthetic treatment to choose your treating physician most carefully based on their skill, knowledge, experience, and natural artistic vision. Good luck and be well.Dr. PEncino, CA
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October 13, 2018
Answer: The Most Important Aspect of Facial Aesthetic Treatment (Under Eye Hollows) Hi Bobella,Sorry to see that your lower eye hollow injections are unsatisfactory. I would advise you to consult with an expert physician filler injector for evaluation and correction. After examination, I would either dissolve the excess filler with hyaluronidase and/or use Restylane to smooth out the area. The most important aspect of any facial aesthetic treatment to choose your treating physician most carefully based on their skill, knowledge, experience, and natural artistic vision. Good luck and be well.Dr. PEncino, CA
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