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Helllo,We are curious how this area appears when you are not smiling. However, based upon your history, it appears that you may have had the filler placed too far below the tear trough area which is allowing for it (filler) to create these bulges. Hence, the changes to the cheeks. Besides incorrect location, you may also be over-filled. As Dr. Emer suggested, you may have this reversed/dissolved using hyaluronidase. We have corrected many poor "tear trough" treatments from outside of our practice for similar outcomes. Please see the below link for additional information.Regards.
Thanks for posting your photos. I cannot tell the exact cause, but it is likely swelling or overfill or appropriate fill without fanning into the cheek. I suggest you see your injector and have an examination of the area.Best wishes, Dr. ALDO
These deep creases are the result of an hyperactive muscle that uplift the lip too widely. Some careful Botox or Dysport injections can reduce the exaggerated gummy smile and deep creases.Christian Drehsen, M.D.
Indentations at the junction between the cheek and the eyelids are usually due to lack of tissue (fat, subcutaneous tissue and bone). It gets worse as you age due to the loss of volume of the bone just underneath.It can be genetic or happen due to massive weight loss or age.There are both surgical and minimally invasive options. The most common is the use of fillers as you have had.Unfortunately, it's difficult to tell you what happened, especially since your pictures are with you smiling.You can always have the filler removed with a substance called hyaluronidase. Best of luck.
This is tough to answer without a before and after picture. If you're unhappy with your final results with Restylane, you can have it reversed with hyaluronidase and try a different technique next time. Keep in mind, a combination approach is needed to get the most improvement in this area. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. EmerSee an expert. Best, Dr. Emer
This is tough to answer without a before and after picture. If you're unhappy with your final results with Restylane, you can have it reversed with hyaluronidase and try a different technique next time. Keep in mind, a combination approach is needed to get the most improvement in this area. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals.
Thank you for your question! Two weeks might be too long. However, I do not "save" any fillers for patients because there's a higher risk of infection once the sterile packaging is open. Speak with your injector before any treatments. Best of luck!
Under eye hollows are tough. It is sometimes over correction and has to be reversed, but swelling is common because HA fillers draw water. I like PRP under the eyes, but the look takes time. Hope this helps. JB
It's hard to tell from the photo what exactly is going on, but I can see a sore on your lip. This can be treated and possibly prevented in the future with antiviral therapy. I suggest a second opinion with an experienced injector about your results.Best wishes, Dr. ALDO :)
