How can I resolve swelling/malar edema following hyaluronidase? (photo)

Question

I had restylane filler in under eye troughs 6 mos ago. I had it dissolved as it was too full. Now I have malar edema/festoons under my eyes. Is this swelling that I need to have patience with or should I try another round of hyaluronidase? I've also heard a course of steroids could help with the swelling.

Nima Shemirani, MD · Answer

Hi @cmcaulic. I would recommend trying a RF microneedling device like Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Steven F. Weiner, MD · Answer

I believe that further hyaluronidase is needed in the malar area. I think that HA is blocking the lymphatic flow. I would try another round. I have never seen hyaluronidase cause malar festoons.

How can I resolve swelling/malar edema following hyaluronidase? (photo)

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