I had filler place around my cheek bones to support the under eye and rid the hollowness under my eyes. I guess it’s a newer technique instead of just going into the tear troughs. It was maybe a year ago that I had it done. Does it look like it’s migrating? I’m getting a deep dimple around my nose (t-zone) that I never noticed before and seems to be get getting worse.
August 22, 2022
Answer: Migrating Filler Hi there! As an oculoplastic surgeon, I have performed thousands of injections of filler in order to address under eye hollows including the tear trough deformity (which is the nasojugal groove). Oftentimes, I place filler in the nasojugal groove (aka tear trough) directly and at the lateral orbital room if there is a hollow there. I also place it in the cheeks at the zygomatic arch to address volume loss because that contributes to under eye hollows. This cheek placement may explain why your injector put the filler in the cheeks for the under eye hollows. The picture sheds some light on the situtation, however, a photo without smiling is perferred as the orbicularis muscle contracts during smiling and can hide filler and under eye hollows. It does appear that there is some filler on your right in the T zone - since I can see it even with smiling. The solution would be to have a skilled injector dissolve that zone of migrated filler by using hyaluronidase, the enzyme that dissolves filler, which is made of hyaluronic acid (which most fillers are). If it does not dissolve and improve with this injected medication, then it is another filler (possibly Radiesse) or facial anatomy. I hope this helped!
Helpful 1 person found this helpful
August 22, 2022
Answer: Migrating Filler Hi there! As an oculoplastic surgeon, I have performed thousands of injections of filler in order to address under eye hollows including the tear trough deformity (which is the nasojugal groove). Oftentimes, I place filler in the nasojugal groove (aka tear trough) directly and at the lateral orbital room if there is a hollow there. I also place it in the cheeks at the zygomatic arch to address volume loss because that contributes to under eye hollows. This cheek placement may explain why your injector put the filler in the cheeks for the under eye hollows. The picture sheds some light on the situtation, however, a photo without smiling is perferred as the orbicularis muscle contracts during smiling and can hide filler and under eye hollows. It does appear that there is some filler on your right in the T zone - since I can see it even with smiling. The solution would be to have a skilled injector dissolve that zone of migrated filler by using hyaluronidase, the enzyme that dissolves filler, which is made of hyaluronic acid (which most fillers are). If it does not dissolve and improve with this injected medication, then it is another filler (possibly Radiesse) or facial anatomy. I hope this helped!
Helpful 1 person found this helpful