Lymphatics being damaged after tear trough filler? (Photos)

There is nothing wrong with your lymphatics. The problem is runny filler and a lack of knowledge on the part of your injector. Belotero is a horribly runny filler that does not belong under the eye. Mix it with Restylane that is the right product for that area and you end up with a hybrid mix in the lower eyelid that is also runny. The fix is removal with a large dose of enzyme. Baby squirts of enzyme are not going to get the job done. There is no substitute for a personal assessment. Your eyes can be your best feature.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

It is absolutely true that filler can compress or obstruct the lymphatics under the eyes preventing adequate drainage and give rise to the kind of "pale puffy lower eyelid pillows" seen in the photos. It can be a very difficult to problem to treat. I have personally had success, and this has been confirmed in a recent medical paper on the subject, that very high concentrations of hyaluronidase placed in boluses along the "pillow" can lead to shrinkage. Usually two to three treatment sessions are required to achieve optimal results. Make sure to consult with an experienced. board certified aesthetic dermatologist, and best of luck.