When living in another provide I had filler done directly in the tear troff twice with no issues. I moved and was told a Cannula is "now being used" & 4 months later a small bulge appeared under my rt eye. Dr's responses are "its you" (allergies, ect) . Dr after Dr, finally Dr's are saying yes, cannula can cause damage under eye. It's been about 1.5 since I've had filler and just don't understand the damage, how to fix it and how I can get back to looking great. Recommendations?
Answer: Cannula Technique / Tear Trough Filler - Improving Under Eye with Injectable Fillers, Lasers, Fraxel, Microneedling/PRP Based on your photo and description, it's difficult to tell what precisely caused the damage under your eye.I use cannulas often in my practice for their many benefits. A cannula has a blunt end that can manipulate its way through the skin to hit the deep fat pads and superficial wrinkles. This limits bruising, swelling, and reduces the risk of complications. It also causes less pain and results in minimal downtime.I suggest getting a formal evaluation with an experienced cosmetic dermatologist to determine the cause and develop a treatment plan for you moving forward. Best of luck, Dr. Emer
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Answer: Cannula Technique / Tear Trough Filler - Improving Under Eye with Injectable Fillers, Lasers, Fraxel, Microneedling/PRP Based on your photo and description, it's difficult to tell what precisely caused the damage under your eye.I use cannulas often in my practice for their many benefits. A cannula has a blunt end that can manipulate its way through the skin to hit the deep fat pads and superficial wrinkles. This limits bruising, swelling, and reduces the risk of complications. It also causes less pain and results in minimal downtime.I suggest getting a formal evaluation with an experienced cosmetic dermatologist to determine the cause and develop a treatment plan for you moving forward. Best of luck, Dr. Emer
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January 25, 2019
Answer: Fixing Damage After Filler Injection With Cannula Anything can cause damage when not used properly. I don't know the specific details of your injection, but I think in your case this may be more due to improper injection and placement of the filler rather than blaming the cannula itself. If you had a Hyaluronic Acid based filler such as Juvederm or Restylane I would recommend you try dissolving the filler with Hyaluronidase to see if it improves. Make sure you see a physician who is experienced in dealing with filler complications for an in-person consultation and evaluation. Best wishes.
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January 25, 2019
Answer: Fixing Damage After Filler Injection With Cannula Anything can cause damage when not used properly. I don't know the specific details of your injection, but I think in your case this may be more due to improper injection and placement of the filler rather than blaming the cannula itself. If you had a Hyaluronic Acid based filler such as Juvederm or Restylane I would recommend you try dissolving the filler with Hyaluronidase to see if it improves. Make sure you see a physician who is experienced in dealing with filler complications for an in-person consultation and evaluation. Best wishes.
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March 20, 2019
Answer: Damage after filler injection in tear troughs using cannula The development of bulges under your eyes may have several causes and can be best assessed during an office exam by an experienced physician. In my opinion, it is unlikely to be specifically related to the use of cannulas, which is becoming increasingly common due to a decreased risk of bruising, swelling, and vascular damage. More likely are migration of filler and an inflammatory reaction to filler. The latter is increasingly noted to occur after a delay (as you describe) with the Vycross family of hyaluronic fillers (Voluma, Vollure - aka Volift, and Volbella). Both migrated filler and nodule formation/inflammation in response to hyaluronic acid fillers can often be treated by dissolving the filler with hyaluronidase.
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March 20, 2019
Answer: Damage after filler injection in tear troughs using cannula The development of bulges under your eyes may have several causes and can be best assessed during an office exam by an experienced physician. In my opinion, it is unlikely to be specifically related to the use of cannulas, which is becoming increasingly common due to a decreased risk of bruising, swelling, and vascular damage. More likely are migration of filler and an inflammatory reaction to filler. The latter is increasingly noted to occur after a delay (as you describe) with the Vycross family of hyaluronic fillers (Voluma, Vollure - aka Volift, and Volbella). Both migrated filler and nodule formation/inflammation in response to hyaluronic acid fillers can often be treated by dissolving the filler with hyaluronidase.
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January 25, 2019
Answer: Bulge under eye after injection You didn't mention the specific filler you had injected. Nodules and delayed inflammatory reactions after injection with the Juvederm Vycross products Volbella, Vollure (brand name Volift in Canada), and Voluma have been reported. I have seen a handful of cases of these reactions in individuals treated with these products. These reactions have been reported weeks to months after injection. Some people have felt that they are related to the development of a biofilm in the area of injection. If any of these products were injected, that could certainly be a possibility in your case, given the delay in this lump appearing after your injections. Utilizing cannulas has been increasing in recent years for dermal filler injections mainly due to improved safety (less risk of puncturing a vessel or vascular occlusion) and less bruising due to fewer injection points required for filler placement. As such, I believe it's unlikely that the use of the cannula contributed to this response. You may want to seek a consultation of a provider who is experienced in filler complications to determine what might be causing this and what your options for correction are.
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January 25, 2019
Answer: Bulge under eye after injection You didn't mention the specific filler you had injected. Nodules and delayed inflammatory reactions after injection with the Juvederm Vycross products Volbella, Vollure (brand name Volift in Canada), and Voluma have been reported. I have seen a handful of cases of these reactions in individuals treated with these products. These reactions have been reported weeks to months after injection. Some people have felt that they are related to the development of a biofilm in the area of injection. If any of these products were injected, that could certainly be a possibility in your case, given the delay in this lump appearing after your injections. Utilizing cannulas has been increasing in recent years for dermal filler injections mainly due to improved safety (less risk of puncturing a vessel or vascular occlusion) and less bruising due to fewer injection points required for filler placement. As such, I believe it's unlikely that the use of the cannula contributed to this response. You may want to seek a consultation of a provider who is experienced in filler complications to determine what might be causing this and what your options for correction are.
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Answer: Delayed cross antigen reaction with Vycross HA fillers/ Juvederm This delayed swelling is uncommon but very well reported - most commonly seen with the Vycross range of dermal fillers. Vycross Juvederm Volbella, Voluma and Volift. Can also be seen in other HA fillers, though less common. Can be related to biofilm but MOST COMMONLY a transient presentation of an antigen away from the site of the filler. It is NOT related to cannula trauma or traumatic neuropraxia. (Based upon your time line). I have no problems with any speciality or even GPs/ ObGs/ Dentists/ NPs /nurses performing fillers, however they MUST have the capacity to diagnose, investigate and treat all filler complications, ranging from acute conditions such as arterial occlusion through to rare immunological presentations including this one. Investigate, exclude and manage. Most reactions settle with conservative management, some require abs and Hylase. Dr Davin S. Lim. Brisbane. Australia.
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Answer: Delayed cross antigen reaction with Vycross HA fillers/ Juvederm This delayed swelling is uncommon but very well reported - most commonly seen with the Vycross range of dermal fillers. Vycross Juvederm Volbella, Voluma and Volift. Can also be seen in other HA fillers, though less common. Can be related to biofilm but MOST COMMONLY a transient presentation of an antigen away from the site of the filler. It is NOT related to cannula trauma or traumatic neuropraxia. (Based upon your time line). I have no problems with any speciality or even GPs/ ObGs/ Dentists/ NPs /nurses performing fillers, however they MUST have the capacity to diagnose, investigate and treat all filler complications, ranging from acute conditions such as arterial occlusion through to rare immunological presentations including this one. Investigate, exclude and manage. Most reactions settle with conservative management, some require abs and Hylase. Dr Davin S. Lim. Brisbane. Australia.
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