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Can dents (like a fingerprint) after hyaluronidase in tear trough be fixed? (Photos)

S
stina322Oct 31, 2018

I am having tear trough filler dissolved prior to lower blepharoplasty, I have developed a deep dent, the size of a pencil eraser. Is this something that can be addressed during the lower Blepharoplasty with skin pinch? (Couple of weeks away)

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Dr. Martin Jugenburg, MD
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Dr. Martin Jugenburg, MD
Certified Plastic Surgeon
4.8 | 880 Reviews
Answered on Nov 7, 2018
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Nov 2, 2018
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Dr. Steven F. Weiner, MD
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Dr. Steven F. Weiner, MD
Board Certified Otolaryngologist
4.9 | 151 Reviews
Answered on Nov 1, 2018
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Jason Emer, MD

Fillers ALWAYS respond to hyaluronidase.  IF there is still swelling after that then RF treatments are needed to improve the lymphatic flow of that area and antibiotics are needed to decrease internal inflammation.  Eventually this will burn out unless its a true infection. But if this is just a...

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Nima Shemirani, MD

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...

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Raffy Karamanoukian, MD, FACS

Filler complications are common and can cause emotional distress and in some cases, physical deformity. Swelling, lumpiness, and uneven facial volume are just a few of the complications associated with hyaluronic acid fillers. Our office is a global center of excellence for the management of...

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Martin Jugenburg, MD

Hi. Thank you for your question. It is not likely for Hyaluronidase to migrate to other region of the face and cause volume loss. There might be a temporary natural HA loss but the body replenishes it within few days. Also, having several dissolving sessions with low dose is more ideal. 

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Jonathan Kulbersh, MD

No, hyaluronidase should not impact natural tissue, but it can take several weeks to settle. Also, a series of treatments may be needed to reverse filler. Hope this helps.

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