Very disappointing experience with under eye filler. I look worse than before treatments.I had the injections on 8/13/16.(photo)

Question

Should I add more or get it dissolved? I had injec on 7/13/16. Hadsevere bruise left eye; 2 days had laser to reduce bruising. Went back at 2 weeks; disappointed w severe brown circles and raised lumpy filler (worse in mornings). Doc performed laser treatment on small vessels and what she called collagen boosting laser 6 passes each in on 7/29; said come in for more filler 8/9. I have seen even darker larger area now than ever plus raised filler. She wants to contour w more filler. What to do?

Nima Shemirani, MD · Answer

Hi @RSMember11798! Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved with hyaluronidase injections. Best of luck, Dr. Nima!

Hardik Soni, MD · Answer

tear troughs require a great deal of skill to fill. Based on the pictures you may require more fillers but it seems like you had a bad experience. It may be prudent to consider dissolving the filler and goto a provider who uses cannulas to fill the tear trough which results in less bruising and swelling. In addition, choosing the right filler such as Belotero or Restylane is important. These fillers also have to be injected deep right on top of the orbital bone to minimize lumps and should be injected conservatively to avoid over filling. The brown discoloration could be from the bruising which can result in brown deposits and can be treated with a q switched laser, picosure focuses or possibly IPL. All the best

Rebecca Baxt, MD · Answer

unfortunately this is a common problem. Fillers can be dark and bumpy  under the eye but the good news is the procedure should be reversible if the filler is made of hyaluronic acid. An experienced injector can use hyaluronidase enzyme to remove the filler.

Very disappointing experience with under eye filler. I look worse than before treatments.I had the injections on 8/13/16.(photo)

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Very disappointing experience with under eye filler. I look worse than before treatments.I had the injections on 8/13/16.(photo)

Answers (3)

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.