Tear trough filler looking puffy and dented. Do I need to get it dissolved? (Photo)

Question

I had tear trough fillers about 1 year ago. Originally they looked a bit over filled and puffy, if I looked up I felt it bulged slightly. I thought it would start to dissolve and look less puffy but it doesn’t seem to have budged. While there are some days it looks mostly okay, I feel like there are days when I’m very puffy and there’s a semi circle dented around my cheek where the filler ends and cheek begins. Has it migrated/will it dissolve eventually or do I need to get it dissolved?

Camille Cash, MD · Answer

If there is filler still present you can elect to have it dissolved with hyaluronidase.  If you were overfilled there may still be filler present. Your injector can check for migration as well.  To keep your skin looking refreshed we recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Anna Chacon, MD, FAAD · Answer

Based on your description, it seems like the filler may have been overfilled initially or may have migrated slightly, which can happen in some cases. This could be the cause of the puffiness and the semi-circle dent you're noticing.It's important to remember that everyone's body metabolizes fillers at different rates, and while most fillers do dissolve naturally over time, it's possible that in your case, the process is taking longer than expected.However, if the appearance is causing you significant concern or discomfort, it might be best to consider having the filler dissolved. Hyaluronidase, an enzyme that breaks down hyaluronic acid-based fillers, can be used to adjust or remove the filler.

J. Renee Booth, MD · Answer

Puffiness that varies from day to day is due to the natural fat pads under the eye. Most people find that worsening puffiness is related to something their diet (such as high salt or wine/beer). That said, dissolving the under-eye filler is an option. Of note, the cheek lid junction may become more noticeable if filler is dissolved. An option to try if you are unhappy after dissolving the filler is platelet rich plasma or platelet rich fibrin in the under-eye area.

Tear trough filler looking puffy and dented. Do I need to get it dissolved? (Photo)

Answers (3)

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Tear trough filler looking puffy and dented. Do I need to get it dissolved? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Dermal Fillers

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