Hello! Can someone explain why my left under eye is so puffy while the right one is somewhat normal? What is needed here? Surgery or filler? I had filler placed throughout my face in the past and I'm afraid it will exacerbate it.
Answer: Bleph Thank you for your inquiry! Based on your photos, you would be a great candidate for a Lower Bleph to remove excess fullness. You have more fullness to the left side but this surgical option would leave both under eyes symmetrical. We would love to help you reach your goals. Schedule a consultation with a Board-Certified Plastic Surgeon so we can create a surgical plan for you!
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Answer: Bleph Thank you for your inquiry! Based on your photos, you would be a great candidate for a Lower Bleph to remove excess fullness. You have more fullness to the left side but this surgical option would leave both under eyes symmetrical. We would love to help you reach your goals. Schedule a consultation with a Board-Certified Plastic Surgeon so we can create a surgical plan for you!
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October 7, 2024
Answer: Consider Lymphatic Obsruction (Lymphedema) For HA Filler-Related Persistent Under-Eye Swellings Under-Eye "Puffy Pillows," or more correctly lymphedema (lymphatic obstruction) may occur, even years after treatment with an HA filler that was either inappropriate for the under eye area and/or injected too superficially into the thin, delicate tissue of the infraorbital area. The condition can be persistent or permanent. I have had gratifying results in treating patients who have come to me with this problem using an algorithm of varying combinations, concentrations and amounts of Intralesional anti-inflammatory agents. You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.
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October 7, 2024
Answer: Consider Lymphatic Obsruction (Lymphedema) For HA Filler-Related Persistent Under-Eye Swellings Under-Eye "Puffy Pillows," or more correctly lymphedema (lymphatic obstruction) may occur, even years after treatment with an HA filler that was either inappropriate for the under eye area and/or injected too superficially into the thin, delicate tissue of the infraorbital area. The condition can be persistent or permanent. I have had gratifying results in treating patients who have come to me with this problem using an algorithm of varying combinations, concentrations and amounts of Intralesional anti-inflammatory agents. You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.
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October 4, 2024
Answer: Under eye bags Thank you for sharing your question and posting your photo. It appears that your lower eyelid dermatochalasis (bags) are too prominent to correct with fillers. Please see an experienced oculoplastic surgeon for comprehensive consultation and guidance.
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October 4, 2024
Answer: Under eye bags Thank you for sharing your question and posting your photo. It appears that your lower eyelid dermatochalasis (bags) are too prominent to correct with fillers. Please see an experienced oculoplastic surgeon for comprehensive consultation and guidance.
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October 3, 2024
Answer: This is most likely aged, runny filler. I would strongly recommend having all your hyaluronic acid filler removed from your face. This might take one or two rounds of enzyme. There is no reason on earth you need ultrasound or and MRI to determine where the product is. It pretty obvious where you are puffy. You do not need every nanogram of old filler removed so it is possible you will do well with a single enzyme session. This is generally a personal choice. Don't believe the nonsense out there that enzyme wrecks the skin. There is honestly no truth to this. The face does best settling after the enzyme service about a week before having a small amount of hyaluronic acid filler put back in just where it is needed. Less is more. There is no substitute for a detailed in person assessment and if you feel comfortable, enzyme treatment can be performed at the time of the consultation.
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October 3, 2024
Answer: This is most likely aged, runny filler. I would strongly recommend having all your hyaluronic acid filler removed from your face. This might take one or two rounds of enzyme. There is no reason on earth you need ultrasound or and MRI to determine where the product is. It pretty obvious where you are puffy. You do not need every nanogram of old filler removed so it is possible you will do well with a single enzyme session. This is generally a personal choice. Don't believe the nonsense out there that enzyme wrecks the skin. There is honestly no truth to this. The face does best settling after the enzyme service about a week before having a small amount of hyaluronic acid filler put back in just where it is needed. Less is more. There is no substitute for a detailed in person assessment and if you feel comfortable, enzyme treatment can be performed at the time of the consultation.
Helpful
October 3, 2024
Answer: Lower blepharoplasty It is very difficult to evaluate your condition based on these photos. It appears that lower blepharoplasty may be option to consider. In person consultation with a board certified plastic surgeon is recommended.
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October 3, 2024
Answer: Lower blepharoplasty It is very difficult to evaluate your condition based on these photos. It appears that lower blepharoplasty may be option to consider. In person consultation with a board certified plastic surgeon is recommended.
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