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.
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: 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.
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.
Helpful