Is it normal that eye trough filler can swell up again?

Question

Since receiving eye trough filler 6 weeks ago, I’ve had a few random swell ups. Last week I woke and my left side was swollen/sensitive to the touch. Next morning, Left side was back to normal, but my right side swelled badly. I chalked it up to be because of my sinus infection, it subsided within 48 hours. One week later, again! Left side swollen/sensitive. Iam still getting over a cold, but it seems random I never know when I’ll wake swollen and which side. Is this normal for undereye?

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  This is a rare, but possible side effect that is likely due to the sinus issues you are experienced.  When there is swelling in the sinuses, the lymphatic system can get backed up and create swelling.  Because hyaluronic acid fillers are hydrophilic (or water retaining) this swelling is absorbed by the filler and thus swells.  lf this is not resolved in a couple of weeks, you should see your injector and have him/her dissolve it with hyaluronidase to resolve your symptoms.  Best of luck.

Joelle Rogal, MD · Answer

Because all hyaluronic acid fillers absorb water to some extent, anything that can cause swelling might tend to make the filler swell somewhat.  I would recommend speaking with your injector to ensure that you do not have an infection of the filler.  If the problem persists, you may need to have the filler dissolved with hyaluronidase, although, I suspect that this problem will get better once your sinus infection resolves.

Mehryar (Ray) Taban, MD, FACS · Answer

It can happen in some patients. Best to discuss with your injector. May ultimately need to be dissolved with hyaluronidase if persists.

Michael A. Zadeh, MD, FACS · Answer

I wouldn't say it's normal, but I have seen it happen a couple of times in very rare situations. It may be due to impaired lymphatic drainage of the area. I would make sure your injector is aware of this. Best wishes.

Jason Emer, MD · Answer

It's not typical, but it can happen. I recommend following up with your injector. If necessary, the filler can be reversed with hyaluronidase. Best, Dr. Emer

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Is it normal that eye trough filler can swell up again?

Answers (9)

Answer: Delayed Swelling After Under Eye Filler

Answer: Delayed Swelling After Under Eye Filler

Answer: Swelling after Tear Trough Injections--reverse with hyaluronidase

Answer: Swelling after Tear Trough Injections--reverse with hyaluronidase

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Everything you need to know about Restylane

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