Can tear trough filler be removed surgically?

Question

Given the risks of hyaluronidase that come with many horror stories, many patients refuse to use it. 1) How feasible to remove surgically if it's been 4 MONTHS since filler treatment to tear troughs. If not integrated fully into tissues yet, would it be easier to remove? 2) is this high risk and are there potential for complications? 3) Would surgeon have to maneuver fat/muscle/structure like a lower bleph, or can the just scoop the filler 4) will this affect future lower bleph surgeries?

Anna Chacon, MD, FAAD · Answer

Surgical removal of dermal fillers is generally considered a last resort due to the complexity and potential complications of the procedure. Here are the answers to your questions:
1) The feasibility of surgical removal largely depends on the type of filler used, the amount injected, and the individual's reaction to the filler. If the filler has not fully integrated into the tissues, it might be easier to remove. However, this is highly individual and should be evaluated by a professional.
2) Yes, there are potential risks and complications associated with surgical removal of fillers. These include infection, scarring, nerve damage, changes in skin sensation, and negative reactions to anesthesia. There's also the risk that the procedure may not fully remove the filler or improve the appearance to the patient's satisfaction.
3) The specific surgical technique would depend on the location and extent of the filler. In some cases, the surgeon might need to manipulate the underlying structures, similar to a lower blepharoplasty. In other cases, they might be able to remove the filler without significant manipulation of the underlying tissues.
4) It's possible that surgical removal of fillers could affect future lower blepharoplasty surgeries, particularly if there is scarring or other changes to the tissues. However, a skilled surgeon should be able to work around these issues.
It's important to have a thorough discussion with your provider about the potential risks and benefits of surgical removal, as well as any alternative options. They can provide the most accurate advice based on your specific situation and medical history.

Camille Cash, MD · Answer

While tear trough filler can potentially be removed surgically if it has not yet integrated with surrounding tissues, it comes with its own set of risks.  If you are wanting to avoid hyaluronidase injections you may want to consider simply waiting for the body to metabolize the product  I encourage you to discuss your concerns with a board certified plastic surgeon to learn more.

Randal Haworth, MD, FACS · Answer

1) Removing hyaluronic acid filler surgically after 4 months may be more feasible if the filler has not fully integrated into the tissues. However, it's essential to consult with a qualified surgeon to assess the specific situation.

2) While any surgery involves risks, the removal of hyaluronic acid filler is generally considered safe when performed by experienced professionals. Potential complications could include infection, bleeding, or changes in skin pigmentation.

3) Surgeons can typically remove hyaluronic acid filler without extensive manipulation of fat, muscle, or structure. They may use techniques like puncture or incision to access and extract the filler.

4) The removal of filler should be discussed with your surgeon if you plan on future lower blepharoplasty surgeries. The impact on future procedures would depend on the extent of the filler removal and the surgeon's approach.

Always consult with a qualified and experienced surgeon to evaluate your specific case and determine the best course of action.

Best of luck !

Can tear trough filler be removed surgically?

Answers (3)

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.

Can tear trough filler be removed surgically?

Answers (3)

Browse related questions

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.