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?