Filler complication Please Help!

Question

-4/2020:Successful lower bleph -2 successful tear trough fillers 2020-23 -4/2024:RHA2 w different facial plastic surgeon -immediately noticed swelling and bumpy under right eye -appnt June 10 to have 1 of 3 dissolved, last one Sept -Aug right eye:floaters, random blurry vision, light sensitivity, watery eye, pressure behind eyes, headaches, swelling -Both optometrist & ophthalmologist said eyes healthy but slight vision change in right eye & new floaters -Guidance what to do next please!

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the difficulties you've been experiencing. It sounds like you're dealing with some challenging symptoms following your recent filler treatment. Here are a few steps you might consider taking next:

Consult with a Dermatologist or Plastic Surgeon: Since these symptoms began after a filler procedure, it would be beneficial to consult with a dermatologist or a board-certified plastic surgeon who specializes in facial aesthetics. They can assess whether any of the symptoms are related to the filler and discuss potential options, such as further dissolving the filler with hyaluronidase if applicable.

Follow Up with Your Eye Care Professionals: Even though your optometrist and ophthalmologist have indicated your eyes are healthy, it might be worthwhile to have a follow-up appointment, especially since you're experiencing new symptoms like floaters, blurry vision, and pressure. Ensure they are aware of the timeline and treatments you've undergone.

Consider a Second Opinion: If you haven't already, seeking a second opinion from another specialist in oculoplastic surgery or a neuro-ophthalmologist might provide additional insights, especially concerning the neurological symptoms like headaches and pressure.

Monitor Symptoms: Keep a detailed record of your symptoms, noting any changes or patterns, as this information can be invaluable to healthcare providers in diagnosing and treating your condition.

Discuss Imaging Tests: Ask your healthcare providers if imaging tests might be beneficial. Sometimes, an MRI or CT scan can help rule out other potential causes for your symptoms.

Remember, while online advice can be helpful, it's crucial to consult directly with healthcare professionals who can provide personalized care based on a thorough examination. Wishing you a swift resolution to your symptoms.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are having since your surgery and filler treatment.  I encourage you to visit with a board certified plastic surgeon, preferably the surgeon who performed the bleph, for a more in depth exam to determine what may be occurring.

Filler complication Please Help!

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