I had filler placed in my tear troughs 6 months ago. I still have palpable lumps. Should I remove it before adding anything?

An in person evaluation is really needed in order to give the best recommendation. If needed the remaining product can be dissolved with hyaluronidase. See an expert injector for an assessment.

Hi @JacksRN! Most facial filler products that are injected into the tear trough area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections.

Hi,All fillers are gels and they can be palpable especially in an area like the under eye that does not have a lot of soft tissue covering. If it is not visible, it's best to just leave it alone. If you don't like the appearance, then you may need to dissolve and start over. Best,