What treatment would be best in this case? (Photo)

When dealing with persistent discoloration and swelling after filler injections under the eyes, it's important to consider several potential causes and treatment options. Here are some possibilities to discuss with your healthcare provider:

Vascular Issues: The green discoloration might be due to hemosiderin staining, which can occur if there's been bleeding. This can sometimes be addressed with laser treatments, such as pulsed dye laser or Nd:YAG laser, which target pigmentation and vascular issues.

Residual Filler: Given that hyaluronidase has been used without improvement, it's possible that the discoloration isn't solely due to hyaluronic acid filler. If the product contains other components like collagen or CMC, these might not respond to hyaluronidase. Further evaluation by a specialist might be needed to determine if other treatments, such as additional dissolving agents or surgical removal, are appropriate.

Consultation with a Specialist: It might be beneficial to consult with a dermatologist or plastic surgeon who specializes in filler complications. They can provide a thorough examination and potentially offer advanced imaging to assess the situation more accurately.

Time and Supportive Care: Sometimes, these issues can improve with time. Supportive measures such as topical treatments (e.g., arnica or vitamin K creams), avoiding blood thinners, and using cold compresses might help reduce the appearance of bruising.

Alternative Therapies: If other treatments are ineffective, consider discussing alternative therapies with your healthcare provider, such as microneedling or PRP (platelet-rich plasma), which may help improve skin texture and appearance over time.

It's crucial to continue working with a qualified healthcare professional to ensure the best outcome.