I had volbella under my eyes 14 days ago dark marks under eyes now (photo)

Question

Dark marks under eyes after volbella tear trough filler. Wondering what's causing it. Or if it's just from lack of sleep lately. I've been so busy I haven't noticed how long it's been there. I also have a tiny bit under my right eye that pops out more than the rest of my eye. I notice it when I look down. Is there a filler lump or again bruising of swelling somewhere

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Without an in-person examination to feel your tissues it is difficult to determine if you have any filler lumps or continued bruising/swelling from your treatment.  The darkening of the tissues may also have been the result of placement too close to the skin surface.  I would recommend seeing your injector for an in-person examination and discussion of your current results.

Jason Emer, MD · Answer

If you are unhappy 1-2 weeks after your treatment reverse the filler with hyaluronidase.  Best, Dr. Emer.

Kouros Azar, MD · Answer

Without examining you in person, hard to say if this is bruising, which will resolve with time, or bad filler technique, which will mean that the filler will need to be dissolved. Give yourself another week. If the eyes don't improve then see a really experienced injector to be assessed in person.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question hollypop12345. I am sorry to hear about your situation. Volbella
is a hyaluronic acid filler designed to enhance the lips. It is difficult to make an assessment without before photographs. There could be a bruise which can be treated with a laser. Lumps can be addressed with massage. More product can always be added if further enhancement is desired. Please
consult with a doctor for specific recommendations. Good luck!

Michele S. Green, MD · Answer

It is difficult to tell from the photos if the Volbella is not injected properly or you have bruising.  I would recommend having Vitrase injected if the darkness does not go away to have the product dissolved.  Best, Dr. Green

Alim R. Devani, MD, FRCPC · Answer

There are a few possibilities but ask your injector to
consider the following: Persitent brusing and swelling from the injections
itself, persistent filler material, inflammatory nodules, granulomas and
possible infection as a cause. Need an opinion from an expert injector. I would
suggest to them consider injecting hyaluronidase or steroids into the area or
possible surgical consultation if it doesn't resolve after some time. Might be
worth starting an antibiotic to cover your basis but difficult to advice
without seeing the patient in person and knowing what was injected. If it is
persistent or you are worried, set up a follow up appointment with your
dermatologist.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Very hard to tell without a face to face consult. I don't know how much Volbella was used, nor the plane it was placed in. Your injector will be able to easily sort out this problem. An enzyme call hyaluronidase can help. All the best, Dr Davin Lim

I had volbella under my eyes 14 days ago dark marks under eyes now (photo)

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