Will this puff go away or is it excess filler sitting below the surface? I can feel a lump of filler in there (Photo)

Had fillers done under eye (I actually was asking for crows feet help). They said they were using Volbella. I let them do their thing since they seemed knowledgable. They also injected a bit of Botox to hold the filler in place on the sides of my eyes. One eye is still very swollen, the other looks fine with a small amount of bruising. What do you think? It's been 6 days. Will this puff go away or is it excess filler sitting below the surface? Should I be concerned?

Doctor Answers 6

Puffiness after Undereye Filler

Having some bruising and swelling after filler injection is common. This can typically take up 2 weeks to resolve. I would give it another week for the swelling to resolve under your eye. If this does not improve your injector can dissolve it with hyaluronidase. 

Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Puffiness after undereye filler Volbella

It is too early to say what the outcome will be. There will be swelling for up to 2 weeks. Wait it out. If it is still unsightly, consider hyaluronidase for it. Juvederm is known to be problematic in this area with chronic swelling. I don't have enough experience with Volbella to determine if that is the case with it as well. I prefer to use the tried and true Restylane here with cannula insertion.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

Undereye filler results

Volbella is one of the newest fillers on the market and unlike traditional Juvederm, it has physical properties that make it a good filler for undereye injection. That being said, as with all fillers, some swelling and bruising is common after injection, particularly in the delicate tissues around the eyes. This can take 7-10 days to resolve. Give it a few more days. It should improve. If not, you can have the filler reversed with hyaluronidase. 

Shaun Patel, MD
Miami Physician
5.0 out of 5 stars 60 reviews

Filler in lower lids

You had the filler in the tear trough - not going to help the crow's feet much.  But will help with lower lid hollowing and dark circles. 

Volbella can cause some swelling as can all the HA fillers.  So give it some more time.  If it persists may need to have it removed.  

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 28 reviews

Swelling after Under Eye Injections--Use Cannulas

This looks like swelling, which can take 1-2 weeks to resolve. I recommend using cannulas with under eye injections to reduce complications and risk of swelling. See an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Be patient after Volbella

Volb ella takes a little time to settle so be patient.   If the puff is still there at 3 weeks visit your doctor for a review.   Volbella is a excellent filler for fine lines.  My Best,  Dr Commons. 

George Commons, MD
Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.