I had fillers done exactly three months ago, trying to hide sagging eyes and cheeks. This time was Restayline, but after it was done, the doctor noted a bump in the tear trough left by a Radiesse injection from 1 1/2 years prior. The latest fillers looked good for 8 weeks but now I look worse than before, and that bump is turning into a festoon. I'm not sure if I should do more filler (had only one syringe this time) or something else. RF suggested but don't wanna lose facial fat.
June 1, 2023
Answer: Based on your photo, you may consider having your HA filler dissolved. If you never had a festoon before, and if the puffiness along your right cheek is new after your Restylane injection, please visit your doctor to see if this can be dissolved with the enzyme. In general, when somebody has a problem after injectable fillers, adding more filler rarely solves the problem. I hope this is helpful! Sincerely, Dr Joseph
Helpful
June 1, 2023
Answer: Based on your photo, you may consider having your HA filler dissolved. If you never had a festoon before, and if the puffiness along your right cheek is new after your Restylane injection, please visit your doctor to see if this can be dissolved with the enzyme. In general, when somebody has a problem after injectable fillers, adding more filler rarely solves the problem. I hope this is helpful! Sincerely, Dr Joseph
Helpful
June 1, 2023
Answer: Consider "Under-Eye Puffy Pillows" For Persistent Infraorbital Swelling After Fillers I'm really sorry that you are experiencing this. Of course, an in-person examination would allow for a more accurate assessment of the problem. However, one reason for this kind of puffiness under the eyes following HA filler treatment in the region has come to be known as under-eye "puffy pillows." The causes for this problem include an inappropriate choice of HA filler for the infraorbital region and/or too superficial placement of the filler within the very delicate tissues of the under-eye regions; the underlying issue is believed to be due to lymphatic obstruction (lymphedema). If this indeed the issue here, this can be a very difficult problem to treat. However, I have personally treated patients who were treated elsewhere who have come to me with this condition, and I have had success using a combination of intralesional hyaluronidase combined with an algorithm of varying combinations, concentrations and amounts of certain anti-inflammatory agents. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist, and best of luck.
Helpful
June 1, 2023
Answer: Consider "Under-Eye Puffy Pillows" For Persistent Infraorbital Swelling After Fillers I'm really sorry that you are experiencing this. Of course, an in-person examination would allow for a more accurate assessment of the problem. However, one reason for this kind of puffiness under the eyes following HA filler treatment in the region has come to be known as under-eye "puffy pillows." The causes for this problem include an inappropriate choice of HA filler for the infraorbital region and/or too superficial placement of the filler within the very delicate tissues of the under-eye regions; the underlying issue is believed to be due to lymphatic obstruction (lymphedema). If this indeed the issue here, this can be a very difficult problem to treat. However, I have personally treated patients who were treated elsewhere who have come to me with this condition, and I have had success using a combination of intralesional hyaluronidase combined with an algorithm of varying combinations, concentrations and amounts of certain anti-inflammatory agents. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist, and best of luck.
Helpful
