Are my tear troughs over filled or just swelling? (photos)

Question

I had fillers injected into my tear trough two and a half weeks ago. I liked how I looked right after the treatment but it started swelling and since then has stayed swollen. There even seems to be some swelling well below the tear troughs, over my cheekbones. Is this normal? Is that an indication of swelling or overfiller?

Kenneth D. Steinsapir, MD · Answer

Don't patiently wait for this to settle down.  You will have to wait forever.  These products persist for a very long time.  I have patients back into the office after about 1 week to determine how the service is settling down and if an adjustment is required. Early, this treatment can still be manipulated with digital pressure.  Now that you are three weeks out, the treatment will need to be adjusted with the enzyme hyaluronidase.  Here is the bad news, most injectors really don't understand the aesthetics of this service.  This is why I see patients from all over the world for fixing their filler services.  Don't live with this. Get it adjusted.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photograph. You could still be swollen at this point. See your doctor next week for evaluation. If it over filled, you can have it dissolved. Make sure an eyelid expert perform your treatments in this delicate area. Good luck,

Jonathan Kulbersh, MD · Answer

You may have residual swelling. I would wait a few days, before following up with your injector. If necessary, the filler can be dissolved with hyaluronidase. Hope this helps.

Leonel Calderon, MD · Answer

Good Afternoon and thank you for your question. Now that you have waited the typical 10 day to 2 week time frame for all of the swelling to subside it is important that you return back to your physician for evaluation.  In some cases in does take longer than the 10 day to 2 week time frame for the swelling to subside however for other's a dissolving of the product is necessary.  Best of luck to you.

Are my tear troughs over filled or just swelling? (photos)

Answers (4)

Answer: Swelling Post Under Eye Filler Injection

Answer: Swelling Post Under Eye Filler Injection

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Are my tear troughs over filled or just swelling? (photos)

Answers (4)

Answer: Swelling Post Under Eye Filler Injection

Answer: Swelling Post Under Eye Filler Injection

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.