There are various reasons that can cause this and you should seek an evaluation by a surgeon has extensive experience in fillers to the lower lids. Oftentimes, the filler itself can absorb fluid and result in what you are seeing. If this is the case, the filler material may have to be removed with hyaluronidase to see if that will improve your findings. Alternatively, there may be limitations with filler treatments to your lower lids and you may require some form of surgical treatment (i.e. blepharoplasty surgery) or non surgical treatment (laser resurfacing). Good luck.
In my office, the best non-surgical option for under
eye wrinkles and sagging skin has been micro-needling combined with human
serums. We have been getting excellent results using the Rejuva Skin Care
system which combines motorized micro-needling with RejuvaCells concentrated
human growth factor serum. Our patients also use their growth factor serum at home
after the office treatment.
Hyaluronic acid fillers are a great tool that improves under eye hollows. The skin quality, however, will improve with energy based devices. Fraxel restore (1550) can give great results, although it usually requires more than one treatment. The down time is reasonable (days ), which makes it a popular choice.
I like to use the EndyMed or eMatrix fractional and also EndyMed non fraction RF to tighten the skin around the eyes. This is the best method I have found other than laser resurfacing which is the gold standard in my opinion. The Fraxel 1550nm laser also works quite well for noninvasive tightening of eyelid skin and so does Thermage.
1. Before you solve the problem you have to find out what is causing it.
2.Most likely the problem is caused by the filler injected e.g. Juvederm.
3.Get evaluation by a reputable plastic surgeon who is familiar with the properties of the fillers available in the US.
4Carefully check the credentials of you doctor and inquire about experience.
5.Once the problem is identified than treatment can be recommend .
6.Sometimes that includes complete removal of the filler trough enzyme injections and volume restoration with different filler.
6. Pictures will help to give you more specific answer.
I find a lot of patients benefit from either the Fraxel (1550) or Ematrix Laser to tighten the skin around the eyes. Patient selection depends on skin type and down time and depth of wrinkles under the eyes. Please find a Board Certified Dermatologist with a great deal of experience in Cosmetic Dermatology for the best results.