Horrible Results from Filler Under my Eyes. Will It Go Back to Normal or Will I Have to Have Surgery to Correct It? (photo)

Hi @Trikk42. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!

Hyaluronic acid fillers like Restylane and Perlane can be removed or modified with an enzyme, hyaluronidase.  Please do not make the mistake of thinking that your injector can also inject the enzyme.  It is very common to find injectors who can place the filler but have zero experience working with the enzyme.  Properly using the enzyme is also associated with a considerable learning curve.  Simply have a frank conversation with your injector.  Determine if the product is hyaluronic acid based or not.  If so do they have the skill, training, and experience to competently remove the material, if not find someone who does.

The injector that placed the fillers in your eyelids should have the capability to reverse this swelling:  an enzyme called hyaluronidase will dissolve the filler [Restylane or Juvederm]  rather quickly [within a day or two]. This is commercially available, and every doctors office that carries fillers should have this enzyme available to you at no cost should you be unhappy with the result. This is the policy in our office.

Good luck

It is hard to say what exactly  is going on for you. Are the pictures both recent. Is the first photo an old photo?  Are we seeing eye fat bags or filler as those bulges. An exam and better history are essential.

I agree with the other posts, your fillers looks to be a HA and should be easily dissolved with hyaluronidase. I would return to your doctor that injected you and discuss your concerns and he/she should be able to dissolve it. If your injector does not know how to dissolve it find an experienced injector who does. I doubt you will have any long term effects from the filler as it should dissolve. Good luck.

Dear Trikk42, I can see by your photos that you seem to have a puffy appearance in the lower eye lid area. Most likely a hyaluronic acid filler, such as Restylane or Juvéderm was used, and this is completely fixable. Hyaluronic acid can be dissolved away completely and you'll go back to the way your were. Discuss this with the physician who injected you. If he doesn't know about dissolving the filler, then seek another physician who is very experienced with fillers, specifically one who placed under eye filler routinely.

 

Under eye filler can be very rewarding for improving hollowness, but if the problem is one of having lower lid creases, then careful use of Botox, or laser treatment may be more specific for the problem. Seek a consultation with a physician who has extensive experience with all of the treatment options and can help you decide which is best for your problem. 

 If the filler was not a permanent filler, it will disappear over months and the skin should go back to the way it was before the injections.  Thicker fillers, like Perlane and Radiesse, should not be used in the skin-skinned lower eyelid skin and will take 9-12 months to dissolve.