Tear trough filler migration - what can I do? (photos)

I would try to dissolve the filler with hyaluronidase I believe they placed it too superficial.. maybe consider fat grafting I have seen nice results with fat grafting...and botox for the infraorbital occuli area.

If your doctor used HA fillers, depending on your examination, this may be dissolved with hyaluronidase. If you had a permanent filler, a dilute steroid injection to the area may be helpful for reducing puffiness. Hope this helps you. Dr Joseph

It's not uncommon for the area around the injection site to experience swelling or puffiness after dermal filler treatments, especially in the delicate under-eye area. Here are a few steps you can consider:
Massage: Gently massaging the area can sometimes help distribute the filler more evenly, but it's essential to do this only if advised by your practitioner.
Cold Compress: Applying a cold compress can reduce swelling, particularly in the morning when puffiness tends to be more pronounced.
Antihistamines: Sometimes, puffiness can be due to an allergic reaction. Over-the-counter antihistamines might help if this is the case, but please consult with a healthcare provider before taking any medication.
Hyaluronidase: If the filler itself is causing the issue, an enzyme called hyaluronidase can be injected to dissolve hyaluronic acid-based fillers.
Follow-up Appointment: Schedule a follow-up appointment with the professional who performed your filler injection. They can assess the area and determine if additional treatments or corrections are necessary.
Lymphatic Drainage: Professional lymphatic drainage treatments or facial massages that include this technique can help reduce fluid buildup in the area.
Wait It Out: In some cases, the body may naturally metabolize the filler over time, reducing puffiness.