How can I get this botched filler job under my eyes fixed? (Photos)

Hi @ravenl777. I'm sorry this happened to you. This discoloration is called Tyndall effect which is caused by placing filler too superficially in this area. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

The discoloration you are seeing is known as the Tyndall effect, typically caused by placing filler too superficially in this area. This treatment requires a great deal of expertise and precision to achieve a natural effect. You can have the current filler dissolved - I would wait at least 2 weeks after your treatment to pursue this option. Make sure your next injector has extensive experience and training in this area to ensure a better result the next time around.

First of all, I'm sorry this happened to you. The blue discoloration is called Tyndall effect, which is caused by the filler reflecting blue light more than red. The filler used was most likely a hyaluronic acid filler, which may safely be reversed with a dissolving agent.

You will want to wait for two weeks from the time of treatment before considering any further treatment. From your "before" photo it appears you would be a good candidate for fillers. You may want to consider having the current filler dissolved and beginning again. The wonderful thing about fillers is that you can begin slowly and work up to the look you are wanting, especially with this delicate area.

reverse the filler with Hyaluronidase. injections because you have swelling and "Tyndall" effect (bluish discoloration)....also consider lower eyelid surgery (blepharoplasty).... which should have been what you were offered in the beginning..... as well as some filler to the cheeks and very SMALL filler to the under eyes once the other filler is resolved. you need at home peels like cosmelan/enlighten/or weekly aerify, eye roller at home and lasers to help tighten the area. the amount you paid has nothing to do with the results. you need to go to someone experienced regardless of the cost. do not compromise for cost or distance.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

$3000 sounds like you got way to much filler for the delicate area under the eyes--accounting for what looks like some eye bag formation. And the bluish-gray Tyndall Effect suggest that the filler was placed too superficially. Hyaluronidase can be injected to dissolve the filler, which will decrease the bags and eliminate the bluish discoloration. Thereafter, you would be wise to make sure that you are consulting with a board certified aesthetic physician and insist upon seeing his/her personal before and after photos. Best of luck.

It appears you are slightly overfilled in your tear troughs. It also appears you have a Tyndall effect, which is that bluish tint in the area injected. Before dissolving your filler, I often will recommend massage . If that doesn’t help, then dissolving is your next best option.

Thank you for your question. It appears that you are having what is called the "tyndall effect" which means the filler was placed too superficially. If you got a hyaluronic acid based filler, then it will need to be dissolved with a medicine called Hyaluronidase. Most of the time, the Physician that performed the treatment will dissolve it at no cost otherwise if you go to a different office you will likely be charged to have the filler dissolved. Make sure you are doing research and finding a highly trained and reputable injector before having additional treatment. Hope this helps!

Dear Raven1777,

$3000 is a lot of filler. Usually it takes one syringe to do both eyes, costing $1000 at the most. It is likely a hyaluronic acid filler that can be dissolved with Hyaluronidase. Your injector should be capable of doing it, and at no cost. Good luck!

It is difficult to tell from the photos exactly what the problem or concern is for you. The nasojugal groove is high, creating a very youthful appearing short lid. It is probably not possible to completely eliminate it with filler. If you are unhappy with the result, the filler could be broken down/dissolved with injection of an enzyme, hyaluronidase. This should be carefully considered however. Please select a plastic surgeon board certified by the American Board of Plastic Surgery and preferably a member of the ASAPS, (American Society of Aesthetic Plastic Surgeons).