Will excess filler dissolve?

Question

It's been 3 months since I got my fillers in my tear trough (restalyne silk).I feel like I have excess filler and I'm too scared to get it dissolved because I have heard horror stories will my face go back to normal or will the skin around the eye be stretched out?

Jack G. Bertolino, MD · Answer

You probably received too much filler in that area. Dissolving some of that will help. I believe Restylane Silk draws too much water, so I would use less. I also like using Restylane Refyne and PRP (platelet rich plasma) under the eye. Hope this is helpful. JB

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Aldo Guerra, MD · Answer

Thank you so much for this question.It's possible you have too much product or your swollen. I suggest you have an exam by your injector. If there's inflammation with your filler causing injection, I suggest you consider dissolving. If it's over-correcttion, then consider dissolving as well. Good luck. Dr. ALDO

Kenneth Bermudez, MD, FACS · Answer

Excess filler will eventually dissolve.Sometimes it can be masked with additional filler or in some cases may require removal with hyaluronidase.The skin around the eye usually doesn't stretch that much with filler as to make removal unwarranted.Happy Holidays.

Elham Jafari, MD · Answer

Hi and thank you for your question! Injection of filler under eyes requires high level of expertise and to achieve uniform and natural looking results without overfilling the area, additional injections in adjacent areas are commonly needed. Regardless, if you are not happy with the results, excess filler can be easily dissolved with enzyme and when done carefully, there is no risk. I have treated thousands of patients with fillers under eyes and commonly see patients referred to me for revision of fillers with enzyme and have never seen the complications you mentioned, so as long as you work with an experienced cosmetic doctor, you should be fine. I hope it helps and good luck!

Jonathan Kulbersh, MD · Answer

If you're unhappy with your results, you can have the filler dissolved with hyaluronidase. It will not stretch out the tissue and your face will go back to normal once the filler has been dissolved. I hope this helps!

Monika Soni, MD · Answer

Thank you for your question! Injection of filler under eyes requires high level of expertise and to achieve uniform and natural looking results without overfilling the area, additional injections in adjacent areas are commonly needed. Regardless, if you are not happy with the results, excess filler can be easily dissolved with enzyme and when done carefully, there is no risk. I have treated thousands of patients with fillers under eyes and commonly see patients referred to me for revision of fillers with enzyme and have never seen the complications you mentioned, so as long as you work with an experienced cosmetic doctor, you should be fine.

Corey L. Hartman, MD, FAAD · Answer

Great question.  I'm sorry that you are experiencing the problem, but I assure you that it will improve over time.  Some patients experience prolonged swelling in this area after filler injections and that can be exacerbated by the manner in which the filler is placed.  Gentle massage to the area 2-3 times daily can help to ease an unwanted puffiness that causes you concern.  Give it a little time.

Steven L. Greene, MD · Answer

It is very helpful to review Filler injections with a trained Master Injector who knows precisely where the product has been placed.   If the product is placed too superficially then it can sometimes impart a bluish and swollen appearance.   This can be "erased" with a medication called Hyaluronidase.
I hope this is helpful to you.
Steve Greene, MD

William Marshall Guy, MD · Answer

Hello Chrisbwantmykiss,If you feel your tear troughs have been over filled, dissolving the filler with hyalurondase will not cause some poor cosmetic outcome.  It will not cause the skin to be stretched out or wrinkled.  It will simply dissolve the filler that was injected and return your tear trough to its preinjection state.  I'd recommend you follow up with your original injector to be evaluated and consider a consult with a facial plastic surgeon who does his or her own injections for a second opinion on that area.

Will excess filler dissolve?

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