6 months post tear trough filler and red bump developed. Could the filler got infected? (photo)

Question

I had 6 months ago few drops of tear trough filler. 2-weeks ago this red bumped developed and it looks like is not going away. I have no pain no redness around this area. I think is cystic acne but little worried maybe the filler got infected. I had a botched tear trough filler which needed go be dissolved and caused awful hollowness (my own tissue was dissolved too) I only had few drops of filler placed in the skin which was kind of “sucked in” I am worried

Teresa C. Cunningham, MD · Answer

While an infection after dermal fillers is not impossible, it is quite rare. You may be experiencing a delayed hypersensitivity reaction, which can happen weeks to several months after the injection. Often times it presents as swelling or lumps in the area of injection and can also be associated with pain and redness. Occasionally this will calm down on its own with gentle massage, or it may require injection of a steroid or Hyaluronidase to break down the remaining filler. I would recommend being evaluated in person by someone who is very experienced with filler injection and its associated complications. Best of luck to you!

Leonard Grossman, MD · Answer

It's a little difficult to tell from the photographs but it looks like you may have a cherry angioma forming after a trauma from the needle. I would recommend to see your treating physician who should reevaluate you and offer a treatment. if this indeed looks like a cherry angioma a laser should do very well on this. At the same time the blue hue that you have in the lower eyelid is What's called the Tyndall effect and this is exactly the reason why I don't recommend having fillers put in the tear troughs but instead use the patient's own fat which produces natural and long-lasting results. Good luck from New York City

Vida Talebi, ND · Answer

Thank you for your question.  This could be due to a delayed onset infection though that is rare.  I would certainly have it evaluated by a dermatologist.  I would also consider your eyelash extensions as a possible cause.  Best to have it evaluated ASAP.

Steven F. Weiner, MD · Answer

I would say this is extremely rare but you had a bad injector so anything is possible. I would seek medical attention and get it evaluated. Filler in this area is usually placed much deeper. If it is infected, Hyalronidase or unroofing the filler might be needed with antibiotics.

6 months post tear trough filler and red bump developed. Could the filler got infected? (photo)

Answers (4)

Answer: Is my tear trough filler infected?

Answer: Is my tear trough filler infected?

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6 months post tear trough filler and red bump developed. Could the filler got infected? (photo)

Answers (4)

Answer: Is my tear trough filler infected?

Answer: Is my tear trough filler infected?

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.