Can 10 year old filler be causing puffy, wrinkly under eye creases when I smile? (photos)

We used to think that hyaluronic acid fillers dissolved away by themselves after about 6 months. This thought process was based on the observation that lip fillers often had to be repeated every 6 months. We now know that HA fillers do not dissolve away on their own. The lips deflating after 6 months was actually due to migration of the filler in this area where there is a lot of movement. The tears troughs are a tight closed space so fillers injected in this area tend to stay there and can remain there indefinitely. The good news is that HA fillers can be dissolved with an enzyme called hyaluronidase. So the short answer to your question is "yes" it is probably the filler you had 10 years ago that you are still seeing. Find someone who is experienced at dissolving under eye fillers and then consider having a more natural treatment like the AutoCorre procedure which is performed with a gel created from your own plasma and PRP to stimulate your own collagen.

If you still have filler present in the tear troughs and HA fillers were used you can have remaining filler dissolved with hyaluronidase. If no filler is present you can consider a lower blepharoplasty to improve the contour. Visit with a board certified plastic surgeon near you for an evaluation and to learn more.

Hi stixnstonz34.I am sorry to hear that you are experiencing those creases / puffy areas under your eyes. First of all, I cannot say with confidence it is due to filler. But what you have said can be true at times because when the filler gets stuck with the tissues in your undereye area, they may not fully dissolve. Also the type of filler you used is important as well. Another thing I do want to mention is from your picture the area where you got filler injection seems to be a bit too close to your lower eyelids and that is a very delicate area so normally you need to use a very soft filler and it is in some parts of the world technically not a common place to do the procedure. So what can be done about this matter would be you need to go to a experienced physician and get a thorough physical examination done on your undereye area. It would be helpful to the physician if you informed him/her about the type of filler and amount used. Also as you mentioned when you smile the crease and puffy area is more prominent so a small microbotox session for the area would be helpful as well (but also this should be done by a professional physician since undereye botox can sometimes make your facial expression unnatural. ). Additional treatment modalities may be used as well. Hope this helped! Good luck! :)