Filler in my tear trough dissolved, but still puffy (Photo)

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. I'm sorry to hear about your experience. Persistent puffiness after filler dissolution can be frustrating. It’s possible that your lymphatic drainage could be affected, especially after issues like rhinitis and sinusitis. Chronic inflammation can sometimes lead to fluid retention or changes in tissue. I recommend trying microneedling or PRP. These treatments can improve skin texture and circulation, potentially aiding in lymphatic function. Additionally, in some cases, surgery (like lower eyelid blepharoplasty) may be recommended to remove excess tissue or fat. I hope this helps and best of luck!