I had tear trough filler (Revolax) which has gone horribly wrong, will it eventually resolve? (Photos)

Question

I had Revolax injected into my tear troughs and it went wrong, extremely puffy and a slug like affect under my skin with blue tinge to it. I went and asked for it dissolved she refused to dissolve all of it only some of it saying it's hard to dissolve all of it. I am still left with it swelling every morning. I went elsewhere and was told my lymphatic drainage may be blocked and they refused to go near the area. Is there anything I can do to unblock it? How long will it take to dissolve?

Nelson Lee Novick, MD · Answer

I am so sorry that you are having this difficulty. The photos suggest overzealous injection of the hyaluronic acid. The particular biomechanics of Revolax in my opinion make this particular injectable less desirable for use under eyes than say Belotero Balance, which would be my choice in my NY office or Teosyal Redensity II, Aliaxin FL, which would be my choices in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available. And while Revolax may be somewhat more resistant to dissolution with the enzyme, it certainly would be reasonable under the circumstances to try to dissolve as much as possible. The use of saline and gentle subcision can sometimes hasten the breakup of the material, as can the use of an injectable anti-inflammatory, although I would reserve the latter for a measure of last resort. Daily massage with the thumbs can also help to promote lymphatic drainage, although care must be taken not to be so overaggressive that bruising results. If no contraindication, and under a doctors strict supervision, a small dose of a diuretic taken about three times per week for a few weeks may also help to reduce the swelling. You would be well advised to seek consultation and appropriate treatment from a board certified aesthetic physician. Best of luck.

Maeve Kenningham, MBChB, MRCGP · Answer

dear Holly
Poor you. I’m sorry this has happened! Looking from your photos however, I would have initially suggested replacing lost volume in your cheeks before addressing your deficient tear trough. I think your injector is not experienced enough to have seen this if they went straight to teartrough filling without having this discussion with you.   Did they not tell you this? I think you may have got this result no matter what filler was injected into the teartrough as the injector put too much in taking the deficient cheek volume into consideration. 
So I would speak to your injector, I just hope for your sake you went to someone who has the knowledge and prescribing capacity to correct this. Otherwise, you need to seek out someone who can correct this? There’s Lee Walker in Liverpool? I’m in North Wales between Chester and Wrexham, if you are prepared to travel? I’d get on and get this dissolved ASAP, the longer it is left the chances of your skin stretching is increased. I’ve seen teartrough overfilling last over 2 years, unfortunately.
I hope you can get this sorted.

Steven Land, MBBS · Answer

Hi, it looks like your tear troughs have been overfilled from the pictures you have posted. All hyaluronic acid filler should dissolve eventually so things should go back to normal over time. Revolax is not a great filler for this area and difficult to dissolve (in my experience), so things may tak a while to return to normal for you.Your injector should rectify things for you if you aren't happy, although there are many beauty therapist/hairdressers injecting in this country who aren't skilled at avoiding problems like this or fixing them if they do.Firm massage will help improve the drainage and will help break don the filler a little too, if you really aren't getting anywhere then a doctor/nurse experienced with dermal filler complications may be your best bet. Lee Walker is in your part of the world and would be my recommendation if things aren't resolving.

Sergio Verduzco Casillas, MD · Answer

Over correcting with a Filler like Revolax can cause that, ofcourse eventually will go down. I suggest to go to your doctor to talk about the posibility on taking it down or dissolving it.

I had tear trough filler (Revolax) which has gone horribly wrong, will it eventually resolve? (Photos)

Answers (4)

Answer: It will sure go down

Answer: It will sure go down

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Everything you need to know about Revolax

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

I had tear trough filler (Revolax) which has gone horribly wrong, will it eventually resolve? (Photos)

Answers (4)

Answer: It will sure go down

Answer: It will sure go down

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Recommended reading

Everything you need to know about Revolax

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