What has happened to my tear trough fillers? Should I wait for this to settle, if so how long? (Photo)

Question

4 weeks ago I had tear trough fillers and after considerable bruising the outcome is lumpy, ridges and darker shadows near my eyes. Should I wait for this to settle, if so how long? Or should I look at getting this filler dissolved? The initial reaction on the phone from the clinic was that it takes 3 months to settle. Is this correct? I am very distressed.

Raffy Karamanoukian, MD, FACS · Answer

Fillers can often absorb water in the first few days causing lumps or irregularities. I suggest applying Plato's Bruise Balm twice daily for a few days after injecting my patients. If the filler lumps do not resolve, then a small injection of Hylenex usually can correct an HA filler that is overdone. 
In some cases, Venus Viva RF can help tighten skin thereafter. 
Best 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

It takes 1-2 weeks for final results. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. Keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. See an expert. Best, Dr. Emer

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