My cheek & tear trough filler has made my eyes look small and piggy - can only some be dissolved or does all have to be removed?

Question

Can filler be placed in different areas in the cheek? I've had some put in - 3/4 angle I look great. Front facing my eyes have disappeared! I look very piggy. So can I have the filler dissolved slightly (so keeping some filler in there?) And next time can the doctor place filler elsewhere in my cheek to suit me better?

Harold J. Kaplan, MD · Answer

Hi Simone.  Using Vitrase (Hyaluronidase) is not an exact solution because the product is a liquid enzyme dissolving only part of the filler is very difficult.  For our patients, we caution them against this process as the enzyme may affect more of the product on one side than another causing asymmetry.  Our recommendation is usually to live with the product as is or dissolve it all and start the project over.  To see an example of dissolving filler under the eyes for a Los Angeles patient, click on the link below.

John Layke, DO, FACS · Answer

There are several areas around the eyes and cheek region that can be injected, according to where there is volume loss.  If you do not like the results of a particular filler, your surgeon can always inject hyaluronidase.  Relay your concerns to your surgeon and they will formulate a plan that best meets your needs.  Good luck!

Mehryar (Ray) Taban, MD, FACS · Answer

It depends on the filler and other factors. Usually some can be dissolved if less reversing enzyme is injected. Best to see an oculoplastic specialist.

Jason Emer, MD · Answer

If you are unhappy, specific areas can be dissolved if the enzyme injected is used properly. My suggestion is to find an expert filler injector and someone that uses cannula injections for precise treatment without any complications.  Best, Dr. Emer.

Michael H. Gold, MD · Answer

Thanks for your question and sorry that you are not having the results you were hoping to have with your injections. We always recommend that you have your injections given in the offices of board certified dermatologists or plastic surgeons who are the true experts in the use of fillers. If you are not having the results you want, you need to go back to your provider to see what the options are for you now.  If it is only a few days after the filler, you might want to wait a few more days to see if what you are noting is from swelling in the area.  If it is a month or more after, then the proper injection of hyaluronidase can make things better. Again, the right provider is needed here.

My cheek & tear trough filler has made my eyes look small and piggy - can only some be dissolved or does all have to be removed?

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