Could this soft fluid-like bump be a result of filler migration after hyaluronidase? (Photos)

Question

I had my cheeks poorly injected with juvederm volumna 2 years ago. Some filler was lingering near my mid cheek (under the eye) which my doctor injected with hyaluronidase 2 weeks ago. A few nights ago, I noticed the area was still raised and began to massage it (with some force). I got up to go to the bathroom and noticed a soft, fluid-like bump under my eye in the tear trough right above where the "poor filler" was placed. Was the filler softened from the dissolver then migrated? Please help

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

I suggest reversal and RF treatments for now, please see an expert who is a specialist.  Best, Dr. Emer.

Mehryar (Ray) Taban, MD, FACS · Answer

It appears the fullness you are pointing to is natural eye fat bags. You may benefit from lower blepharoplasty with repositioning of the fat bags to the hollow area below it. Filler injection may be another option. Consultation is necessary.

Shaun Patel, MD · Answer

This is probably is the normal appearance of your eyes without filler. The undereyes could be retreated with filler or surgery to improve the appearance.

Could this soft fluid-like bump be a result of filler migration after hyaluronidase? (Photos)

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Answer: Undereyes

Answer: Undereyes

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Could this soft fluid-like bump be a result of filler migration after hyaluronidase? (Photos)

Answers (4)

Answer: Undereyes

Answer: Undereyes

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Recommended reading

Everything you need to know about Dermal Fillers

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