I had Kenalog 10 diluted with hyaluronidase on my tear trough to dissolve filler 2 weeks ago. Will this dent go away? (photo)

If the depression is more than you had before your dissolved filler was placed, it may be due to the kenalog 10.  Kenalog can cause atrophy (depression) of the skin.  There are a few reports of saline injection into kenalog atrophy, resulting in correction.  This would be a relatively easy thing to try.  Otherwise, you may want to have filler to correct the dent (I know this is not what you want to hear).

It's not clear why your injector would combine both a steroid (Kenalog) with Hyaluronidase to dissolve a smooth gel filler.  Being that only a soft gel filler should be used in a delicate area such as the tear troughs, only Hyaluronidase is needed to correct a negative outcome.  If the "dent" or depression that you are observing is more pronounced than before you had the filler treatment, then this may be an adverse reaction to the Kenalog which is known to cause atrophy (depressed areas).  We are recommending that you return to your practitioner for a follow up exam as well as an explanation.  See below link.

It can sometimes take a series of hyaluronidase treatments to dissolve filler. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

It is generally not recommended to combine kenalog with hyaluronidase to dissolve filler as the hyaluronidase is the only medicine needed to dissolve the filler. I would make a follow-up appointment with the provider who did this to seek an explanation for why they combined both medicines. Use of topical or intralesional steroids can cause steroid atrophy. If it is indeed steroid atrophy, you will just have to wait as it can improve slowly over time or never improve. If you would like to seek a second opinion, I would recommend going to a board-certified dermatologist or plastic surgeon. Best, Dr. Scott

Hyaluronidase dissolves filler. I don't understand combining it with Kenalog.... If that dent is from Kenalog (which is what I assume) then it will take a loooooong time to resolve but it will. But again, I don't know why your injector combined them together. It is not necessary. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."