I got under-eye filler about 4 months ago and I feel it’s made my under-eye wrinkles worse. (Photo)

Question

The fillers aren’t an issue if I’m not smiling but I think the filler bunches the skin up and creates greater creases when I smile. Should I dissolve them? Is CO2 laser an option for me - I have Indian Skin. The rest of my skin is so young looking. I already use retinoic acid, vitamin C and copper peptides.

Tanya T. Khan, MD · Answer

Hello, you do have some lower eyelid wrinkling that accentuates in animation, from your above photograph. I think the filler may need to be injected at the bone level instead of the dermal layer within the skin to help elevate the skin away from the orbital rim. Alternatively, laser tightening will provide some smoothing of skin, however, some lasers can cause hyperpigmentation in pigmented skin. I would also consider a chemical peel to provide some smoothing of the skin surface.

Dana Goldberg, MD · Answer

Since your filler is most likely partially breaking down already, it may not be necessary to inject anything to break it down. It would be more helpful to see before and after photos with a straight face and smiling before recommending anything more specific about your filler. Based on the wrinkling you have on animation, micro Botox in the lower eyelid muscles (2-4 units spread out over the lower eyelid) could help smooth things out. I don’t think CO2 laser is a bad idea, but I recommend going to a practitioner who is experienced in treating patients with darker skin.

Jason Emer, MD · Answer

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. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Shaun Patel, MD · Answer

It would be nice to see a photo of your face at rest. It is possible that the filler was placed too superficially. I would recommend getting an in person consultation and second opinion from another injector. The filler can be reversed using hyaluronidase and the area can be reinjected using correct technique. A small amount of Botox/Dypsort under each eye may help with the dynamic undereye lines.

Kamran Khoobehi, MD · Answer

You have extra skin over the lower lids. You can try Botox and if not better use Wydaze to dissolve the fillers.

I got under-eye filler about 4 months ago and I feel it’s made my under-eye wrinkles worse. (Photo)

Answers (9)

Answer: Undereye filler results

Answer: Undereye filler results

Answer: Botox and then dissolve if not better

Answer: Botox and then dissolve if not better

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.

I got under-eye filler about 4 months ago and I feel it’s made my under-eye wrinkles worse. (Photo)

Answers (9)

Answer: Undereye filler results

Answer: Undereye filler results

Answer: Botox and then dissolve if not better

Answer: Botox and then dissolve if not better

Browse related questions

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.