Chronic edema around eye after HA fillers?

Question

I had .5cc under each eye of Resty., maintained for 3 years. 1 or 2 sessions a year. Primarily mid to lateral cheek area, not tear-trough. Placed right along the top of, and on the rim, giving higher cheeks. Under 1 eye, I had minor persistent swelling. Also had upper eyelids done on 3rd year. On same eye I got an eyelid infection. After it resolved, the swelling was much worse, chronically. It is like a festoon, & eyelid bag, but is all fluid, no fat. Despite years since last treatment. Help?

Kenneth D. Steinsapir, MD · Answer

These products have a life cycle.  Eventually the old product that persists for years needs to be cleared out.  Enzyme treatment will remove the old filler product.  About a week later, you can be retreated without the chronic bogginess.  You don't need antihistamines, prednisone, or unnecessary laser treatment.

Matthew Richardson, MD · Answer

While there are several possibilities, biofilm formation (like a chronic infection) could definitely be going on in a scenario where chronic swelling is occurring in the location of filler injections and previous infection. An in-person exam is definitely warranted, but the fillers may need to be dissolved with hyaluronidase, and oral antibiotics may also be needed. A visit with a board-certified physician injector specializing in facial aesthetics is always recommended.

Mehryar (Ray) Taban, MD, FACS · Answer

Need photos or examination to tell you. It could be edema, residual filler, your own eye fat, or combination. Treatment depends on the cause. See an oculoplastic specialist.

Jason Emer, MD · Answer

This is difficult to answer without pictures and needs an in-person evaluation. I recommend getting a formal evaluation with a cosmetic dermatologist. Antibiotics, antihistamines, prednisone, venus legacy treatments may help give improvement. Best, Dr. Emer

Hardik Soni, MD · Answer

Thank you for your question. It is difficult to give you an answer without photographs. I recommend having this evaluated in-person to determine the cause and treatment plan. Please be sure to see expert. Best of Luck!

Chronic edema around eye after HA fillers?

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Answer: Chronic edema around eye after HA fillers

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Chronic edema around eye after HA fillers?

Answers (9)

Answer: Chronic Swelling after Restylane for Tear Troughs--See a Doctor

Answer: Chronic Swelling after Restylane for Tear Troughs--See a Doctor

Answer: Chronic edema around eye after HA fillers

Answer: Chronic edema around eye after HA fillers

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Everything you need to know about Restylane

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