I still have hollows and filler is now clumped near my eyes - Was I botched and can this be corrected?

Question

We did 1.5ml under each eye and it somehow looks hollow still. Feom undwrneath you can see puffy lines of filler, its not spread evenly. I dont know what to do at this point.

Anya Costeloe, DO · Answer

Thank you for the photos and your question. It looks like the filler may have been placed too superficially. I recommend having the filler dissolved. “Dark circles” are often caused by multiple factors and the best treatment depends on the underlying cause: 1. Anatomy - a physical depression under the eye in the tear trough 2. Vascular - thin skin and veins under the eyes causing a blue/purple hue 3. Hyperpigmentation - a discoloration of the skin due to melanin 4. Aging- volume loss and fine lines and wrinkles 5. Inflammation - due to allergies and eczema
Under eye filler is not for everyone and can make the under eye area look worse in some patients. And it can make the area look worse if it is injected incorrectly. Fat grafting is a great option of under eye hollows. The best way to determine the most optimal procedure for you is to schedule an in-person consultation with an experienced facial plastic surgeon so they can analyze your unique anatomy.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your experience with under-eye fillers. It sounds like you're dealing with two main issues: residual hollowness and uneven distribution of the filler, leading to visible clumps.

First, it's important to understand that achieving a smooth and natural result with under-eye fillers can be challenging due to the delicate nature of the area. Here are a few steps you can consider to address your concerns:

Consult with Your Injector: Schedule a follow-up appointment with the professional who performed the procedure. They can assess the situation and may be able to smooth out the filler or add more to achieve a more even appearance.

Hyaluronidase Treatment: If the filler used was hyaluronic acid-based, an enzyme called hyaluronidase can be injected to dissolve the filler. This can help correct any lumps or irregularities. After the filler is dissolved, you can discuss re-treatment options.

Massage: Sometimes gentle massage can help redistribute the filler more evenly. However, this should be done under the guidance of your injector to avoid causing further issues.

Second Opinion: If you're not satisfied with the response from your initial injector, consider seeking a second opinion from a board-certified dermatologist or plastic surgeon who specializes in facial fillers.

Remember, while fillers can yield excellent results, they require a skilled injector with a deep understanding of facial anatomy. Don't hesitate to seek out a specialist who can provide the results you're looking for.

Wishing you the best in finding a solution.

Jacquelline Leva, DO · Answer

You may want to ask your doctor about injecting hyaluronidase into the area It seems that you had a little bit of what we like to call "pillowing effect" Which can happen More commonly when injectors inject too superficially or use dermal filler that is too heavy. I like to use boletero or Restylne refyne if I'm injecting superficial.. If I See that the patient has more hollowing of the under eye area and needs a stronger product like volume Then I tried to inject more deep to avoid that pillowing effect

Camille Cash, MD · Answer

I'm sorry to hear you are unhappy with your filler treatment.  I encourage you to begin by visiting with your injector to discuss your concerns.  You want to wait until you are two weeks out from your treatment for your final results.  If HA fillers were used you can elect to have the fillers dissolved with hyaluronidase.  I've included a video that I hope you find helpful.

I still have hollows and filler is now clumped near my eyes - Was I botched and can this be corrected?

Answers (4)

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