Tear trough edema still there after Hyaluronidase. What should I do now? (Photo)

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin. This is a great question. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

At least from the photo and the history, the problem appears to be what has come to be called under-eye "puffy pillows," or more specifically lymphedema/lymphatic obstruction. This issue, which results from either an inappropriately selected HA filler for the area and/or too superficial injection of the filler is admittedly a difficult problem to treat. I have had gratifying results with individuals who have come to me with this issue using an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.