Lump on cheek after tear trough filler. How can it be fixed? (Photo)

From the submitted photo it appears the filler may have been placed too superficially. If HA filler was used you should have improvement from dissolving it with hyaluronidase. It sometimes takes multiple attempts to fully dissolve the filler. See an expert injector for an in person evaluation.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. Lumps and bumps can occur with any dermal filler injection. I recommend dissolving the area completely to help to minimize the bump. However, 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!

From the history and photo, it is very likely that this is a case of what has been called under-eye "puffy pillows" typically resulting from the injection of an inappropriate choice of filler for the tear trough region and/or too superficial placement of that filler. It can be a tough problem to treat and does not necessarily respond to hyaluronidase or hyaluronidase alone. I have had gratifying results in treating patients who have come to me with this issue employing varying anti-inflammatory agents in differing combinations, concentrations and amounts. You would be wise to consult a board certified cosmetic dermatologist with experience in dealing with this difficult issue. Best of luck.