My under eye fillers never last more than three weeks! Three tries already! What could be happening?

Question

Hello. I am a 29 year old woman with some undereye issues (loss of volume in the undereye area) My problem is not severe. I've had fillers injected three times already and they don't last. I got the treatments done by two good ophtamologic surgeons in the UK... The 1st time the surgeon injected 1 syringe restylane it didn't last. then another 1, it didn't last again. the third time we tried 2 injections which didn't last either.what could be happening?

Jason Emer, MD · Answer

Try other fillers that are longer lasting and go to someone with experience who uses cannulas to limit complications.  Best, Dr. Emer.

Mehryar (Ray) Taban, MD, FACS · Answer

What you are describing is very unusual.  Fillers around eyes typically last more than a year, sometimes even longer. Perhaps it wasn't injected exactly in the eyelid or not enough was injected, although it only takes 1/2 to 1 syringe to make a difference. Consider seeing an oculoplastic specialist.

Steven F. Weiner, MD · Answer

I think Restylane is a great filler for this area. When too much is used, the results look unnatural though. A bit edematous, watery. I love sculptra for this area and Bellafill. It needs a very experienced injector to avoid lumps but done right, it's the best in my opinion. ISculptra is what I use on my wife. You should get years with either product. Make sure cannulas are used for this to limit bruising and risk.

Benjamin Barankin, MD, FRCPC · Answer

It is very unusual for the filler to last less than 6 months in this location. More likely, it is moving away from the desired treatment area, although sometimes just not enough product is being used. Best to see a dermatologist, and consider using something like Restylane fine lines.

My under eye fillers never last more than three weeks! Three tries already! What could be happening?

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