How can I correct this fold or hollow crease under my left eye area? (Photo)

This is a classic problem with fillers in the under-eye area. This is edema related to swelling of the filler and/or obstruction of the lymphatics. I would recommend dissolving the filler. I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.

Hello, and thank you for your question. Based on your photo, it is difficult to determine if the crease is natural or a result of your previous filler treatment. To determine its cause and receive proper treatment, I highly recommend only seeking consultations and treatments from a reputable board-certified facial plastic surgeon, particularly one with extensive experience with injectables. Such experts will know what product to use, how much product to use, and where to precisely inject them while having an eye for symmetry and facial harmony. During your in-person consultation, your surgeon can assess your skin and recommend the best approach to safely achieving your desired results.

Hello!
If you have had filler treatments in that area in the past, my best guess is this is focal filler that is visible under the skin. The "tear trough" area of the face has very thin skin and is quite unforgiving with filler treatments. I would recommend you see a board certified plastic surgeon to examine the area. If it seems to be filler, then it may be treated with an enzyme that can break down the product and smooth the area, almost immediately.
Best of luck to you!

Without a physical exam, it is difficult to fully respond but regardless, this area would not be helped with a facelift. You might need to consider hyaluronidase to dissolve some of the filler that possibly migrated to create this ridge. You also might be suffering from edema due to clogged lymphatics, a very unfortunate side-effect of undereye fillers. If the hyaluronidase does not work, and it is determined that the irregular area is not caused by edema, perhaps you need filler placed below the ridge to camouflage it. Never, but never use any filler under the eyes that is not an HA (hyaluronic acid) filler. I recommend consulting in person with a board certified plastic surgeon to discuss your concerns and to see what can be done. If possible, bring photos of yourself before the filler to diagnose your current issue.

I am not certain but based on the picture you may have some residual filler above the crease, causing this issue. I would suggest you see a board certified physician experienced with injectables to explore this possibility and the possibility of dissolving that product if indeed it is the cause. Good luck!

Hi there. Looking at the picture, it’s hard to determine whether this fullness is coming from your lower eyelid or your upper cheek? Depending on where it’s coming from, this will dictate the proper treatment. If it’s coming from your lower eyelid, then a lower transconjunctival blepharoplasty to reduce the herniated fat will correct this problem. If it’s coming from the upper cheek area, then there may be different treatment techniques to reduce it, however it really depends on the actual physical examination and assessment. Hope this helps? Good luck.

You do appear to have a ridge under the left eye and it’s hard to say whether it’s due to filler or something else.

You need a proper evaluation; seeing an Oculoplastic surgeon should help you get some answers.

Since fillers did not work, another option that comes to my mind would be minimal liposuction of the fold with fine 1 mm cannula, followed with conservative fat graft placement in the hallow area. In person consultation with a board certified plastic surgeon with extensive experience in this type of procedure (Dr J. Carraway, Norfolk, VA) is recommended. Good luck.

Undereye filler is a tricky thing - the hill under your left eye is likely residual filler and should be melted. Then reassess with a clean slate.

Dear Justawomanaskingquestions,
Thanks for sharing your photo. It is hard to fully evaluate your needs now without a in-person consultation but it appears one “under-eye” area is well treated for a hollow and the other developed a elevation or ridge following filler injection.
a. The understanding in the use of various fillers with their different rheologic nuances and the placement of the same based on the complex anatomy under the eye requires a talented, skilled and well experienced, Board Certified Plastic Surgeon. I agree that you don’t need a facelift, nor would a facelift help this area. It seems based on the other side, that fillers are worthwhile for you.

Please consider:
b. A second opinion
c. Possible reversal of the ridge with the enzyme hyaluronidase to remove the expected effects of hyaluronic acid fillers, ie.,
i. attraction of water to volume fill an area of HA injection,
ii. possible festooning associated with a individual’s accumulation of fluid under the skin,
iii. expected firming of the gel into droplets or “noodle’s associated with technique of injection
d. Re-evaluation of your needs for other options including:
i. Secondary HA filler injection using cannula or deeper injection technique
ii. Use of a different type of HA gel
iii. Use of a different filler such as “Sculptra” for firming and tightening the skin and under-skin tissues
iv. Other options such as retinoids and peels; find a Zein Obagi, MD, Certified ZO Skin Health Team
I hope this is helpful. All the best!