How can I dissolve my under eyes filler and have a great result? (Photo)

Question

Hello, I had fillers in France in March 2019 and now I have two bumps and it doesn't go away. I can feel it under my skin. I would like to remove it but I read on RealSelf but also on many other websites that hyaluronidase dissolves also your own hyaluronic acid and that most of the patients that have been treated are disappointed and regret it. I would like to know how can I dissolve it and have a great result? Radiofrequency? Creams? (if yes, please advise which creams) thanks.

Nima Shemirani, MD · Answer

Hi @Genuine934143! Most facial filler products that are injected into the tear trough area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficially in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. Hyaluronidase is designed to dissolve fillers made of hyaluronic acid. Best of luck to you!

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Frankly, from experience I have to agree wholeheartedly with those that maintain that hyaluronidase can affect normal surrounding tissue. Aside from my personal experience in using it to help to disperse injectables, such as fat melting solutions, it was originally used to help disperse injectable antibiotics, injectable steroids, and anesthetics within the tissues of the skin.  It is recommended even for use for managing problems of excess filler or adverse reactions to non-hyaluronic acid fillers, such as Radiesse. If it didn't affect normal tissue, why would it be recommended for treatment in such circumstances. But it is and has been for a long time, and, once again, from my own personal experience, used for precisely for the purpose of aiding the dispersal of other injectables by this mechanism. . Having said that, hyaluronidase needs to be injected in the proper way and in the proper concentration and amount to address the size the bump and the specific hyaluronic acid material that was injected. So, make sure that you consult with a board certified aesthetic physician with experience and expertise in the proper use of hyaluronidase. Best of luck.

Jason Emer, MD · Answer

hyaluronidase dissolves ONLY FILLER not your own skin. also do lasers and RF to hep improve the look. at home peels  like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now for the color (see link).

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term.  There are many things you can do to treat under eye hollows and dark circles without surgery.  Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture.  I suggest you get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Dmitriy Schwarzburg, MD · Answer

Hyaluronidase is designed to dissolve fillers made of hyaluronic acid. If you are not satisfied you can always have it dissolved. Consult with your doctor to know more.

How can I dissolve my under eyes filler and have a great result? (Photo)

Answers (7)

Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers Belotero, Volbella; Fraxel/Halo; emeragecosmetics ENLIGHTEN/AERIFY/COSMELAN

Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers Belotero, Volbella; Fraxel/Halo; emeragecosmetics ENLIGHTEN/AERIFY/COSMELAN

Answer: Hyaluronidase

Answer: Hyaluronidase

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Our mission is to create a world where every investment in modern beauty is Worth It.

How can I dissolve my under eyes filler and have a great result? (Photo)

Answers (7)

Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers Belotero, Volbella; Fraxel/Halo; emeragecosmetics ENLIGHTEN/AERIFY/COSMELAN

Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers Belotero, Volbella; Fraxel/Halo; emeragecosmetics ENLIGHTEN/AERIFY/COSMELAN

Answer: Hyaluronidase

Answer: Hyaluronidase

Browse related questions

Recommended reading

Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.