Malar edema after under eye filler? Should I dissolve finally? (Photo)

Question

I had juvederm filler injected into my under eyes for shallow eyes. Shortly after the injection, I noticed I would get Malar edema that would come and go. My injector advised against dissolving the filler saying it could make my eyes shallow again. However 2 years post filler, the Malar edema is remaining consistent and not going away. Should I dissolve finally? Looking for recommendations

Nelson Lee Novick, MD · Answer

The kind of edema that appears to be the case in the photos provided has come to be known as under-eye "puffy pillows," which in fact lymphedema (lymphatic obstruction) that can arise from the use of an improper HA filler for this area and/or too superficial injection of even an appropriate filler in the delicate skin of the infraorbital area. It can be a very difficult and persistent problem to treat, although I have had gratifying results treating patients who have come to me with this problem using an algorithm consisting of varying combinations, concentrations and amounts of anti-inflammatory agents. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.

Camille Cash, MD · Answer

If there is remaining filler present you can consider dissolving it in hopes of improving the malar edema.  This is a difficult issue to treat.  You may have some improvement with Morpheus8 treatments.

Kenneth R. Francis, MD, FACS · Answer

Dear Friendly,
Malar edema is unfortunately one of the risks of HA fillers placed in the lower eyelids.  From the photos it appears that you may have residual filler persisting in there.  An attempt at dissolving any residual HA is not unreasonable at this point.  Good luck!

Malar edema after under eye filler? Should I dissolve finally? (Photo)

Answers (3)

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