Crease when smiling 6 months after under eye filler (photo)

Thank you for reaching out and sharing your concerns. It’s understandable to feel self-conscious about changes in your appearance, especially after undergoing treatment aimed at enhancing your look. Based on your description, here are some potential reasons for the crease you are experiencing after under-eye filler treatment:

Filler Over-Filling: Excess filler can sometimes create an unnatural appearance or lead to creasing when facial expressions are made. It’s possible that additional filler has contributed to this issue.

Filler Migration: Hyaluronic acid fillers can occasionally migrate from the original injection site, leading to unevenness or creases in nearby areas. This could explain the new crease when you smile.

Incorrect Placement: If the filler was not placed in the optimal layer of the skin or if it was injected unevenly, it might cause creases or bulges when facial muscles are in use.

Tyndall Effect: The bluish tint you're noticing could be the Tyndall effect, which occurs when fillers are placed too superficially, causing light to reflect in a way that gives a bluish appearance.

To address these issues, consider the following steps:

Consultation with Your Injector: Continue to follow up with your original injector to discuss your concerns. They can assess the situation in person and recommend appropriate solutions.

Hyaluronidase Treatment: If over-filling or incorrect placement is the issue, your injector might suggest using hyaluronidase to dissolve some of the filler and reduce the crease.

Second Opinion: If you’re not getting satisfactory feedback or results from your original injector, seeking a second opinion from another experienced and board-certified injector might be beneficial.

Remember, these are common concerns and can often be addressed effectively with professional guidance. I hope this helps you find a resolution that restores your confidence.