Tear troughs filled - I think it looks worse. Is it the wrong filler or placement? Advice? (photos)

Question

Can someone advise on the problem here. I've gotten my tear trough filled for the first time on Saturday. 3 days ago. They don't look any better and I think they could look worse. My dark circles seem darker. Could it be the wrong filler used or could it be an issue with placement? Please advise. Thanks

Michael A. Persky, MD · Answer

Hello Noonie,It appears that there is excess filler low on your right side.  If it is still that way next week, I would let your injecting physician know about it.  Depending on your trust, you may consider a consultation with another expert injecting physician.  Good luck and be well.Dr. P

Shahzad Anwar, MD · Answer

Thanks for sharing. May be related to product used and/or technique and/or your pre-existing anatomy - was a cannula or needle used? Best to discuss with injector and reassess within 1-2 weeks.

Shaun Patel, MD · Answer

It's took early to judge the results of your treatment. What you maybe seeing a post procedure swelling. Give the undereyes a few more days to settle down before judging your results. If the filler was injected too superficially or too much product was used, then it could be dissolved using hyaluronidase. I prefer using Restylane for the undereyes. I avoid Juvederm in this area because of issues with chronic swelling.

Jean M. Casello, MD · Answer

From your photos it would appear that the filler was injected too superficially.You should wait at least 2 weeks to see if the filler and swelling settle before making any changes.The filler can be dissolved to remove it or smooth out the area.  You don't say what filler was used but typically in this area a thinner filler such as restylane , vobella, or belotero are the best options .

Mayli Davis, MD · Answer

Thanks for your question.  First of all, I agree with the other answer that it is too early to tell the outcome of fillers in the tear trough.  Give it about 2-3 weeks to settle in.  Fillers in the tear trough can be quite tricky.  Placement is crucial as well as not trying to use too much.  I find placing it deep and close to the orbital rim produces the most natural results.  Restylane is the most widely used though Refyne and Belotero also work.  Give it more time and make sure you are using someone with plenty of experience in the tear troughs.

Leonard Grossman, MD · Answer

First of all it's way too early to cast any kind judgement on the outcome only 3 days after a procedure. In the eye area it takes about 2 weeks for everything to settle down. I personally don't believe that fillers should be used in a lower eyelid area unless there's absolutely no fat available anywhere on the body for fat grafting, which produces natural and permanent results. I hope this helps and good luck from New York City

Tear troughs filled - I think it looks worse. Is it the wrong filler or placement? Advice? (photos)

Answers (6)

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