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This is unlikely hemosiderin staining after 2 years. Under eye bags and dark circles can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye. Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. I hope this helps!
Hi @melissa809, After 2 years, hemosiderin staining is unlikely. The darkening is likely from the swelling of the fat in your lower eyelid. I recommend an in-person consultation with a facial plastic surgeon. Best of luck to you, Dr. Nima!
After 2 years, this is unlikely hemosiderin staining. Keep in mind, a combination approach will give the most improvement for under the eyes. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer
Hemosiderin staining is prolonged darkening of the skin after severe bruising. This would occur immediately after treatment. You either have some excess fat under your eyes or are having swelling as the under eye filler breaks down. If you didnt have the bags 2 years ago, I would recommend dissolving the existing filler and then reassessing the situation. You may need to repeat the filler or have under eye surgery. There is no way to tell if this is from the old filler without dissolving it.
Thank you for sharing your case and photos. It is unlikely to be hemosiderin staining so far from your treatments, but I would recommend a consultation with a board certified injector who has experience treating this area. You may have some filler that needs to be dissolved before considering any further treatments. Good luck!
After 2 years, this is unlikely hemosiderin staining. Keep in mind, a combination approach will give the most improvement for under the eyes. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals.
It is highly unlikely that the darkening in color is from filler injected two years ago. The darkening is likely from the swelling of the fat in your lower eyelid. I would suggest getting an evaluation for filler or lower blepharoplasty, a procedure that can improve under eye circles and tighten the skin under your eyes.
It is very unlikely that this is hemosiderin after 2 years and apparently no bruising before. probably you need a blepharoplasty so see a board certified oculoplastic surgeon for a consultation
This "dent" may be a dimple, which is muscle related and not really a dent in the skin. I would suggest using a hyaluronic acid filler like Juvederm or Restylane in the subdermal plane if it is not tethered to muscle. See an experienced physician injector to get the right examination and re...
No, this is unlikely to negatively impact your results. It will take 1-2 weeks for final results. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert.
Hi @LisaBelle24. Thank you for sending your photos. Based on your photos, it looks like the filler was placed very superficial. If the swelling does not resolve after a couple of weeks, I recommend dissolving the product with Hyaluronidase. Best of luck to you, Dr. Nima!