Tear trough filler dent and bruising after 1 year. (Photo)

Question

I had tear trough filler 1 year ago. I was left with bruising that another ps told me was hemosederin staining. It has been one year and there is still some visible bruising as well as a dent under my left eye. I assume this is the filler somehow migrating. How much longer do I need to wait for the filler to dissolve and the hemosederin staining to disappear?

Dennis Wolf, BScHons, MBBCh, MRCSEd · Answer

The staining is difficult to see on the pictures.
The dent is more discernible. This may  be a bit of retracted scar tissue (if you had a heamatoma) or reaction to the filler.
It can be filled again with some low viscosity filler superficially.
The shadowing obscures the lower lid margin so difficult to see if the orbital fat is prolapsing.
Have it assessed by a PS that does lower lid surgery too.

Wayne Wertheim, MD · Answer

Although it is difficult to say exactly fromyour photos there is hope to expedite this problem. it would be helpful to knowwhat product was used. There are enzymes that can help deflate any remainingfiller or possibly adding filler to "camouflage" the dent. Tattoolasers with a 524 wavelength have been used successfully to eliminatehemosiderin staining which otherwise takes amply time to dissipate

Robert Whitfield, MD · Answer

I was injecting tear troughs on Friday and was discussing the the injections need to be deep.  This help prevent this.

Alexis Parker, MD - Account Suspended · Answer

The hyaluronic acid that was used under your eye has caused a Tyndall effect, the blue tint, and is holding water.  See a doctor who is an experienced injector and can use a small amount of hyaluronidase to dissolve the excess HA.  All the best to you, Alexis Parker MD

Ramtin Massoudi, MD - Account Suspended · Answer

Hi Dear Melissa
Sometimes after injection of filler under eyes cause bluish discoloration, thats because of mis-placement of the filler. It might need to be dissolved and with picosecond tattoo laser removal treat the pigmentation if the swelling and discoloration does not fade after dissolving the filler.
Thank you
Ramtin Massoudi, MD

Tear trough filler dent and bruising after 1 year. (Photo)

Answers (6)

Answer: Bluish tint after filler

Answer: Bluish tint after filler

Answer: Filler and indentation and discoloration

Answer: Filler and indentation and discoloration

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Tear trough filler dent and bruising after 1 year. (Photo)

Answers (6)

Answer: Bluish tint after filler

Answer: Bluish tint after filler

Answer: Filler and indentation and discoloration

Answer: Filler and indentation and discoloration

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Recommended reading

Everything you need to know about Dermal Fillers

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