Reoccurring chemical burn feeling (redness and swelling with scaling) under eye 4 months after tear trough fillers (Photo)

It is possible whatever filler was placed into that space is now blocking your lymphatic drainage in that space and causing swelling and the other symptoms you have mentioned. It would be best to revisit your provider so they can properly assess. Ask them to dissolve the filler and wait to see if your symptoms resolve.

Given the recurring nature of these symptoms and their persistence for over four months since the procedure, I recommend the following:

1. Schedule an immediate appointment for a comprehensive evaluation of the patient's symptoms and the affected area. This will help in determining whether the symptoms are related to the filler or possibly an allergic reaction.

2. Consider referral to a dermatologist for further evaluation, especially if the symptoms persist or worsen.

3. Discuss the possibility of hyaluronidase treatment to dissolve the filler, if it is deemed to be the cause of the recurring symptoms.

4. Continue avoiding any potential irritants and to use a gentle, hypoallergenic moisturizer instead of Vaseline, which can sometimes be occlusive.

5. Consider prescribing a topical steroid to help manage the inflammation and discomfort in the short term, pending further evaluation.

6. If the problem is not resolved or continues to recur, you should be advised about the potential risks and benefits of continuing with the fillers.

I'm sorry to hear of the issues you are experiencing under the eyes. The symptoms you describe are not typical after tear trough filler and should be evaluated by your injector or a dermatologist. If needed you can have the filler dissolved.

Have you gone back to your provider to dissolve your filler?This may be an unfortunate reaction to the filler itself, but you wont know completely until it is dissolved.

I would suggest removing the filler with enzymes and avoiding this type filler anywhere on your face or neck in the future. The one filler later you could try is Sculptra since it is a different composition and nature, but I would not try it around the eyes first.

Based on your post of photos and your medical history of this reoccurring, redness, and swelling that appears like a superficial burning. I would ask who did the injections? Medical doctor or injector nurse? Exactly what product was used with documentation. Was this product purchased from out of USA? do a virtual consult so these questions can be addressed and other options offered.