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.