Is it safe to dissolve under eye filler? (Photo)

Question

It's been two months since I got my under eye filled but they're still lumpy when I smile and I feel overfilled. Today my left under eye is more swollen than usual and it's red. Should I be concerned? Should I get them dissolved and is that safe?

Jason Emer, MD · Answer

yes you can do hyaluronidase for improvement or wait till it goes down. I would suggest laser in the office and at home peels like aerify/enlighten from emeragecosmetics, MTS roller and anteageMD roller daily and emerageskin refit eye with restorsea eye daily.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Assuming that you were treated with a hyaluronic acid-based filler, the answer to your question is unquestionably "Yes!"  Hyaluronidase would be appropriate for dissolving the lumps you describe. Secondly, you should certainly contact the physician who treated you with the concerns you have, including this recent onset of redness and swelling  Going forward, should you wish to have the under eyes retreated, be aware that there are certain fillers, such as Teosyal Redensity II, Belotero Balance and Volbella that are more appropriate for use under the eyes and less likely to cause lumps, like plain Restylane or excessive swelling, like simple Juvederm. Best of luck.

Dmitriy Schwarzburg, MD · Answer

Hyaluronidase will dissolve Hyaluronic acid filler in your under eyes. It appears that your filler was placed superficially and you have developed excessive swelling because of that. An injection with Hyaluronidase should reverse that effect completely. A board certified plastic surgeon will be able to do this safely . Always consult with a board certified healther provider for your filler treatments.

Leslie Pickens, MD · Answer

Because of the thin skin, ligaments and fat and lymphatic circulation, the undereye is easy to over fill and the less forgiving.  Therefore it is a common place to use hyaluronidase.  The medication is safe to use where there is hyaluronic acid filler.  Your eye may need to be treated since there is obvious swelling.

Is it safe to dissolve under eye filler? (Photo)

Answers (5)

More Hyaluronidase Questions

WE SEND PRETTY
EMAILS

Answers (5)

More Hyaluronidase Questions

Filler in smile lines gone wrong. How can I fix this? (Photo)

Does Hyaluronidase also dissolve some of your facial fat along with the filler?

Should I dissolve my botched jawline filler or wait it out? (Photo)

How long does it take Stylage XL to dissolve on its own? It’s been 2 years, can it be removed with Hyaluronidase?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS