Crepey eyes after hyaluronidase - help! I'm 48 years old, and have had under eye filler twice in the past two years. (Photo)

Thank you for your question. These fillers (belotero, volbella, restylane silk) are good for under the eye, but keep in mind, a combination approach will give the most improvement. 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

Hi, 
I'm very sorry for this disappointment with fillers and their removal. Crepey skin is really common unfortunate result of using hyaluronidase. It will get a little bit better over time if you do nothing but the extent of the improvement depends on how well your body regenerates. What happens is that the hyaluronidase also effects your own hyaluronic acid found in the skin. In my practice, I never use hyaluronidase to "dissolve" HA. I use heat treatments and carboxytherapy. 
I would give it a full 6 weeks to see how far it improves, if you want to add a hyaluronic acid serum as well, that will give you some temporary improvement while you regenerate. Then perhaps be re-evaluated by an esthetic physician to see the status of the situation. I would look into microneedling with platelet rich plasma to regenerate the area if you still want to do something to improve the area. You really want a treatment that will regenerate the deeper tissue and the dermal matrix, not just the superficial skin, but the undereye skin is tricky because it is thinner already so you don't want to be too aggressive with it with treatments that are not easily calibrated for thinner skin. 
Best of luck and know that this is very common and will get a bit better over time doing nothing
Dr. Jamé