Can fillers and hyaluronidase cause veins to appear and bulge out under the eyes?

Question

After terribly overfilled and misplaced filler under the eye, I had hyaluronidase to remove it. Now, I see a lot of veins under my eyes and a few bulging ones that I never had before. Did filler and or hyalurondiase cause the veins and will the veins eventually disappear?

Mariusz Sapijaszko, MD, FRCPC · Answer

It sounds like you need to see your doctor back or have an assessment who is really familiar with the use of fillers and hyaluronidase treatments.

Brian S. Biesman, MD · Answer

It is not clear why the veins under your eyes are more prominent.  hyaluronidase is not known to increase the prominence of veins.  I have used this drug for decades and have never seen it increase the visibility of blood vessels.  I would recommend evaluation by a specialist in eyelid rejuvenation who is also highly skilled with the use of lasers and other technology related devices.  Best of luck.

Jason Emer, MD · Answer

Hyaluronidase does not cause under eye damage. I suggest you see an oculoplastic surgeon if you are concerned about the eye area, or have filler replace appropriately and use cannulas to limit complications.  Best, Dr. Emer.

Can fillers and hyaluronidase cause veins to appear and bulge out under the eyes?

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