Damage from filler/hyaluronidase - what can I do? (Photo)

Question

Hello doctor, Last April, I made the huge mistake of getting eye fillers. The doctor told me I had volume loss and injected the filler. I lmuch worse with the filler. I looked much worse —My face looked too big, it was swollen everyday, and my eyes looked too small and almost had a different shape. I wasn’t happy and got it dissolved after 10 months. My under-eye looks terrible now. There are dents & festoons. It cannot be ageing. Please help.

Jonathan Kulbersh, MD · Answer

Thank you for your post and photos. I am sorry you did not see the results you hoped from your first treatment. When performed correctly, a nonsurgical eyelift can reduce fine lines by subtly volumizing the area around the eyes with facial fillers. This is a good option for someone who wants to achieve short-term eyelift results, perhaps making changes to the dosage, injection site, or formula used to achieve a better outcome.

If you’re interested in a more long-term solution, you may be a candidate for a lower blepharoplasty. This minimally invasive surgical procedure can refresh the skin around the eyes by removing excess skin, tightening loose muscles, and repositioning fat as necessary. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and recommend the best options to achieve your desired results.

Dallas Walker, MBBCh · Answer

When we use filler under the eyes it has to be below the muscle or it can really look like it shouldn’t be there. Getting it dissolved was likely the right choice. But this doesn’t mean it cannot be done correctly in the future. 
There are other options to tighten that skin and nourish it! Using retinol and eye serums is really useful for your day to day maintenance. But also the Sue of PRP/meso therapy help with maintaining youthfulness. Then you can look at microneedling, or even better Morpheus8 (microneedling with radiofrequency). There are also laser options like CO2!
Hope that helps!

Robert T. Buchanan, MD (retired) · Answer

Considering the type of filler and its placement, you did not have as significant a problem as you could have. You are now basically back to where you were before your filler, though you do still have some filler left in a few places. You do, indeed, have volume loss under the orbital rim in the malar area. It will take a year or so for the remaining filler to dissipate. In the mean time, what you need is a heavy filler like Juvederm Voluma placed deep below the orbital ligament instead of superficially above the ligament done by a true expert in treating this area.

Damage from filler/hyaluronidase - what can I do? (Photo)

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Damage from filler/hyaluronidase - what can I do? (Photo)

Answers (3)

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.