Which eye surgery will fix 4 year old tear through filler? (photo)

Question

I had under eye filler 4 years ago by an inexperienced doctor. My undereyes got worse when I got pregnant last year. I am scared to have it dissolved and would prefer to go straight with surgery. Which surgery can you recommend that will totally fix my under eye and take away the filler. I have added a few photos. I am left with sausage like filler lumps under my eyes and very dark undereyes. Thank you

David K. Isaacs, MD, FACS · Answer

I have injected many many patients with hyaluronidase, the enzyme that dissolves the filler, and it is very well tolerated. There are a lot of aesthetic/cosmetic/plastic surgeons and dermatologists that will instill fear in patients regarding hyaluronidase but again I see patients like you and I first dissolve the filler, then determine the next steps. Yes you have to be careful with any medication, but I think they exaggerate the fear factor because it garners a lot of likes and follows on social media. And the problem is that people then start looking for the wrong treatment like excising hyaluronic acid gel filler when you can simply dissolve it.

Hyaluronidase will only dissolve the filler if you had hyaluronic acid gel filler by the way. If you had another  type of filler, then we need to have a completely different conversation.

See an expert for an evaluation.

Zoran Potparic, MD · Answer

It is in your best interest to try injection of enzyme into the filler related bulge first! Any  surgery would create relatively large scar and significant postoperative discomfort. In person consultation with an experienced board certified plastic or oculoplastic surgeon is recommended.

Michael A. Persky, MD · Answer

Hello Cha,
Before any lower eyelid surgery is contemplated, the filler should be dissolved by an expert injecting physician.  Once the filler is dissolved, then a decision on how to proceed if necessary can be made.  Good luck and be well.
Michael A. Persky, MD
Encino, CA

Steven Schuster, MD, FACS · Answer

Although It may seem  like surgery is the fastest answer depending upon the type of filler used I would certainly recommend dissolving it is a much more reliable way to go and can be done without scars.  Of course if you had something other than a hyaluronic acid filler then that would not work.  When you go see a board-certified plastic surgeon make sure you have the record of what was used so the proper treatment can be recommended to you.  I wish you good luck, Dr. Steven Schuster in Boca Raton Florida

Which eye surgery will fix 4 year old tear through filler? (photo)

Answers (4)

Answer: Not Surgery

Answer: Not Surgery

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Everything you need to know about Eyelid Surgery

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Which eye surgery will fix 4 year old tear through filler? (photo)

Answers (4)

Answer: Not Surgery

Answer: Not Surgery

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Recommended reading

Everything you need to know about Eyelid Surgery

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