I had my deep set eye hollows filled a few years ago and have had lumpiness . When I smile and in certain lighting it’s more noticeable. I also have a divot beneath my eye socket that is more pronounced by the filler. I want to correct my undereyes as they bother me a lot, before and after the filler. Should I dissolve and try filler again? Are there any better treatments for under eyes than filler?
October 31, 2023
Answer: Infraorbital "Puffy Pillows" From the photos and the history it would appear that the issue here is one of the development of what has recently been called "under-eye puffy pillows," which is actually lymphatic obstruction (lymphedema) secondary to the prior injection of a filler. If this is indeed so, this is a difficult problem to treat. I have personally had gratifying results in patients who have come to me with this employing an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. In my experience, simple attempts to dissolve this with hyaluronidase tend to be unsuccessful. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck.
Helpful
October 31, 2023
Answer: Infraorbital "Puffy Pillows" From the photos and the history it would appear that the issue here is one of the development of what has recently been called "under-eye puffy pillows," which is actually lymphatic obstruction (lymphedema) secondary to the prior injection of a filler. If this is indeed so, this is a difficult problem to treat. I have personally had gratifying results in patients who have come to me with this employing an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. In my experience, simple attempts to dissolve this with hyaluronidase tend to be unsuccessful. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck.
Helpful
October 30, 2023
Answer: Under eye filler If you had HA fillers injected under the eyes any that is remaining can be dissolved with hyaluronidase. You can then begin again with a new filler treatment. Be sure to visit an experienced injector for your treatment. For a more permanent correction you can also consider fat grafting.
Helpful
October 30, 2023
Answer: Under eye filler If you had HA fillers injected under the eyes any that is remaining can be dissolved with hyaluronidase. You can then begin again with a new filler treatment. Be sure to visit an experienced injector for your treatment. For a more permanent correction you can also consider fat grafting.
Helpful
