Can lumpy under eye filler be corrected by dissolving? Are there better treatment optiond for the under eye area? (photos)

I don't think anyone can tell you what you Should or should not do in aesthetic medicine, but if it were me or my family member, I would tell them to dissolve the filler for sure. As for what to do afterward, you could either consider trying filler again but with much less volume and being realistic about how much treatment you will get (people very commonly overtreat this area at the tear trough and then end up in this situation) OR you could consider some surgical options, although it is hard to know exactly what you would benefit from without seeing you without filler (could be fat grafting, midface lift, lower bleph, cheek implant, etc.)

It looks like you have what is called the Tyndall effect. The hyaluronic acid filler under your eyes is reflecting the light in a way that gives off a bluish hue. It turns out that HA fillers don't really dissolve on their own, they usually migrate away, but in a closed compartment like the tear troughs, it has nowhere to go so the filler will stay there for years, possibly forever. The good news is it can easily be dissolved with an enzyme called hyaluronidase. After dissolving it, you can fill it with a very small amount of your own fat. This is also permanent and there is no antidote, so you have to have it done by someone who is very experienced. You can also use PRP, PRF or plasma gel which are made from your own blood. We call this our AutoCorre procedure. The growth factors from your platelets signal production of your own collagen and activate stem cells in the area so that you can get a natural rejuvenation without the risk of lumps and Tyndall effect.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. If you are unhappy with your results, I recommend either dissolving the existing filler or adding more filler to correct the remaining hollows. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

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.

Hi there!Unfortunately this is a common issue with tear trough filler. From your photos, I can see the "puffy and lumpy" areas you are referring to. I would highly suggest dissolving. After dissolving, I would recommend performing a series or PRP or PRF, which would be more of a natural alternative to filler.I hope this helps!Thank you!

HI! Lumps and bumps are always a risk when it comes to dermal fillers. It is important that it is performed by an experienced injector to help minimize this risk. It is certainly a reasonable option to dissolve the filler and try again. Another option that works wonderful for my patients is fat transfer. Fat is a great alternative to dermal fillers as it is from your own body and it is a permanent solution. This too should be performed by an experience surgeon as there are risks and it does require a small amount of liposuction to obtain the fat. It is also important to know that once fat is injected, some of it (usually 30-40%) dissolves and thus you may require a subsequent treatment to achieve the ultimate volume you want. The good news is that its permanent and you wont have to continue getting fillers year after year. Hope this helps! - Dr Kirk @ Pincus Plastic Surgery

I would definately recommend dissolving the undereye filler and then waiting 2 weeks. From there you and your practitioner can decide if you want to try to refill the under eye area, or if mid face filler or radiofrequency microneedling such as Morpheus 8 would be more effective.

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.