Tearthrough filler swollen 4 month after. What should I do?

Don't live with a bad service. See someone who knows how to work with hyaluronidase. This product needs to be removed. It might be possible to simply adjust this fullness with a small enzyme treatment. The issue will persist for a long time without this adjustment.  The enzyme will not wreck your skin.  Please get the care you need.

Hi Sofiate.  In most cases, when we hear this sort of story, it's usually less than good injection technique.  Product can bunch, puff up or look swollen in this area especially when it is injected "over the muscle".  Typically under eye injections are done "under the muscle" and into the fatty layer as this creates a smoother under eye appearance.  Especially when a patient complains of prolonged puffiness or swelling under the eyes, the product is injected superficially and stays visible and bumpy over the muscle.  The best way to correct is by dissolving it with Hyaluronidase.  Best of luck.

Submitting a photograph would have been great. You're describing something that I have seen over the last 20 years in many patients where whatever filler one uses in the tear trough area, the filler seems to move closer to the nose and becomes visible like a small bag. The filler has to be dissolved with Hyalase and if done very carefully over a matter of two to three treatments, the results can be rather even. Fat grafting is the only way to ensure an even, natural and long-lasting result in the tear trough area.