Second opinion: I had cheek filler to help under eye puffiness and now eyes look hollow and worse, any suggestions? (Photos)

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

Infraorbital hallowing is a common concern even in young patients, like you! Voluma is a good filler for deep injection to augment the cheek, chin, or jaw contour. I would not recommend it for the infraorbital region (under eyes). The great thing about the HA fillers is that they can be dissolved, if needed. I would recommend a different filler for the infraorbital area, such as Restylane or Volbella. It is best to avoid products that are very hydrophilic in this area. Hope this helps- good luck!

William Dougherty, MD

Hi Heather,You are right in questioning whether to inject more filler. You need to dissolve the filler first and wait two weeks (until all of the product has disappeared and swelling has subsided) to review if fillers are your best option moving forward. From your photos I can see that the filler under your right eye has not been correctly placed and adding more will only highlight the problem.Kind regards,Dr Tom ParmakellisLookfresh Cosmetic Medicine