Uneven under eye area - What can be done? (photos)

Question

Juvederm Ultra under eyes, poor placement and it appears it has moved. Last filling was 3 yrs 4 mths ago, filler still present acc. to three plastic surgeons, they did not want to touch the area during facelift ( deep plane, 10 months ago). I hate the weird uneven look, under lighting looks very bad. Why is it still there, how can i get rid of it, or can undereye surgery remove filler and lift prolapsed fat pads?

Camille Cash, MD · Answer

If you are unhappy with the filler and it is still present you can elect to have it dissolved with hyaluronidase.  After that you can discuss with your surgeon how you would like to address your undereye concerns.

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Jo Herzog, MD · Answer

If you don't like this filler and it is keeping you from having further corrections because nobody wants to get involved with it you might just want to have the filler dissolved with hyaluronidase.

Uneven under eye area - What can be done? (photos)

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Uneven under eye area - What can be done? (photos)

Answers (3)

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