What are these indents about an inch below tear trough Volbella? (Photos)

Indents after Volbella injections to tear thruffs can happen and be related to overfill or swelling.  It is best to wait 2 or 3 weeks and then decide together wt your injector.  Sometimes it resolves on its own.Other times a little Hyluronidase is recommended..  Just be patient because doing anything too soon will be harmful.

Hi and thank you for your question! The key question to be able to answer your question is the timing of injection. If it has been done recently and within 1-2 weeks, this might be related to swelling following the filler and you need to allow 2 weeks after the injections for the swelling to fully subside and most of the issues will go away on their own. If you had the filler more than 2 weeks ago, then there is the possibility of over-filling, or sometimes despite injecting right amount of filler, it absorbs too much water later on and causes this look. The treatment in both case is the same - revision of the filler with injection of hyaluronidase. I hope it helps and good luck!

Thankyou for your question.It appears that you have swelling from the filler and this is causing the "indent" Not everyone should have tear trough filler as it can cause swelling. You may also have had too much injected or too superficial placement . The filler needs to be dissolved. Hope this helps

So those lines you are talking about are where the Zycomatic-cutaneous ligament attaches to the skin (from the bone).  When there is swelling from trauma in the tear trough region, the fluid is trapped above that ligament.  Ligaments don't stretch so the skin then pouffs out.  I hate cannulas in this region for this reason!  
That ligament defines the lower border of the malar mound or festoon.  There is spongy tissue here which "holds" onto the fluid for quite a while.  If it just from swelling it will eventually resolve, but often, especially with cannulas, the area is injured/pierced and filler gets into the malar mound.  If that is the case it wont go away on its own.
Sometimes it is helpful to put some filler deep on the cheek under that ligament to help support it.  I'd give it at least a month to see if it will resolve on its own.  If not consider 'camouflage' filler to the deep medial cheek fa pad or vitrace to the area to take out any excess filler.
Hope this is helpful.  Best of luck to you,
Dr. Amy

You did not post time frame. Was it

Although an in person consultation would be best to diagnose what is going on, it appears that either you have too much filler placed or you have fluid retention and swelling around the filler.  When was your treatment done? Most people will have some swelling for the first 2-3 weeks even in this area that settles.  If your treatment is past that point you may need to have your filler dissolved to improve your problem.     Good luck!

As suggested its best to wait 2-3 weeks to make the call. Lumps or bumps can be due to many reasons, all of which are known by your injector and can be corrected. Early lumps and bumps after HA Juvederm can be due to excess filler and or filler placed too superficially. Delayed lumps and bumps can be due to filler reactions. If bilateral and in multiple sites- filler cross antigen reactions. If localised, as above, granulomas, biofilm or if hot and tender infection (not always the case). Your injector will know how to correct with Hylase- however as hinted by most- wait 3 weeks, Dr Davin Lim. Brisbane. Australia.