HA tear trough filler caused lumps and Tyndall effect, what options to remove it other than hyalase injection? (Photo)

Question

I had dermal fillers injected in the tear trough area 6 months ago and around 2 weeks since the procedure the filler became lumpy and visible causing Tyndall effect and eyebags. The dr said it was HA. I have since read horror stories regarding injections around the eye causing blindness and am therefore reluctant to ask for hyaluronidase injection esp from the same doctor. What are my alternatives? Can a lower bleph remove the filler at the same time? Or can RF or Ultherapy dissolve the fillers?

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question and I'm sorry you've experienced negative side effects. Unfortunately, I don't know of any other method to dissolve your HA filler except hyaluronidase. The other option is to wait for the product to dissolve naturally. I would see an experienced and qualified injector to dissolve your fillers with a reversal agent.

Victoria Dobbie, BDS · Answer

Hello 
The skin is so thin under the eye, this is a common problem. Hyaluronidase is your only option. It can take years to resolve naturally.
Happy to help
Victoria

Lawrence Janowski, MD · Answer

Hyaluronidase will easily and safely reverse this bump.  There is no risk of blindness or vascular occlusion with injecting hyaluronidase.  Though rare, such complications could occur with the original filler injection itself.

Harry Glassman, MD · Answer

Your best option is to remove the filler with hyalourinidase enzyme injections. Surgery is not a viable option. Neither are the other technologies you mentioned. The concern for blindness for injections under the eye is when the FILLER is injected into an artery rather than when the ENZYME is used to dissolve the filler.

Mark Kearns, MBChB, BSc, FRACGP · Answer

Hey there - I’m sorry this has happened to you. Unfortunately there is a possibility of HA clumping soon after injections, or nodule formation months down the line. 
Really someone needs a closer look to see if this is HA accumulation, which can either be dissolved with hyaluronidase or occasionally drained out (under expert supervision).
If it is inflammatory it may respond to antibiotics, anti inflammatories, plus hyaluronidase.
Either way I’m afraid someone who is expert in this will need to have a look and decide the best course of action. Injecting hyaluronidase at these sites would certainly be less risky for blindness than fillers.

HA tear trough filler caused lumps and Tyndall effect, what options to remove it other than hyalase injection? (Photo)

Answers (6)

Answer: Hyalourinidase enzyme injection for remove filler

Answer: Hyalourinidase enzyme injection for remove filler

Answer: Filler nodule formation

Answer: Filler nodule formation

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HA tear trough filler caused lumps and Tyndall effect, what options to remove it other than hyalase injection? (Photo)

Answers (6)

Answer: Hyalourinidase enzyme injection for remove filler

Answer: Hyalourinidase enzyme injection for remove filler

Answer: Filler nodule formation

Answer: Filler nodule formation

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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