I had lumps under my eyes from Restylane injected in 2010. I'd left it alone to dissolve over time. In Jan 2013, I visit a plastic surgeon who said my eyes look terrible (they weren't that bad) and he can fix this with hyaluronidase. He injected A LOT my eyes now have wide horrible indentations underneath. Its not filler but either too much natural collagen dissolved or fat herniation and my skin is loose. I had Perlane injected 1wk ago to hide dents but they still look terrible and lumpy.
Do the natural collagen and fats under the eyes re-generate after being dissolved with hyaluronidase? (photo)
Doctor Answers 2
Hyaluronidase does not dissolve collagen or fat.
I have not had a problem with too much removal. There is not usually that much natural hyaluronic acid present in the skin except when you have had fillers.
It is more likely that you just unmasked the natural irregularity that led to your seeking a filler in the first place. Injecting more filler had put you back to square one. The eyelid skin is very thin and any arregularity is very visible. You need to inject very small amounts of filler very carefully and uniformly to get a good result.
It seems that sometimes the filler in this area lasts a very long time.
Collagen loss after hyaluronidase
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