Why are my eyes still puffy after 2 rounds of Hyaluronidase? (Photo)

Question

Overfilled with 1 syringe of Redensity 2 has left me with horrible puffy eyes. Prior to treatment, I have never in my life had puffy under eye bags. Procedure October 23 1st round of dissolver Nov 9 2nd round of dissolver Nov 16. Why after the dissolver does it look somewhat decent and then the puffiness returns days later. Am I allergic? Is it Edema? Water retention? Will I ever go back to normal?? Please view pictures before during and after they are all dated and captioned.

Raffy Karamanoukian, MD, FACS · Answer

Filler complications are common and can cause emotional distress and in some cases, physical deformity. Swelling, lumpiness, and uneven facial volume are just a few of the complications associated with hyaluronic acid fillers. 
  
Our office is a global center of excellence for the management of facial complications. Once we receive a consultation for filler complications, it is imperative that an examination is performed with a detailed history to determine the type of facial filler and the severity of swelling and nodule formation. 
  
Hyaluronidase can work on facial fillers that are primarily comprised of hyaluronic acid. In some cases, we see patients who believe that they have had HA fillers; but may have had some other category of injections such as silicone or Artefill Artecoll. 
  
Management of HA fillers is complex; may require multiple sessions; and depending on the severity and volume of filler; may not be possible given facial biometrics or filler-specifics. 
  
We are often asked if hyaluronidase can affect normal tissue; and this is a question that may not have a simple answer. Hyaluronidase can affect hyaluronic acid, which is contained in your tissue. The degree of effect depends; lending us to perform conservative reversals.  
  
In a small subset of patients, surgery is required to remove fillers. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Why are my eyes still puffy after 2 rounds of Hyaluronidase? (Photo)

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Everything you need to know about RHA Redensity

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Why are my eyes still puffy after 2 rounds of Hyaluronidase? (Photo)

Answers (1)

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Recommended reading

Everything you need to know about RHA Redensity

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