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The puffiness, which is believed to result from under eye lymphatic obstruction (lymphedema), is likely due to inappropriate choice of HA filler for the very delicate under eye area and/or too superficial placement of the filler. It is admittedly a very difficult problem to treat and many say impossible, even following surgery. The bulge is the lymphedema and the dent is much a like a valley created by the puffiness below. I have had success in shrinking this using very high concentrations of hyaluronidase accompanied by high concentrations combined with high concentrations of certain intralesional anti-inflammatory agents. Just one week ago, in fact, I was able to achieve a dramatic flattening under one eye of a patient who came to me and this coming week will be doing the other under eye puffy pillow. Make sure that you consult an experienced, board certified cosmetic dermatologist. Best of luck.
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
Hyperpigmentation of any kind needs a combination approach of peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly,; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant s...
"For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new r...
