Does anyone know why I have these tear trough complications 8 months post injection? (Photos)

Question

I had tear trough filler done in June 2017 and then again in May 2018. December 2018 I developed hard cystic red lumps under my tear troughs. It feels like 2 hard lumps taking up space under my skin. I had an X-ray and ultrasound, antibiotics and now Hyaluronidaze with little relief. Does anyone know what is happening and why this happened so late post injections? I just want these lumps gone! Please help!

Michael A. Zadeh, MD, FACS · Answer

Thank you for your questions and pictures. The two most worrisome things that need to be ruled out are infection and granuloma formation. You need an in-person consultation and examination and I would recommend more attempts at dissolving any remaining filler with Hyaluronidase. This may take several sessions. Make sure you are under the care of someone who has experience managing filler complications. Best wishes.

Robert Sleightholm, MD · Answer

Hello and thank you so much for providing photos. There are a lot of variables that may contribute to an adverse result such as this. What product was injected? Was it indicated for the tear trough area? Was it injected too superficially? Was there any sort of trauma to the area injected in December when the lump appeared? Were you treated by a physician that specializes in this type of treatment?

Alain Michon, MD · Answer

Thank your for your pictures and question. It does look like a late onset nodule / granuloma. This is a rare but a possible complication after dermal filler treatment. Often, a combination of antibiotic, prednisone and multiple hyaluronidase injection sessions is necessary. It should resolve completely but may take many weeks. Please see an expert for an in-person evaluation and to confirm diagnosis. I hope this help. All the best, Dr Michon

Does anyone know why I have these tear trough complications 8 months post injection? (Photos)

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Does anyone know why I have these tear trough complications 8 months post injection? (Photos)

Answers (3)

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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.