Are these under eye bumps milia or syringoma? (Photo)

Question

I had tear trough filler three years ago and cheek filler about a year ago. I have something called a negative vector orbit and my under eye bags have always been very bad. The filler helped but since getting it I have these awful bumps all in my tear trough area. My questions is do you think it’s milia or syringoma? And if so how do I fix? Also any recommendations moving forward regarding my filler are welcome,

Anna Chacon, MD, FAAD · Answer

When evaluating under-eye bumps, distinguishing between milia and syringoma is essential, as they have different characteristics and treatments.

Milia are small, white, keratin-filled cysts that can appear around the eyes. They are generally benign and can be treated with topical retinoids, chemical peels, or extraction by a dermatologist.

Syringomas are benign sweat gland tumors that typically appear as small, flesh-colored bumps. They are more challenging to treat but options include laser therapy, electrocautery, or surgical excision.

Given your history of tear trough and cheek fillers, it is also possible that these bumps could be a reaction to the filler or related to its placement. A thorough evaluation by a dermatologist or an experienced cosmetic surgeon is recommended to accurately diagnose the condition and suggest appropriate treatment options.

Recommendations moving forward regarding fillers:

Consultation: Schedule a consultation with a board-certified dermatologist or plastic surgeon to assess the current condition of your fillers and the bumps.

Filler Adjustment or Dissolution: If the bumps are related to filler placement or migration, your physician might suggest dissolving the filler with hyaluronidase (if it is a hyaluronic acid filler) to improve the appearance.

Future Filler Considerations: Discuss alternative approaches to filler use, such as different products or techniques, to avoid similar issues. An experienced injector can tailor the treatment to your specific anatomy, considering the negative vector orbit.

Regular Follow-ups: Regular follow-up appointments can help monitor your condition and adjust treatments as necessary to achieve the desired results.

For the best results, ensure you work with a qualified and experienced practitioner who can provide personalized advice based on your individual needs and anatomy.

Are these under eye bumps milia or syringoma? (Photo)

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