Hi there, I had mid cheek filler done as I was flat and now the filler has settled it looks like I have lumps where it was placed. One my under eyes look like I’ve had bad tear trough done. Has the filler leaked into my tear trough? What do I do?
February 24, 2021
Answer: Filler bulging in the tear trough Looks like the filler has accumulated in the tear trough. It needs to be dissolved using a reversal agent like Hylenex. After it is successfully dissolved you can be reassessed to see how to best treat this area. I prefer a filler product with a low G prime, such as Juvederm Volbella. It is a really soft product for this area and doesn't pull too much water and create that worm like bulge. I prefer using a cannula to carefully and safely inject the product and by using a fanning technique. Less is more as well. I prefer to undertreat this area and gradually add more if needed at subsequent appointments. I often suggest that the cheeks be injected to help lift the mid face and that will also improve the appearance of this are.
Helpful
February 24, 2021
Answer: Filler bulging in the tear trough Looks like the filler has accumulated in the tear trough. It needs to be dissolved using a reversal agent like Hylenex. After it is successfully dissolved you can be reassessed to see how to best treat this area. I prefer a filler product with a low G prime, such as Juvederm Volbella. It is a really soft product for this area and doesn't pull too much water and create that worm like bulge. I prefer using a cannula to carefully and safely inject the product and by using a fanning technique. Less is more as well. I prefer to undertreat this area and gradually add more if needed at subsequent appointments. I often suggest that the cheeks be injected to help lift the mid face and that will also improve the appearance of this are.
Helpful
