Tear trough shadowing after filler. My injector said it needs more filler. Any advice? (Photo)

Hi,It is a little difficult to make a definitive diagnoses from the limited photos, but I do not think more filler will necessarily improve things. I recommend seeing a different provider for a second opinion. You may benefit from a lower eyelid surgery much more than fillers.Best,

This is an area that usually needs less filler rather than more.  The muscle around the eyes is a sphincter muscle and even if the filler initially looks good, if it was placed superficially the underlying muscle can cause it to migrate. In your case, the blue discoloration is what is known as a tyndall effect caused by superficial filler placement and the way it reflects light. The injector needs to use hyaluronidase and dissolve the filler.  The person who already injected you should not charge for this service, as it was their mistake. However, if you go to another provider they may charge you and hyaluronidase is not inexpensive. In any case, don't worry too much. This is a problem that is easily resolved. 
Anita

Based on the limited view of these photos, it is hard to ascertain whether you are merely swollen from the injection or you genetically have under eye bags/"dark circles." I'm not positive that more filler will fix this problem, and could possibly make that fullness more prominent. The type of filler that was used is also very important. My recommendation would be to seek another opinion from a plastic surgical office where you can be evaluated by an injector who has had experience treating this area with filler and can give you better direction.
Hope this helps!
Kelly

Its hard to say without seeing you in person, but from what I can tell you have a couple options.  The injected filler seems to be swollen/retaining water so taking some of the filler out with hyaluronidase could help smooth the area.  The other option is to support the filler that is there by adding more under or inferior to the puffy area.  That will help eliminate the shadowing and bruise like appearance below the filler.  As Dr. Sina suggests, it never hurts to get a second opinion!
Best of luck to you,
Dr. Amy

The filler placed in the tear trough has hydrated, creating a bump or lump under the skin.  As a result, a shadow has appeared below the bump.  In this case you need LESS filler, not MORE.  Hyaluronidase should be used to dissolve some of this filler to bring the bump down to a flat position.  This should resolve the shadow.