Had Volbella under my eyes 2 years back and I think the filler has migrated - advice? (photo)

Juvederm brand fillers should not be injected under eyes, in tear trough areas or in periorbital zone. They are highly viscous and are very difficult to remove if they migrated. It may take several sessions to remove the filler using the enzyme that dissolves hyaluronuic acid. I do not think that weight fluctuation could have caused the migration of the filler. Rubbing eyes can cause displacement of the filler. The best way is to be seen for a consultation in person and have an ultrasonogram performed to locate the filler.

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon