Is it normal to only swell on one eye after PRP + Filler? (photo)

Swelling with PRP/Filler is normal, likely because your injector had injected a little extra to promote more PRP dispersal in the area. Some fillers (dependent on the brand) can cause more swelling than others. You should allow the volume to reduce on its own for one week, before trying to manipulate it. You wouldn't want the filler to migrate where it's not supposed to be. And the PRP most likely dissipated in the first 48-72 hours after injection. If the volume does not reside and remains prominent, I would suggest following up with your injector around 2 weeks post-injection for proper examination.Best, Dr. Anil Shah 

Hi, Yes it is possible to have uneven swelling after PRP and fillers specially at the tear trough area under eyes. Also one side may get bruised and look different from the other side for 1-2 weeks. This should be temporary. If it persists after 14 days then it will require recheck.
be well

Thank you for your message! Swelling after injections can definitely be asymmetrical and can last a few days to a week or so. If the swelling persists or gets worse, I would reach out to your injector for a follow up! 

Yes swelling can be asymmetrical. Swelling usually reduces within 2 weeks. Filler to the tear trough region can cause 'festooning'. If this happens you may need to dissolve the filler.

Warm Regards,
Dr Glenn Murray, Absolute Cosmetic Medicine

Malar edema is a problematic side effect of fillers. The pressure of fillers in some individuals decreases lymphatic drainage causing under eye swelling. The PRP alone usually does not cause this side effect. I would recommend placing direct pressure on the effected area and use local heat to see if you can improve drainage and decrease the swelling. If it persists you can have the filler dissolved if hyaluronic acid was used.  If the swelling is due to inflammation, the heat will help to resolve it as well.  Rarely there is a problem with infection but if the area remains warm and swollen you may need antibiotics. Good luck!