I had Botox around my eyes, and cheek filler: my face is a discolored mess. (Photos)

Question

I had botox around my eyes, and Cheek filler and my eyes are so hooded and thin crepe skin, and the filler sits high on my cheek bones and like a bruise cos it’s swollen and discoloured. Under my eyes is white, I’ve messaged the technician and she isn’t responding. What can I do?

Benjamin Caughlin, MD, FACS · Answer

It really depends on three main factors. What plane and what product the filler was injected? Was it deeper? Was it a HA or Radiesse or Sculptra?  They all act a bit different and have different inflammatory phases (that is likely your hyperpigmentation issue which almost always resolves quite quickly)When it was injected? If it is still early, within the first week, you can manipulate the filler likely to get it to settle a bit more.For the hooded brow/lid that is something that can happen with botox of the forehead.  It really is a matter of the technique. Botox has really become a commodity when it still is a medicine that requires a decent amount of skill and experience. Hope this helps.Best of luck.DrC

Sach Mohan, MBBS · Answer

Good afternoon, 
I'm sorry to hear you are not happy with your results so far. It can take a couple of weeks for treatment to settle down. The practitioner that has treated should review you post treatment if you have any concerns. If you are unhappy to be seen in that clinic then you could be seen in a clinic that specialises in complications. Ideally you need a face to face review.
Good luck

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question and photographs.  Without a pre-treatment photograph, it is difficult to comment on the result of your Botox and filler treatment.  If your filler treatment consisted of a hyaluronic acid, it could be dissolved using Hylenex.  Botox can be properly placed to help raise the eyebrow as well.  Best to follow-up with your injector and/or seek care with a more experienced injector.  Good luck.

Blue Medi Spa - Sherman Oaks - Account Suspended · Answer

It is common to have swelling up to 2 weeks post filler injection.  Any discoloration of the skin would usually not be from Botox or fillers unless the discoloration is from bruising.  In that case it could take up to 2 weeks to resolve. 
I would recommend scheduling a follow up with your injector. It is difficult to determine from photos alone.

John W. Menard, MD · Answer

This should not be related to the Botox.. If the technician does not respond call the physician or clinic manager. You should have your concerns addressed. Good luck

J. Timothy Heffernan, MD · Answer

Thank you for your question. It is hard to comment without seeing pre photos, and it really depends on what type of filler was injected. I would highly recommend just setting an appointment with your injector and discussing this in person. There are ways to dissolve that filler if need be. Best of luck, Dr. Heffernan

Eric Shreder, DO, MS · Answer

Hi Claire. In order to better answer the question, you should tell us how long ago that you had the filler and Botox. If its only been a few days, the let it settle down before being too concerned. If the placement of the filler is in the wrong place, have it dissolved. The Botox is - well - what the Botox is - for at least 3 months. The discoloration could be due to a number of things - what comes to mind is Post Inflammatory Hyperpigmentation. This could occur just from the act of getting multiple needle sticks in the same area. Hydroquinone could be used if the pigmentation issue continues.

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