Hyaluronidase Correction in Tear Troughs

I had juvederm ultra plus injected in tear troughs years ago. Recently I had noticed ridges (not sure what to call them) under both eyes that looked worse when smiling. Two RN's had told me that the ridges were juvederm but they did not feel comfortable injecting hyaluronidase and advised that I go back to the doctor who injected it or see a plastic surgeon. The doctor who originally injected me years ago wanted me to have biopsies in these areas and I did not feel comfortable with that. Another plastic surgeon in my town wanted to inject under one eye and then the other eye the following week and I wasn't comfortable with that either. I called Dr. Liu and asked if I could get a consultation with him since I was already going to see him for my cellfina followup. During the visit he said that he would inject a small amount and then we would go from there. So two weeks later off I went driving an hour and a half each way to see Dr. Liu and I'm very glad I made the trip. Immediately after the injection I could see a difference. I initially thought that my left side needed more, but he told me that I should gently massage that area. It's been two weeks since and there has been additional improvement in the area. I'm very happy with the results. I have posted a before pic and will try to post an after pic soon.