Horrific Results of Perlane for Periorbita - Miami, FL

I am nearing 4 weeks post filler procedure with...

I am nearing 4 weeks post filler procedure with Perlane, a rather massive amount, 11ccs for periorbita and temple area.

The area around and under my left eye , which received 4 cc's, is so horrific that I am depressed, embarrassed and working hard to hide it by wearing my hair over it. I suffered severe edema and bruising that did not subside for 12 days, a time during which I would not leave my house, losing work and canceling several engagements.

I have dents and bumps around the outer corner, and a large discolored bulge under my eye, which looks like a reddish/purple tube.

The area around and under my right eye is not bad, and I am grateful, but it's not exactly pretty either. This side received 3 cc's, and has some improvement, but looks unnatural.

I am going back to the doctor to try and have the left eye fixed and am horrified of going through what I went through the first time. But I can't go around with it the way it looks now.

The moral of this story is to learn how to love the aging process, and see the beauty in it. Not to mention the savings. I'm out $9,000.00 to look somewhat like a freak now, and I am devastated.

Pictures 3 weeks post

Picture 1.5 weeks post

Shows the massive bruise that took 12 days to resolve. Once all the sweeping sent down, the bumps, dents and bulge appeared which can be seen in the 3 weeks post pictures.

Picture 1.5 weeks post

(Last update had some typos fixed here) This picture shows the massive swelling that took 12 days to resolve. When it went down, the bumps, dents and bulge appeared as can been seen in my 3 weeks post pictures.

Reiterating the amount of Perlane used.

Yes Dr. Blinsky, and others who may be curios, the amount of filler applied to my left eye/Periorbita was 4 full cc's, as in MLs, as in, 4 individual syringes, (not 0.4).

I also received 3 additional (individual) syringes in my left temple area, totaling 7 ML of Perlane on the left side of my face at a price of $850.00 for each syringe.

I had a total of 6 MLs applied to the right side. 3 in the Periorbita, 3 in the temple. Also, at $850.00 each.

A rather hefty price for such a poor result.

Correction procedure #1 with same doctor = Failed

I went back to the same doctor for a correction procedure. It unfortunately did not work, and caused additional bumps/dents. The correction procedure used dissolving product and additional filler product at the same time. 1 CC in each eye. It didn't help at all, but made things worse. The good new is that I have found someone who can fix and reverse all of this (initial procedure and correction), and am already in the process. The first step so far, is the new practitioner applied botox to smooth any wrinkled skin around my eyes, to better see what is going on with the filler. This has already made an improvement. The next step is to dissolve the excessive perlane from my tear troughs, and wait two weeks to see where it lands before making any further applications. I am so happy with this approach!

1.3 week post failed correction procedure.

I saw the doctor for a correction procedure in which he generously offered free application of Hyaluronidase and 1cc of additional per lane filler to correct the bulging under my left eye. He did not attempt to discuss or correct the dents and bumps around the periorbita or my temple, which received a total of 7ccs of perlane diluted with lidocane. His opinion is that those are old underlying scars that were not transparent before the filler application. The attempt to correct failed, as I now have more bumps and dents than I had before. I have since received a second opinion by a Plastic Surgeon PA (Physician's Assistant) who is a long time national trainer of filler application. I am in the process of reversing the initial and corrective application done by the original doctor using Perlane. It requires dissolving a large quantity of this filler that I paid a fortune to have applied.

My new doctor (PA) does not recommend using Perlane, even if it is diluted, around the eyes because of the molecular structure of the product, which is prone to leaving bumps. (hence, my results). the new practitioner also does not recommend applying Hyaluronidase and additional filler at the same time, because it will not discern between old and new filler, and will dissolve and of the filler it come in contact with over the course of two weeks. About the potential of pre-existing scarring, she said if it was never there before, it could very well be the results of the Perlane filler causing all of the dents and bumps. Again, shy she doesn't use Perlane in the periorbita.

I am feeling very hopeful, enthusiastic and positive that my new practitioner will correct this horrific result. I am so relieved that the original doctor at least chose a filler that is reversible!!!! I cannot imagine where I'd be in my emotions if it that were not the case!

Periorbita and Temple Balancing with Perlane

In January of 2015, I had a consultation with Dr. Maercks for his facial balancing procedure. I found his character, professionalism and level of intelligence to be very impressive! His office and staff are wonderful. Better treatment is very hard to find! 


Dr. Maercks reminds me of a trend setting, cutting edge personality, who is unafraid of pushing boundaries set forth by those before him, in order to raise the bar. I mean this is the utmost sense of all that is good-willed and positive.

I was initially interested in fat transfer facial balancing, but feared the fact that it was permanent, and there was no way to gauge a result without going through the very costly surgery to do it. Dr. Maercks then discussed the option of temporary filler. My husband and I decided to test if his facial balancing procedure was right for me using filler before I would commit to fat transfer. Dr Maercks recommended that I have the treatment applied to my periorbita area as the most bang for my buck, quoted at $5,100.00.

I reviewed results of his own application of juvederm (similar to Perlane) to his face and periorbita (includes tear troughs), which is publicly displayed on his youtube site. His results are impeccable! There weren't many client results available in pictures for my husband and I to review, but his own demonstration on his own face, and our impression of him and his staff in person was good enough for us.

I traveled to Miami and had the procedure done on March 15th. During the procedure, Dr. Maercks realized he needed to add one more CC to my left eye, bringing the total to 7 CCs. During the application we saw that my temples were very hallowed, which stood out more now that the filler had been applied to my periorbita, so I had 4 more CC's applied. (2 to each temple). I had a total of 11 CC's (MLs) of Perlane applied that day.

The procedure itself was easily tolerable and almost painless. Dr. Maercks has a very interesting and unique method for applying filler. I found it quite fascinating. His bedside manner is outstanding and he takes his time explaining everything he does. He is very careful and respectful. He does not use numbing cream, but freezes the skin with a harmless product, and adds a numbing agent to the filler. It seemed to work very well!

When he finished, I was extremely swollen on both sides, and bruised under my left eye. This wasn't abnormal under the circumstances. However, when I got home, it got a lot worse. The bruise under my left eye increased as did the swelling, which increased the downtime to 2 full weeks. I was not expecting this result after speaking with Dr. Maercks about what the average downtime his patients experienced, to which the answer was several days and almost no bruising. However, the truth is that no two patents are alike and it is very possible that one can experience massive swelling and bruising, while another experiences none at all. So while I was not delusional about this fact, I was extremely disappointed that for me, it took 12 days for the swelling and bruise to go away.

At 4 weeks post after all was said and done, I had a horrific result with the Perlane applied to my periorbita and temples--rendering significant dents, bulges and discoloration as can be seen in the pictures. Due to other obligations and the distance between my home location and Dr. Maercks office, I wasn't able to get in to see him for correction until week 6 post the initial procedure. Dr. Maercks was very sensitive, empathetic and sympathetic toward my results and needs. He was also very generous in offering 2 additional CC's of Perlane (1 for each tear trough) and some Hyaluronidase to dissolve the large bulge under my left eye, free of charge, and applied on the same day. This honest attempt to correct my result did not work. It unfortunately rendered a worse result, and did not address the dents and bumps outside my tear troughs and around my periorbita.

I am now in the process of reversing the initial and corrective procedure with another practitioner. Not because Dr. Maercks wouldn't care for me. I really liked his ideas, it's just unfortunate that my actual results don't match up to my experience with his practice otherwise. My husband and I are very disappointed because we do like Dr. Maercks and hoped for a long-term relationship. It is my choice to use another practitioner, as well as a different product and method at this juncture. The good news is that because Perlane is an HA filler, it can be completely reversed. I am very relieved that I chose the trial route with filler as opposed to the permanent fat transfer route.

My experience is but one experience. This doesn't mean that everyone or even anyone will experience the same. I did my homework with Dr. Maercks and there was absolutely nothing to cause me to fear this result would occur. It just happened, and is very important that I (and others) are very honest and detailed about their experiences when giving a review. I have read mostly great reviews about Dr. Maercks, though very few pictures included with them. I have read less than a handful of bad reviews, with no pictures included, which all seem to attack his character. I cannot agree with any of those reviews, even though I am devastated at my results and what I have to go through to correct them.

From all my experiences with Dr. Maercks, I can honestly say that I believe he is a good guy, as well as is a very smart and caring Dr.

If you are considering a procedure with Dr. Maercks, I believe you need to make the decision after meeting him and doing all the homework yourself. Reading other peoples reviews is not a guarantee of your own results. Be keen and be careful! I wish Dr. Maercks and his staff the very best! Good luck to you as well!

Before the initial procedure

This pic may be distorted by the lights flashing in the arena while it was taken on a smart phone, but it is raw and untouched (not photoshopped). There are no bulges, scars, dents or bumps to be seen under or around my left eye.

Other similar reviews of Perlane for tear troughs

The following or some additional reviews by other real self members who have had bad results with Perlane under the eyes. Most doctors advise against it.


There are so many more than these listed below, and probably so many more positive. That is why it's difficult to act upon the review of another. You can only collect opinions and make your own best informed decision. I accept that I chose to do it, but wish I hadn't ;-)

http://www.realself.com/question/phoenix-az-tear-troughs-filled-placement-wrong

http://www.realself.com/question/help-perlane-visible-tear-trough-long-last

http://www.realself.com/question/perlane-bumps-tear-trough

http://www.realself.com/question/filler-swelling-perlanefiller-eye-after-months-tear-trough

http://www.realself.com/review/washington-dissapointed-perlane-eyes-eyes-back

Dr. Review Periorbita and Temple Balancing with Perlane

Note to anyone considering this product for use in your tear troughs or around your eyes. I believe you should do your homework on what types of filler is best for the different areas on your face before you commit. Check the manufactures information provided to doctors on all products, and get several opinions from filler injection experts, such as the national trainers for the companies that make them. Collect a lot of opinions and read a lot of reviews. This will still not guarantee your outcome, but it will help discern what product and how much is safe to use on any area of your face.

Here is the review I gave Dr. Maercks under my new account "FaithBook" on May 4th, while trying to close this one. However, Real Self combined them both into this one instead, where I not had yet give the Dr. a review. Below is the full official account of my Perlane experience with Dr. Maercks.

In January of 2015, I had a consultation with Dr. Maercks for his facial balancing procedure. I found his character, professionalism and level of intelligence to be very impressive! His office and staff are wonderful. Better treatment is very hard to find!

Dr. Maercks reminds me of a trend setting, cutting edge personality, who is unafraid of pushing boundaries set forth by those before him, in order to raise the bar. I mean this is the utmost sense of all that is good-willed and positive.

I was initially interested in fat transfer facial balancing, but feared the fact that it was permanent, and there was no way to gauge a result without going through the very costly surgery to do it. Dr. Maercks then discussed the option of temporary filler. My husband and I decided to test if his facial balancing procedure was right for me using filler before I would commit to fat transfer. Dr Maercks recommended that I have the treatment applied to my periorbita area as the most bang for my buck, quoted at $5,100.00.

I reviewed results of his own application of juvederm (similar to Perlane) to his face and periorbita (includes tear troughs), which is publicly displayed on his youtube site. His results are impeccable! There weren't many client results available in pictures for my husband and I to review, but his own demonstration on his own face, and our impression of him and his staff in person was good enough for us.

I traveled to Miami and had the procedure done on March 13th. During the procedure, Dr. Maercks realized he needed to add one more CC to my left eye, bringing the total to 7 CCs. During the application we saw that my temples were very hallowed, which stood out more now that the filler had been applied to my periorbita, so I had 4 more CC's applied. (2 to each temple). I had a total of 11 CC's (MLs) of Perlane applied that day.

The procedure itself was easily tolerable and almost painless. Dr. Maercks has a very interesting and unique method for applying filler. I found it quite fascinating. His bedside manner is outstanding and he takes his time explaining everything he does. He is very careful and respectful. He does not use numbing cream, but freezes the skin with a harmless product, and adds a numbing agent to the filler. It seemed to work very well!

When he finished, I was extremely swollen on both sides, and bruised under my left eye. This wasn't abnormal under the circumstances. However, when I got home, it got a lot worse. The bruise under my left eye increased as did the swelling, which increased the downtime to 2 full weeks. I was not expecting this result after speaking with Dr. Maercks about what the average downtime his patients experienced, to which the answer was several days and almost no bruising. However, the truth is that no two patents are alike and it is very possible that one can experience massive swelling and bruising, while another experiences none at all. So while I was not delusional about this fact, I was extremely disappointed that for me, it took 12 days for the swelling and bruise to go away.

At 4 weeks post after all was said and done, I had a horrific result with the Perlane applied to my periorbita and temples--rendering significant dents, bulges and discoloration as can be seen in the pictures. Due to other obligations and the distance between my home location and Dr. Maercks office, I wasn't able to get in to see him for correction until week 6 post the initial procedure. Dr. Maercks was very sensitive, empathetic and sympathetic toward my results and needs. He was also very generous in offering 2 additional CC's of Perlane (1 for each tear trough) and some Hyaluronidase to dissolve the large bulge under my left eye, free of charge, and applied on the same day. This honest attempt to correct my result did not work. It unfortunately rendered a worse result, and did not address the dents and bumps outside my tear troughs and around my periorbita.

I am now in the process of reversing the initial and corrective procedure with another practitioner. Not because Dr. Maercks wouldn't care for me. I really liked his ideas, it's just unfortunate that my actual results don't match up to my experience with his practice otherwise. My husband and I are very disappointed because we do like Dr. Maercks and hoped for a long-term relationship. It is my choice to use another practitioner, as well as a different product and method at this juncture. The good news is that because Perlane is an HA filler, it can be completely reversed. I am very relieved that I chose the trial route with filler as opposed to the permanent fat transfer route.

My experience is but one experience. This doesn't mean that everyone or even anyone will experience the same. I did my homework with Dr. Maercks and there was absolutely nothing to cause me to fear this result would occur. It just happened, and is very important that I (and others) are very honest and detailed about their experiences when giving a review. I have read mostly great reviews about Dr. Maercks, though very few pictures included with them. I have read less than a handful of bad reviews, with no pictures included, which all seem to attack his character. I cannot agree with any of those reviews, even though I am devastated at my results and what I have to go through to correct them.

From all my experiences with Dr. Maercks, I can honestly say that I believe he is a good guy, as well as is a very smart and caring Dr.

If you are considering a procedure with Dr. Maercks, I believe you need to make the decision after meeting him and doing all the homework yourself. Reading other peoples reviews is not a guarantee of your own results. Be keen and be careful! I wish Dr. Maercks and his staff the very best! Good luck to you as well!

GREAT NEWS! Excellent reversal results!

I am easily the happiest woman om this planet right now! I have my first filler reversal session with the new practitioner today and wow!!!! Look at these results! I am crying with joy! To add to this glorious blessing, it only cost me $75.00 because I was treated as a return customer! What a gift after the very difficult, emotionally draining experience I've had along the way. I go back in two weeks for a follow up :-) thank God for this outcome!!!

Moved onward and upward!

Additional comments from this doctor on June 20 2015 attempting to discredit me and my results from his work and these pictures as being false, (of which they are not!) and now further attempting to slur or infer a psychological issue underlies this review is disturbingly unethical on his part to say the least!

The positive side of being able to read his comments here is that you get experience first hand who you be dealing with if you choose him and something goes wrong.

No this doctor doesn’t consider that maybe my results from his procedure were like that because he used a product that is not recommended as the best filler for the tear troughs, as well as having used far more than is recommended at any one given time by the manufacturer, and according to my new practitioner, he applied it above the rim--which according to her is an industry no no. It was quite tricky for her to remove. Nope, for this guy, it’s all these other excuses of which, if he truly believes is why this horrific result occurred, and he knew about it beforehand, it begs the question, “why would he then ethically go forward with the procedure?” He recommended this procedure saying it would be the best “bang for my buck.” This whole situation with his comments has become comical. What a disappointed this guy is!

To his credit, he used a product that is reversible. This is the saving grace of my entire experience. My new practitioner has reversed this horrific result, and I have moved on from this original doctor and experience. Because of that, I will no longer post replies here, regardless of what he continues to write. If you would like to know more, feel free to send a direct message.

Good luck to you!
Miami Physician

3 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
Was this review helpful? {{ voteCountOthers + ' other' + (voteCountOthers == 1 ? '' : 's') }} found this helpful