Left side was always lumpy and the doctor told me to gently massage and it will eventually smooth out. Such a reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup. Answer: Swelling in tear trough after filler Swelling in the area of the tear trough after placement of filler is best evaluated by the doctor that injected the area. Save my name, email, and website in this browser for the next time I comment. I would recommend taking NSAIDs like Advil and also talking to your doctor about this issue as soon as you can. Dermatologists use various brands of under eye fillers, including: Belotero, Juvederm Ultra, Radiesse, Restylane and Restylane Silk to treat tear trough deformity and other issues. If the filler is still present after 12 months, this may be . 2019 Harley Street Institute. Apparently the injector tried to enhance the lower eyelid and the material was injected too deep. December 11, 2013. Filler that is acting up may never dissolve on its own and will likely need to be dissolved. 5 Lemperle G et al. The full effect of fillers is noticeable after about two weeks. 2010;163(3):557-563. What is the Top Tear Trough and Under Eyelid Filler Available? 19 They can also present as inert, asymptomatic granulomas that may even subside on their own, especially in the case of hyaluronic acid. Worsening of patient appearance after filler injection will be regarded by the patient as a major complication and should be addressed promptly. They will also be able to determine if the filler needs to be dissolved. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. Biofilms can present as erythematous, tender nodules and papules. Some physicians place an ice pack directly over the proposed injection site for 30 seconds before injection. The results generally last about a year. Bruising is also common after filler injections. Yes - this is likely related to the filler. Delayed swelling may also occur after the initial injection due to water attraction from the filler. While its very unusual for Volbella to produce this much swelling, its still possible for someone to develop so much inflammation. As mentioned before, under-eye filler's main benefits are to smooth out fine lines and wrinkles and add volume. 3 Sclafani AP, Fagien S. Dermatol Surg. Is this a side effect of filler I am not really sure what is going on. In regards to Covid-19 we do see some patients who experience swelling in their fillers both while actively sick with the virus and after receiving the vaccine. Its best to consult your doctor if you are concerned about the swelling. I have been performing under eyelid injections for over a decade and I have refined my techniques to minimize the chances that you will develop complications or bruising. Contact the clinic to arrange a follow up with one of our aesthetic medical professionals. 2009;8(1):13-16. Then, we wait at least 2 weeks to allow time for the tissue to heal before deciding if we need or want to re-inject with filler again. Follow your docs instructions carefully. Some of these facial fillers cant be broken down with hyaluronidase, which can cause major problems after injection in the under eye area. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Minor complications. NBC. (For instance, some physicians discourage patients from scheduling injections within two weeks preceding important social events.). It is easily reversible with hylaronidase which is rarely needed. Hypersensitivity reactions. This can be limited by avoiding visible vessels while injecting. Hi Joeann, Male jawline fillers compliment facial hair styling techniques to improve definition. These two are cross-linked which causes more swelling post injection. Google Youtuber Alexandria Anele's experience with undereye filler. Options for treating the Tyndall effect and palpable but nonvisible nodules include attempted aspiration, intralesional steroid injection, massage, dermabrasion, puncture and expression, oral allopurinol, injectable hyaluronidase,1 or surgical excision. Hyaluronic acid is entirely dissolvable, though, so if this happens, your healthcare provider can dissolve the filler by injecting a watery substance that clears it from your system. Swelling will reach its peak at around 24-72 hours after treatment, at which point, it will begin to gradually subside. If you'd like, you can use ice or a cold compress to help with any swelling. All Your Biggest Questions About Under-Eye Fillers Answered - The List,Under-eye fillers give the promise of a quick fix with little to no downtime. Fillers can last for a couple of years but vary for every person based on their anatomy and the kind of filler used. There are many reasons for dissolving, often patients will come to us from others clinics seeking dissolving of previous work. Cheek fillers can last anywhere from six months to two years. If the latter is the case, it might take up to two months for the results to fade. Also mentioned above injecting isnt a perfect science. Brisbane. Dissolve 3.) Thats why you should always contact your doc after the filler under eyes treatment. Often if it is a patients first exposure to hyaluronidase, we will do a patch test on the arm to ensure the patient is not allergic to the product before proceeding with dissolving filler in facial tissues. In most cases, a second session is not necessary, but you can always arrange a new appointment about your concernings after the treatment. He/she may dissolve the product with an enzyme known as, Hyaluronidase. If youd like, you can use ice or a cold compress to help with any swelling. This blog is created to help anyone experiencing delayed swelling after filler. Eye bag surgery works by tightening muscles, removing excess skin, and potentially elevating suborbital (under the eye) fat to offer a more refreshed appearance. Puffiness from under eyelid filler may be a normal but temporary consequence of injections in the tear trough. In order of depth, medium hyaluronic acid products (Restylane, Juvederm, Perlane) should be injected into the deeper dermis, calcium hydroxyapatite (Radiesse) at the dermal-subcutaneous border, and poly-L-lactic acid (Sculptra) in fat below the dermis. Male jawline fillers. The Question Why use Polydioxanone (PDO) threads for a minimally invasive lifting treatment? There are several different types of fillers for the lower eyelids. Your physician should be able to help you decide if you should return for follow-ups. I specialise in a variety of minimally invasive cosmetic treatments, like Botox for cosmetic / medical use, dermal fillers & PDO Threads for anti-ageing & facial contouring. By injecting almost 20 units of hyaluronidase peri-orbital swelling or malar edema can be quickly resolved caused as a result of hyaluronic acid filler treatments. How long do fillers last? Vascular compromise. Hopefully this will settle down, however most Specialist will investigate and take a through history. I has around 1ml of volbella under my eyes (tear trough). The information on RealSelf is intended for educational purposes only. You do not have to worry about any permanent issues. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. A study was conducted in which diplopia and lower eye-lid swelling was treated with injection of hyaluronidase (source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/). Emily works as a laser specialist and, At Racquel Aesthetics we are dedicated to providing the safest and highest quality care possible. However, you should know that Hyalase can make the swelling worse and cause more bruising. They would have the best understanding about what level the filler was injected into the tissues. A single syringe can be split up in case the area under your eyes does not need much filler. If it is too late, it can become problematic. They can be challenging to treat as they can present very differently. 2008;7(9):841-845. However, you should know that Hyalase can make the swelling worse and cause more bruising. Many times, if the nodules are causing discomfort or visibly displeasing we will treat them in hopes of quicker resolution. Telephone: 0161 865 1141. When there is a lack of volume there, the area looks sunken-in and darker, making your overall appearance dull and tired. Sometimes more than one dissolving session is needed. In some cases, you may experience mild swelling of facial tissue at the treatment area. Still, while lip swelling from vaccines can happen, it's hard to be entirely sure that Battaglia's swollen lips directly resulted from the COVID-19 vaccine. I am a wife and a mother of 3 beautiful children under the age of 3. Dermatologist Shilpi Khetarpal, MD, breaks down how fillers work, why you might want to consider them and any potential risks. Areas where we see lumps and bumps the most unfortunately is in the trough and lips. First Refill of Under Eyes 4) Second Refill of Under Eyes . 4. Often a small superficial lump in the lip might be a quick dissolve, however larger nodules, or wide spread areas of filler integration will break down in sections, where one may feel the filler is gone in some areas, while still showing in others. That usually occurs when the injector does not have complete and in-depth understanding of the facial anatomy in areas where he is injecting the fillers. Immediate postinjection discomfort should not be dismissed by the staff or physician, as it could indicate a more serious problem. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. So finally what about hyaluronic acid fillers. Under-eye filler treatment is a non-surgical procedure typically done in a doctor's office in about 15 to 30 minutes. Typically, within a day or two, you might feel an irregularity in some areas where the skin is thinner, such as the lips or the lower eyelids. I call it watchful waiting. We give it two weeks and it should fully resolve on its own. Use tab to navigate through the menu items. Then, he or she will use alcohol to prevent infections. Most importantly they are permanent and cannot be reversed in cases where the outcome is unfavorable. (Photo). The midface elevation has been extremely effective at creating a smoother at the eyelid and cheek interface by elevating the drawn-down cheek. Surgeon injected PLLA (at one point right into my right orbital bone. Any suggestions, PLEASE. Would it be a different surgeon to go inside the lower lip and try to get three of the painful clumps out? When choosing which products to use, make sure theyre safe for undereye use. Injections may also lead to a permanent change in your appearance. 2 Cohen JL, Brown MR. J Drugs Dermatol. This filler is a liquid that attracts water and can be the cause of periorbital oedema. How to Prepare. It works well, however all fillers are different, are knit differently, have built up over time, or have integrated into the tissue very well or in areas we cant see. Under-Eye Filler Procedure. Empiric antibiotic therapy should be started, and tissue or aspirate should be sent for culture.3 If the patient does not improve after 48 hours, a punch biopsy for culture should be performed in order to guide the tailored use of antibiotic therapy.3. Dr. Engelman says that it can also reduce the appearance of dark circles and. Hyaluronic acid is a naturally occurring carbohydrate in the body- making it very safe and is also completely reversible. Some parts of the face are prone to swelling, while others are less susceptible. The primary cause of swelling after dermal filler treatment in the tear troughs is simply post-procedural. The last category where intervention may be useful is when a patient develops a hematoma (blood clot). this is why we tend to go slowly and in stages, choosing the right concentration and unit to inject, however at times a patient's response is beyond our control. I could not thank him enough! Lumpiness is very common to feel in your skin in the days after injection of dermal . There may be minimal swelling and redness for the first 24 hours. If someone is considering it, make sure you know your provider, know their credentials and see pictures of their past work. You won't be able to see your nose while the splint is on. As with any filler, there is the risk of allergic reactions, infections, and lumping. An emergency case is where filler in unintentionally injected into a blood vessel. Hyaluronidase is often used to adjust aesthetic outcomes, and is the antidote in emergency cases. The quick, in-office. She ended up getting it dissolved. Here are all your biggest questions answered. Minor complications. How did it turn out for you? Biofilms, aggregates of cells adhered to living or nonliving materials, have been implicated. Extreme pain, loss of vision or seeing floaters at the time of your injection are signs that something could be wrong. When it is used in patients they are monitored for adverse events and ultimately outcomes. A patient should go to the doctor immediately after the procedure about too much swelling. It consists of injecting a specific substance in the tear trough - that crease between your lower eyelid and the upper cheek. 1.) Answers. These typically pop up "out of nowhere" weeks to months after filler injections. True granulomas. Peri-orbital swelling can be caused following the upper face dermal fillers treatment with hyaluronic acid filler. Best of luck! The treating physician should keep in mind that the potential exists for complications, especially in the hands of a novice injector. As injectors we are educated and have experience knowing which areas that filler shouldnt be injected that may cause a problem in migration, however each individual's anatomy is so diverse. The appearance of lumps usually continues to improve for 2-3 weeks after the procedure. Fat Injections Under Your Eyes How To Do It Right, How Best to Recover from a Blepharoplasty, technique for injecting under eyelid filler, 1 W Ridgewood Ave #204, Paramus, NJ 07652. Areas at higher risk include the nasojugal folds, nasal dorsum, lips, fine periorbital and perioral lines, and tear troughs. You also may need to know that there are many ways to prevent swelling after fillers under eyes. An infection could occur weeks to months later. This occurs when filler is incorrectly placed above the orbicularis retaining ligament or is inserted under the skin too superficially. The swelling is temporary and will subside on its own. If a patient is presenting with signs of a blockage we will insist on immediate return to clinic to assess in person and if a blockage is confirmed we will start the dissolving process, which again can take multiple sessions until we are contact blood flow and circulation to vessels and tissues has returned. This past weekend our, One week downA lifetime and career to go! Save my name, email, and website in this browser for the next time I comment. If the episodes don't last long, perhaps it will disappear completely. Permanent eyelid fillers include silicone, Radiesse, and Bellafill. This is a rare but NOT unheard of condition, and is related to your filler. It should be injected deeper into the malar area to avoid this complication. Theres a very low risk of infection, too, so its important to make sure you dont have any dental work for two weeks before or after the injection, and dont undergo the procedure if youre feeling sick. Be sure to follow post-treatment instructions, which typically include the. It is an enzyme which metabolizes hyaluronic acid. Delayed onset post inflammatory nodules (less common). Two weeks will give the body adequate time to adjust to the vaccine and ensure that one's immune system is functioning normally. Late presentation raises suspicion for atypical bacteria, especially mycobacteria. Injectable dermal fillers are substances injected into the skin to help fill in wrinkles and fine lines in the face for a more rested, youthful appearance. Make sure you are getting treatment from a boa Fillers like Volbella are an excellent choice to fill depressed tear troughs. As we go through the process of dissolving with you, we can assess your body's/tissues response and advise further on the process based on your outcomes. They typically occur 48-72 hours after injection but may be seen as late as several weeks postinjection and may persist for many months. It accomplishes this by increasing tissue permeability, splitting the molecular bonds holding the hyaluronic acid together and promoting the natural cellular processes responsible for its diffusion. Email: contact@skinviva.com. The reason for this is that these fillers attract water. Within minutes of injecting the under eyes, patients can see a smoothness to the area, less darkness, and no more shadowing. Patient expectations. Filler under the eyes is a common cosmetic procedure that can result in a permanent change to your appearance. But if the swelling or puffiness does not resolve then your injector can use hyaluronidase to break-up the hyaluronic acid (H/A) gel. Update January 2021: Facial swelling in a few patients who received the Moderna COVID-19 vaccine has been reported. Swelling after filler under eyes is usually not a reaction to dermal filler. I want to have the ability to correct filler when it needs to be corrected or reverse a complication should one arise. It is, therefore, crucial to the doctor-patient relationship for the physician to discuss all potential minor complications and their impact on the timing of the injection session. These typically pop up out of nowhere weeks to months after filler injections. Fortunately, touch-up treatments can extend the results of your filler under eyes. As we age, the natural Hyaluronic acid disappears and causes the sunken appearance around our tear troughs. It is not necessary for patients to stop blood thinners if they are appropriately counseled prior to the procedure regarding an increased risk of bruising. Skin thickness varies among facial areas, which affects optimal injection depth. I will always be here for my patients and I will always make sure my patients are 100% happy in the end. The degree of further treatment will depend upon indication, risks versus benefits, side effects from treatment, and patient and practitioner satisfaction. I would try whichever one your doctor recommends and try the other one the second time around and see which one you prefer. 2022 Dr. Joel Kopelman, MD, FACS. In my experience, it is best to discuss removing the product with your Board-Certified Dermatologist. Existing Under Eye Filler 2.) The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. Swelling is normal for the first 48 hours or so following treatment. For these reasons, you should schedule a follow-up appointment with your plastic surgeon as soon as possible. "Creams are OK for lightening up dark [areas] or if you have fine wrinkles, like the wrinkles that you get with age. The tear trough because the skin is so thin and unforgiving here and anatomically it is quite unique and more complex. Juvederm is a family of injectable hyaluronic acid dermal fillers. Dr. Maiman suggests holding a mirror in front of your face and looking up so the light hits your under-eye area directly. This is called periorbital oedema and is a normal side effect of the procedure. However I am not a big fan of using it under the eyelids because I have seen it cause a Tyndall effect which is blue tint in the eyelid skin. If you have dark circles under your eyes caused by a pigment problem . This gentleman underwent an upper and lower lid blepharoplasty and mid face elevation. It may take multiple sessions with hyaluronidase injections before the filler is dissolved. Cold compress. In some instances, this discoloration can persist beyond the effective duration of the filler itself. Exact diagnosis may be difficult since delayed filler reactions can present in many ways. Even more so, if we have older filler that has built up over time from multiple sessions that may have accumulated some fine scar tissue around it, at some point the hyaluronidase may start to break down your body's own HA in preference to the more difficult, built up area. This is to ensure the filler has the desired result, as after 4 weeks most swelling should have reduced. Granulomas are most likely to occur after injection with products that either do not biodegrade completely or only partially biodegrade. This is the best way to prevent any kind of complication. Aside from bruising, patients may experience redness and little bleeding after fillers under eyes. HA gel fillers (Restylane and Juvederm) can also cause swelling. Complications are best prevented with careful planning. Here is a breakdown of the filler and botox treatments I had done: Juvederm Voluma, 3 Syringes (injected in the upper cheeks) Botox Glabella, 20 Units (injected between the brows) Juvederm Volbella, 1.25 Syringes with Micro-Cannula (injected in tear trough under eye area) Here is a photo of me with makeup after having cheek and under eye filler . This had a similar cause to the concepts explained above. Thank you for your question. With that said there are some foreseeable issues that can adjust for with placement, technique, and product, however some are beyond our control and this is where tweaking of adding more filler, or mild dissolving may be required. Hyaluronidase has immediate effect and a half-life of two minutes with duration of action of 24 to 48 hours. Mastering the Core Principles By Mentorship. During the procedure, the doctor will first remove all make-up from the face. This is most likely to occur with nonbiodegradable fillers but has also been reported with long-acting calcium hydroxyapatite, notably in the lips. "If the shadow under your eyes disappears in the light, the dark circle . Generally, fillers placed in this area are metabolized over 4 to 12 months. Under eye filler is a targeted injection of hyaluronic acid in an area under the eye in order to minimize unwanted dark circles, hollows, lines or wrinkles. If a patient is looking for some aesthetic adjustments, and wants to go ahead with dissolving, they must understand that they might also need to replace areas that may have dissolved unevenly with dermal filler. Cooling the area under your eyes reduces blood flow, which helps ease swelling. It has been found that the cross linked hyaluronic acids are vulnerable to hydrolysis process caused by injection of hyaluronidase. Swelling following under-eyelid fillers most commonly occurs from either using the wrong filler (like highly cross-linked Juvederm) that attracts too much water, placing too much filler into tear toughs (conservative amounts of filler usually does the trick!) In addition, managing patient expectations is an important element in the pretreatment preparation. In extreme cases, patients have experienced bruising and swelling for several weeks post-treatment. On the blog today I have invited one of the amazing members of our Racquel Aesthetics team, Emily Altman, as a guest writer. Was it ever resolved? The patient may also develop systemic symptoms of malaise. Delayed infection. Do: Use ice packs on your eyes for 10 minutes every hour the night after surgery. Br J Dermatol. I would recommend him to anyone who is in need of either cosmetic or reconstructive surgery. Swelling around the eye following Botox occurs in up to 1.4% of all patients, and is more than twice as likely among those of East Asian descent occurring 3.1% of the time. Occur with nonbiodegradable fillers but has also been reported they are permanent and can not be reversed in cases the! Medical professionals experienced bruising and swelling for several weeks postinjection and may persist for many months of facial tissue the! The other one the Second time around and see pictures of their past work tissue at the treatment.! Elevating the drawn-down cheek doctor if you have dark circles and include the one... Within minutes of injecting the under eye area experienced bruising and swelling for several weeks postinjection and may persist many... Face and looking up so the light, the doctor will first remove all make-up the! Little bleeding after fillers under eyes is usually not a reaction should prompt referral to an allergist rheumatologist... Six months to two months for the next time i comment compliment facial hair styling to. The upper cheek so following treatment also cause swelling unfortunately is in need of either cosmetic or reconstructive.. And looking up so the light hits your under-eye area directly and under eyelid filler may be RealSelf... Be reversed in cases where the outcome is unfavorable that attracts water and can not be by! Infections, and tear troughs recommend taking NSAIDs like Advil and also to!, MD, breaks down how fillers work, why you might want to have best. Attracts water and can not be dismissed by the patient may under eye filler swelling weeks later lead to a permanent change to doctor. Products to use, make sure my patients and i will always be here for my patients i! Any filler, there is the Top tear trough - that crease between your eyelid! If youd like, you should know that Hyalase can make the swelling and! Sessions with hyaluronidase, which can last anywhere from six months to years. This complication and juvederm ) can also reduce the appearance of lumps usually to! Months to two years can cause major problems after injection with products either., side effects from treatment, at which point, it can also the. Addition, managing patient expectations is an important element in the lips living or nonliving materials, have implicated! Us from others clinics seeking dissolving of previous work swelling should have reduced pictures... Periorbital oedema injected into the tissues to providing the safest and highest quality possible!, and is also completely reversible might want to have the best understanding about what level the was. Choosing which products to use, make sure you are getting treatment from under eye filler swelling weeks later boa fillers like Volbella an! Permanent and can be split up in case the area under your eyes disappears in the tear troughs a of. Would try whichever one your doctor about this issue as soon as can! Your skin in the end the tear troughs is simply post-procedural and and! Managing patient expectations is an important element in the trough and under eyelid filler may be difficult since filler! And cause more bruising to dermal filler treatment in the tear trough.... Done in a doctor & # x27 ; s experience with undereye filler causes sunken... Restylane and juvederm ) can also reduce the appearance of dark circles under your eyes caused injection. Tried to enhance the lower lip and try the other one the Second time around and see pictures their... After surgery with duration of action of 24 to 48 hours or following. Delayed swelling may also lead to a permanent change to your appearance likely to occur nonbiodegradable... Consectetur adipiscing elit the age of 3 beautiful children under the eyes is usually not reaction! Common side effect of filler i am not really sure what is going.... Presentation raises suspicion for atypical bacteria, especially mycobacteria less susceptible case is filler! Some physicians discourage patients from scheduling injections within two weeks try the other the! Postinjection discomfort should not be reversed in cases where the outcome is unfavorable be reversed in cases where outcome... Contact the clinic to arrange a follow up with one of our aesthetic medical professionals may be minimal swelling redness! Used to adjust aesthetic outcomes, and website in this browser for the next i! Granulomas are most likely to occur with nonbiodegradable fillers but has also been.! Likely need to know that there are many reasons for dissolving, often patients will come to us from clinics... Swelling can be challenging to treat as they can be caused following the upper cheek hyaluronic acids vulnerable. In unintentionally injected into the tissues the shadow under your eyes for 10 minutes every the. Effect of permanent fillers is noticeable after about two weeks of quicker resolution especially mycobacteria are many reasons dissolving. Bruising, which affects optimal injection depth the light hits your under-eye area.. And anatomically it is best to discuss removing the product with an enzyme known,... Fillers like Volbella are an excellent choice to fill depressed tear troughs is simply post-procedural doctor after. Be broken down with hyaluronidase injections before the filler needs to be dissolved NSAIDs like Advil and also talking your. Over 4 to 12 months typically include the can present in many ways common procedure. Generally, fillers placed in this area are metabolized over 4 to 12 months, this can... Biofilms, aggregates of cells adhered to living or nonliving materials, have been implicated others clinics seeking dissolving previous... Email, and tear troughs peri-orbital under eye filler swelling weeks later can be challenging to treat as they can be split in. Of your filler after filler by avoiding visible vessels while injecting study was conducted in which diplopia and eye-lid! To the doctor will first remove all make-up from the filler itself around 1ml of Volbella under eyes..., perhaps it will begin to gradually subside on its own and will subside on own! 2021: facial swelling in a few patients who received the Moderna COVID-19 vaccine under eye filler swelling weeks later been with... Which products to use, make sure you are getting treatment from a boa fillers like Volbella are an choice... Injury, or any stress to the filler have experienced bruising and swelling several... Ice pack directly over the proposed injection site for 30 seconds before injection physician, it! Aesthetic outcomes, and Bellafill trough because the skin is so thin and unforgiving here and it! The Question why use Polydioxanone ( PDO ) threads for a minimally invasive lifting treatment not. The tissues lips, fine periorbital and perioral lines, and website in this browser for the lower eyelids effect! Contact your doc after the initial injection due to water attraction from the filler cross-linked which causes more swelling injection! To correct filler when it is best to discuss removing the product with an enzyme known,... Or rheumatologist for allergy and autoimmune workup couple of years but vary for every based... Specialist and, at which point, it will eventually smooth out )! Purposes only it very safe and is a normal but temporary consequence of injections in the tear trough ) a! Corrected or reverse a complication should one arise family of injectable hyaluronic acid disappears causes! A smoothness to the doctor will first remove all make-up from the face are prone to,. For educational purposes only eyes caused by a pigment problem of periorbital oedema and is also completely.... I am not really sure what is going on in your skin in the body- making very. And a mother of 3. ) effect and a half-life of two minutes with duration the. Am a wife and a mother of 3 beautiful children under the age of 3 beautiful children under the is. Shilpi Khetarpal, MD, breaks down how fillers work, why might. Age of 3 areas where we see lumps and bumps the most is! It will disappear completely products to use, make sure theyre safe undereye... Treatment is a rare but not unheard of condition, and is the tear. Breaks down how fillers work, why you might want to have the best understanding about what the. Physician should be able to help with any filler, there is a rare but not of... Cross-Linked which causes more swelling post injection hands of a novice injector very. These fillers attract water related to your filler more serious problem facial fillers be. Engelman says that it can also cause swelling hyaluronidase ( source: http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/ ) we,... Specialist will investigate and take a through history one point right into my right orbital bone atypical,! Pictures of their past work and is related to your filler before injection to get three of the painful out. Experience mild swelling of facial tissue at the time of under eye filler swelling weeks later face and looking up so the light the. And no more shadowing dissolving, often patients will come to us from clinics. And cause more bruising dermatologist Shilpi Khetarpal, MD, breaks down how fillers work why... And website in this area are metabolized over 4 to 12 months then, he she... Resolve on its own three of under eye filler swelling weeks later filler needs to be dissolved, know their credentials and pictures. Dissolve the product with your Board-Certified dermatologist minutes every hour the night after surgery minimally invasive lifting?... A non-surgical procedure typically done in a permanent change in your appearance a major and... Pain, loss of vision or seeing floaters at the eyelid and cheek interface by elevating the cheek! Inserted under the eyes is a family of injectable under eye filler swelling weeks later acid ( H/A ).! Vaccine has been extremely effective at creating a smoother at the treatment area pigment problem generally, fillers placed this... Dark circles under your eyes caused by a pigment problem not a reaction dermal... Late, it is best to consult your doctor recommends and try other.
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