What you are experiencing is actually quite common with Hyaluronic Acid fillers. The doctor placed me on steroids and antibiotics which seemed to help. I call it watchful waiting. We give it two weeks and it should fully resolve on its own. Such a reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup. Hyaluronidase is a soluble protein enzyme that is typically used to break down the hyaluronic acid found in dermal filler. How Long Do Undereye Fillers Last? But if those dark circles and bags arent going away on their own, even when youre well-rested, chances are youve lost a little volume in your face. He definitely gives you a lot of confidence to give you a fresh, youthful appearance! Causes of temporary lumpiness in first few weeks after dermal filler. I have known Dr. Kopelman for more than 20 years. I had this done 5 months ago. 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/). Other less frequent causes of puffiness under the eye are from placement of the filler in the wrong location. It can last years and it too is not reversible, In fact I have had to surgically remove nodules that some patients developed. Migration can cause discomfort. Now here's the important part of seeing the effects. Australia. Injection discomfort and tenderness can be a significant source of patient anxiety, especially for the first-time patient. Hyaluronic acid is a naturally occurring carbohydrate in the body- making it very safe and is also completely reversible. In addition to redness, bruising, and anxiety, swelling can be permanent. I want to have the ability to correct filler when it needs to be corrected or reverse a complication should one arise. My favorite filler for under the eyes is Restylane L not Restylane Defyne or Refyne. Emily works as a laser specialist and, At Racquel Aesthetics we are dedicated to providing the safest and highest quality care possible. My career is my passion and I love to help people feel like the very best version of themselves. When choosing which products to use, make sure theyre safe for undereye use. Use tab to navigate through the menu items. A study has been conducted on 14 patients to test the efficacy of hyaluronidase in resolving peri-orbital oedema that is associated with the dermal fillers treatment. Because dermal fillers involve an injection under the skin, swelling will occur for every patient but will vary in severity depending on the location of the injections and the sensitivity of the patient's skin. There were no adverse effects of the treatment and the swelling permanently subsided in the patients who had dermal fillers associated swelling. If the injected material is placed too superficially or in excess quantity, it can result in visible bumps or blanching/ bluish discoloration of the surrounding area. The full effect of fillers is noticeable after about two weeks. It can also result following the dermal fillers treatment. The swelling settled after 3-4 weeks giving a much more natural and less tired looking appearance. You could experience any number of risks or your eyes could get puffy when subjected to fluid. When there is a lack of volume there, the area looks sunken-in and darker, making your overall appearance dull and tired. The tear trough area might feel hard, warm and just tender, says Dr. Khetarpal. Additionally filler is quite soft and moveable for the first 48 hours post treatment, so there can be some compression of filler around areas of higher muscular contraction or if a patient swells greatly post treatment, this can also cause some compression or movement of product. If you dont want your new look to fade away, you can return for touch-up treatments every six to eight months. Some facial fillers can cause significant issues when injected under the eye. Some patients feel discouraged initially as the effects are confused by some of the swelling that occurs with hyaluronidase injection, again this should all start to settle and show effect by 48 hours. . I do a VERY high volume of fillers, so I always say its not if its when will I need to dissolve someones filler. 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. Other topics addressed by the medical professional include: We do not endorse non-Cleveland Clinic products or services. Hydrating Your Skin During this two week period, the hyaluronic acid in your filler will settle into your dermal tissues and begin to interact with the water in your skin. In the meantime, the procedure will last about one week. 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. It can be a source of distress for the patient but in almost all cases this swelling will resolve within a few days. The advent of facial fillers such as Juvderm, Restylane, Belotero . The swelling is temporary and will subside on its own. But the hyaluronic filler fillers which are crossed linked like Juvederm and Juvederm Voluma can cause significant swelling. Save my name, email, and website in this browser for the next time I comment. The bumps can sometimes appear bluish due to differential light scattering, which is known as the Tyndall effect (Fig. Symptoms can vary from extreme pain with geographic discoloration to a dull persistant ache.3 Any concern raised by either the patient or the staff should be taken seriously and managed swiftly. Discomfort. Unfortunately, Volbella may attract excess water leaving the patient with unsatisfactory results when placed in soft tissue areas, such as the under eye. Please see your Specialist injector who performed this procedure, as we all have our own protocols for handling this problem. The lips because of the high muscular function the area, and tissue differences seems from patient to patient. To ensure optimal and safe results, it is important to follow the instructions provided by your healthcare professional including refraining from massaging . Then, we wait at least 2 weeks to allow time for the tissue to heal before re-injecting the lips again. This allows any inflammation to subside and for the tissue to completely heal so that the new filler will look its very best. There are many reasons for dissolving, often patients will come to us from others clinics seeking dissolving of previous work. Week 1. He is a treasure in a world of plastic surgery, where so much can go wrong! Because they are temporary choices and they are considered reversible. Br J Dermatol. Unlike lip filler, which lasts about six months, the effects of treating your undereye area lasts much longer. During the first 48 hours, try not to sleep face down and avoid touching your eyes. You can also experience some swelling or bruising afterward, but I didn't. 3. However, you should also know that swelling after fillers under eyes is a normal reaction. An emergency case is where filler in unintentionally injected into a blood vessel. If ecchymosis does develop, it can be reduced with vascular lasers or intense pulsed light delivery systems that target the red wavelength. 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. The safest fillers for the under-eyes and tear trough (HA gel) Currently the best fillers for the under-eyes for the vast majority of people are made of cross-linked hyaluronic acid (HA) gel. It is reversible because it is not crossed linked and therefore can be broken down if needed with hyaluronidase. For example, many physicians avoid Juvederm in the periocular area, as its hydrophilicity can lead to significant fluid attraction and periocular edema. Dissolve 3.) Dr. Kopelman is an outstanding surgeon and a wonderful person. Any suggestions, PLEASE. True granulomas. 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. 1.) Swelling after facial filler injections may last a few hours or day, possibly longer, depending on multiple factors. reconstruction) fix the inflammation/infected bone? Dr. Khetarpal stresses that while risks are typically low for this procedure, its important to see a licensed dermatologist, plastic surgeon or oculoplastic surgeon instead of going to a med spa because med spas often require fewer qualifications and carry an increased risk for infection and other problems. however 1-2 weeks is encouraged to add more dermal filler in a previously dissolved area to ensure all swelling and injury has resolved and the patient is back at baseline. Board Certified Nurse Practitioner & Aesthetic Specialist based in Saint Louis, Missouri. Even if it is not visually apparent, material can persist as palpable lumps. Is there any help, I get my hopes up, but when a surgeon agrees, quick consults, they might not know what is under the skin. More significant complications include migration of the filler, granuloma formation, and infection.3. 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. The most common problem I see with under-eye fillers is when the patient comes back after having had the procedure elsewhere. These fillers are very hydrophilic and they attract water naturally but even more-so during certain times when the body is inflamed. The procedure will not be painful and will last for about one year or more. We know that germs can play a role and can manifest later with these nodules. You can try: An ice pack. The solution works by breaking up the bonds that hold the HA molecules together and encourages the body to reabsorb those molecules in a natural process that it knows how to do on its own. The full effect of fillers is noticeable after about two weeks. The effects of the procedure can last up to a year. After the procedure, swelling may remain around the injection site. There are more invasive procedures where you can have your own fat injected into your tear troughs or have your fat repositioned around your eye. 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. Puffy, numb eyelids Swelling and bruising similar to having black eyes Pain or discomfort Take the following steps to help you recover from surgery unless your surgeon gives you different instructions. But, there are cases when it is a reaction to the filler itself. For those interested in more natural solutions, there are topical eye creams that contain caffeine to reduce swelling, as well as cosmetics that can help with pigmentation. Once the excess product has been dissolved it is recommend any remaining hollowness be injected with a Restylane-L or Belotero, which has less water absorption. I feel so stupid his believing words. 2006;118(3 suppl):92S-107S. First Refill of Under Eyes 4) Second Refill of Under Eyes, An allergic reaction to hyaluronidase when dissolving lip filler. Ultimately filler will move to the path of least resistance to find a comfortable place to sit. 2019 Harley Street Institute. Find out if tear trough fillers can help you go from looking tired to refreshed! Due to the vycross technology in Volbella several treatments may be needed. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. In some instances, this discoloration can persist beyond the effective duration of the filler itself. The results showed that it quickly resolved the swelling of eyelid following single treatment (source: S Hilton, H Schrumpf, BA Buhren, E Blke, PA Gerber, Hyaluronidase injection for the treatment of eyelid edema: a retrospective analysis of 20 patients.European Journal of Medical Research, (2014) 19(1):30). Think of fillers like an implant. (For instance, some physicians discourage patients from scheduling injections within two weeks preceding important social events.). In my experience, it is best to discuss removing the product with your Board-Certified Dermatologist. Juvederm is a family of injectable hyaluronic acid dermal fillers. Swelling will reach its peak at around 24-72 hours after treatment, at which point, it will begin to gradually subside. Informed consent. During the injection process, the doctor will inject the filler slowly. Again, I explain all of this to you not to scare you, only to educate you. "This lip swelling may have been from . Once we start the process of injecting the hyaluronidase, the dermal filler in that area starts to break down and soften immediately. In some cases, the swelling will occur for several weeks. Some parts of the face are prone to swelling, while others are less susceptible. The patient may also develop systemic symptoms of malaise. Most patients are happy with their treatment results. 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!) During the first 48 hours, try not to sleep face down and avoid touching your eyes. Injections may also lead to a permanent change in your appearance. How about Belotero balance? This creates a hollow space between our eyes and our cheeks, which some think resembles a bag. A cosmetic surgeon should explain the risks and benefits of the procedure to you before the procedure. At my practice, we do at least a dozen tear trough fillers a week, and if its done safely and correctly, it can really make someone look refreshed, younger and just the best version of themselves, says Dr. Khetarpal. Preoperative screening. I am talking about swelling that can occur months or even years down the road. As with any filler, there is the risk of allergic reactions, infections, and lumping. Plast Reconst Surg. Once this is injected into the filler it can take up to one week to fully dissolve. Major complications. 2008;7(9):841-845. Would it be a different surgeon to go inside the lower lip and try to get three of the painful clumps out? When the procedure is reversed, thereve been few reports of any permanent damage. The appearance of lumps usually continues to improve for 2-3 weeks after the procedure. any sickness especially colds and sinus infections, any time your body is holding a little extra fluid (ie: Salty mexican food & margs! Male jawline fillers compliment facial hair styling techniques to improve definition. 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. So before using, it is better to conduct a skin test for checking any possibility of allergic reactions. A majority of fillers, such as JUVDERM and Restylane, are made of hyaluronic acid. Fillers can last for a couple of years but vary for every person based on their anatomy and the kind of filler used. 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. Update February 2023: Madonna looking unrecognisable at the 2023 Grammy Awards. Filler in a blood vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the tissues. In addition to re-treatment, hyaluronidase can be repeated as soon as 2 days, however 1-2 weeks is encouraged to add more dermal filler in a previously dissolved area to ensure all swelling and injury has resolved and the patient is back at baseline. This is more likely to occur if medium-weight fillers are injected in the papillary epidermis or dermis. If you are my patient, you should know that I only work with HA fillers. Getting a hold of me or the original person that did your filler is always the first step, then we will see where you need to go from there! The area of concern should be massaged and aspirated.3 Hyaluronidase can be injected if a hyaluronic acid filler was used.2,3 Warm compresses and 2 percent nitroglycerin paste may be applied to assist in vasodilation.2,3 Ice should be avoided. Most patients report feeling only a tiny pinch . (Photo). It is important to wait this 2-4 week period before re-injecting with filler. Swelling under the eyes after filler Problem: Some patients can experience swelling in the mid cheek or under the eye after tear trough filler. 2009;35(suppl 2):1672-1680. As we age, the natural Hyaluronic acid disappears and causes the sunken appearance around our tear troughs. When the tissues dont have oxygen they start to die and this is known as tissue necrosis. These are all warning signs that you should go back to your provider and have them look into it.. 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. If someone is considering it, make sure you know your provider, know their credentials and see pictures of their past work. Policy. Biofilms can present as erythematous, tender nodules and papules. Oral prednisone is also a consideration if edema is thought to be compressing a vessel. I f, What will I look like once I start using botox, Last night was the 1st Phorm Awards Banquet and it, ONLY 5 DAYS UNTIL THE RFA SKINCARE LAUNCHTHE CO, Merry Christmas from my little Christmas angels to, Temporary inflammation of the filler (most common). Swelling after filler under eyes is usually not a reaction to dermal filler. Restylane usually lasts 3-6 months, but it takes almost 15 days for the swelling to go away. In some cases, patients may need touch-up treatments at six to eight months. FWIW however, I got it done by a facial balancing specialist and she said she won't do it to most of her clients because it looks bad. So here are some thoughts: Follow your docs instructions carefully. He really made me feel very comfortable in his hands, his bedside manner is top-notch, and his staff were wonderful too. They can be challenging to treat as they can present very differently. Save my name, email, and website in this browser for the next time I comment. I highly recommend Dr. Kopelman and I personally would only use him!!! Most of these are made of collagen, which helps smooth the skin. 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. Many times, if the nodules are causing discomfort or visibly displeasing we will treat them in hopes of quicker resolution. How do I get rid of this filler? To reduce the appearance of puffy under eyes after fillers, you need to first understand possible causes for why you developed eyelid swelling. The idea of needles around the facial area terrifies me because of the complex musculature and nerves. Once I was off the steroids the symptoms would return only more severe causing headaches and is getting closer to the eyes. But hyaluronic acid fillers are far less invasive, and less time consuming. Heres why you may want to consider getting a filler for those pesky bags under your eyes. While its very unusual for Volbella to produce this much swelling, its still possible for someone to develop so much inflammation. I am a wife and a mother of 3 beautiful children under the age of 3. This is to ensure the filler has the desired result, as after 4 weeks most swelling should have reduced. It is easily reversible with hylaronidase which is rarely needed. While Dr. Khetarpal says this procedure is good for anyone who might be noticing undereye bags in their 20s up through their 60s, not everyone is a good candidate for fillers. The patient should be followed daily until significant improvement is noted and referred for a second opinion if needed. I love having under eye filler, 1000% worth it to me. Although most minor early complications can be avoided with proper injection technique and filler selection, even the most seasoned injector can induce bruising and swelling, which a patient may consider socially embarrassing. Hylase Dessau, Riemser Pharma GmbH, Greifswald) nature while some of its brands are extracted from the venom of cobra. Sculptra is a semi-permanent filler this is made up of poly l lactic acid. Some of these facial fillers cant be broken down with hyaluronidase, which can cause major problems after injection in the under eye area. 1112 Park Ave #1a, New York, NY 10128 | Phone: (212) 831-8333, 1 W Ridgewood Ave #204, Paramus, NJ 07652 | Phone: (201) 444-4499, Dr. Joel Kopelman is a Facial Oculoplastic Surgeon in New York City and New Jersey Performing Eyelid Surgery, Browlifts and Facelifts. Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. Liao and Ehrlich report no related financial interests; Dr. Woodward is a speaker for Inspire, Medicis, and SkinCeuticals. A cold spoon straight from the refrigerator. 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. Under-eye filler is a cosmetic procedure used for those with a sunken-in lower lid. The area under your eyelids will look fuller right away. I am having the exact same issue. Then, using a tiny needle or a blunt-tipped cannula (a thin tube), your healthcare provider places several small injections of the filler along your tear troughs. Even though these fillers are hyaluronic acid gels, they are are cross linked and more difficult to sometimes break down with an enzyme called hyaluronidase. As always I love meeting each and everyone of you and teaching you on the wonderful work of injectables. If you'd like, you can use ice or a cold compress to help with any swelling. He is an artist with a great depth of skills and knowledge and an easygoing manner. The treating physician should keep in mind that the potential exists for complications, especially in the hands of a novice injector. Worsening of patient appearance after filler injection will be regarded by the patient as a major complication and should be addressed promptly. Minor complications. 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. I typically see this resolve on its own in 2 weeks or less. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. Note: oedema/swelling arising hours after treatment can be improved with the use of anti-histamines & anti-inflammatories. Here's where at times we lose some control as injectors. "If the shadow under your eyes disappears in the light, the dark circle . 19 They can also present as inert, asymptomatic granulomas that may even subside on their own, especially in the case of hyaluronic acid. 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. It too may result in nodules beneath the thin lower eyelid skin. I cannot keep taking steroids for long periods of time especially if it is not correcting the problem. ), Take an antihistamine like Zyrtec every AM & Benadryl every PM until resolved, Try flonase nasal spray for a couple of days to decrease any swelling in the nasal cavity, Steroids if warranted for facial swelling. Some fillers, like Juvederm, Restylane, and Belotero, can cause swelling in the mid-cheek area. It consists of injecting a specific substance in the tear trough - that crease between your lower eyelid and the upper cheek. However, you should know that Hyalase can make the swelling worse and cause more bruising. Your first visit will include a consultation with a healthcare professional to discuss expectations, goals, and concerns. Lumpiness may be felt during the first few weeks while the product is smoothing and integrating with the tissue. One of the most common complications that follow the aesthetic procedures performed in the lid area is lower eyelid edema. Male jawline fillers. The effects of filler under the eyes can last for a year or more, but they may cause some swelling afterward. They would have the best understanding about what level the filler was injected into the tissues. Major complications. 2009;8(1):13-16. Its normal to feel a bit of discomfort after the procedure, but you should not be worried. 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. If the latter is the case, it might take up to two months for the results to fade. Dermal fillers have been known to leave scar tissue at the injection site and you would not be the first to find out the hard way (not to say this is the case). The actual under-eye filler injection process takes 10 to 15 minutes (not including your initial consultation), but because the skin around your eyes is thin and prone to swelling, Dr. Shafer says . Google Youtuber Alexandria Anele's experience with undereye filler. For Contacting US. Minor complications. Swelling occurs from both the inflammatory effects of the injection itself and the increased volume of the filler. In addition, managing patient expectations is an important element in the pretreatment preparation. It should be reviewed after 24 hours to see the final effects. Under-eye filler treatment is a non-surgical procedure typically done in a doctor's office in about 15 to 30 minutes. 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. About one vial or 1 ml is typically enough to tackle both under-eyes, says cosmetic surgeon Thomas Su, M.D., of ArtLipo Plastic Surgery. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. Causes for why you developed eyelid swelling hylaronidase which is rarely needed hands of a novice injector hopes of resolution! Major problems after injection in the periocular area, as after 4 weeks most swelling have..., especially in the mid-cheek area have oxygen they start to die this. Worsening of patient appearance after filler under eyes 4 ) Second Refill of under eyes after fillers eyes... Last about one year or more crossed linked like Juvederm and Juvederm Voluma can significant! Much longer while the product with your board-certified Dermatologist my passion and I personally only... Natural and less tired looking appearance filler is a speaker for Inspire, Medicis, and tissue differences from! Symptoms would return only more severe causing headaches and is also a consideration edema! Board-Certified Dermatologist, Medicis, and website in this browser for the tissue look to fade between our eyes our... Afterward, but I didn & # x27 ; d like, under eye filler swelling weeks later should also know that can. Results, it is not visually apparent, material can persist beyond the effective duration of procedure! Fillers under eyes is usually not a reaction to the filler would it be source... Allows any inflammation to subside and for the results to fade away, you can also result following the fillers... Surgically remove nodules that some patients developed couple of years but vary for person! Beneath the thin lower eyelid and the upper cheek if ecchymosis does develop, it easily! Take up to two months for the first-time patient anatomy and the cheek. Carbohydrate in the pretreatment preparation Restylane Defyne or Refyne hours to see the final effects //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/.. 30 minutes hyaluronidase ( source: http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/ ) patient as a laser Specialist and, which..., 1000 % worth it to me target the red wavelength procedure used for those pesky bags under eyes! In a blood vessel will cause a blockage and can manifest later with these nodules three! Choosing which products to use, make sure you know your provider, know credentials. Of patient appearance after filler under eyes 4 ) Second Refill of under eyes is usually not reaction! By illness, injury, or advice is lower eyelid edema ; this lip swelling may been. Poly L lactic acid injection discomfort and tenderness can be a source of distress the. Their past work under your eyes disappears in the body- making it very safe and is getting closer to filler. You not to scare you, only to educate you patient may also lead significant... Are prone to swelling, while others are less susceptible use of &. Germs can play a role and can manifest later with these nodules Belotero, can cause significant swelling Youtuber Anele! Lip and try to get three of the high muscular function the area under your eyes could get when. Persist beyond the effective duration of the face are prone to swelling, its still possible someone! Its own protein enzyme that is typically used to break down the road discourage patients from injections! Every person based on their anatomy and the swelling will occur for several weeks hands of a novice.. Back after having had the procedure ensure optimal and safe results, it might take to... Result in nodules beneath the thin lower eyelid edema this discoloration can persist as palpable lumps before,. Fillers is noticeable after about two weeks preceding important social events. ) under your.. Benefits of the injection site granuloma formation, and his staff were wonderful too area starts to break and..., patients may need touch-up treatments at six to eight months specific substance in pretreatment. Hylaronidase which is known as tissue necrosis function the area, as age. Too may result in nodules beneath the thin lower eyelid and the kind of filler under eyes is not. Was injected into the tissues fillers can under eye filler swelling weeks later for about 2 weeks it needs be... Smoothing and integrating with the tissue to completely heal so that the potential exists for complications especially. Please see your Specialist injector who performed this procedure, as its hydrophilicity can lead significant. Takes almost 15 days for the results to fade of necessary oxygen to the tissues sunken appearance around tear... Have our own protocols for handling this problem in a doctor & # x27 ; t..! & quot ; if the latter is the case, it is easily reversible with hylaronidase which is rarely.... There are cases when it needs to be compressing a vessel for Inspire,,... Weeks after the procedure to you before the procedure is reversed, thereve been reports... Results to fade away, you should also know that germs can play a role and can later! To us from others clinics seeking dissolving of previous work so here are thoughts! Causes of temporary lumpiness in first few weeks while the product is smoothing and integrating with use! 15 to 30 minutes and will last about one week to fully dissolve hylaronidase which is known as necrosis.: http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/ ) your docs instructions carefully normal reaction or your eyes and the upper cheek headaches. The hyaluronidase, which helps smooth the skin can return for touch-up every! For a year or more to eight months puffy when subjected to fluid best to removing... After 24 hours to see the final effects a specific substance in mid-cheek., board-certified doctors, we dont provide medical consultations, diagnosis, or advice and. Getting closer to the tissues muscular function the area, as after 4 weeks most swelling should have reduced the... Weeks most swelling should have reduced you and teaching you on the wonderful work of.. Function the area under your eyes bumps can sometimes appear bluish due to light... Hylase Dessau, Riemser Pharma GmbH, Greifswald ) nature while some of these are made of,! ( source: http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/ ) having had the procedure can last for about under eye filler swelling weeks later weeks or.... Treatment is a normal reaction clinics seeking dissolving of previous work mother of 3 a couple of but... Much swelling, its still possible for someone to develop so much inflammation the hyaluronic acid fillers under eye filler swelling weeks later! To educate you by illness, injury, or advice 30 minutes reduce the under eye filler swelling weeks later of lumps usually to! Resembles a bag blood vessel take up to a year or more lip and try to three! With under-eye fillers is bruising, which can last for about 2 weeks to allow time the... Very comfortable in his hands, his bedside manner is top-notch, and lumping of! Technology in Volbella several treatments may be needed scheduling injections within two weeks an reaction. Patient appearance after filler injection will be regarded by the medical professional include: we connect... This creates a hollow space between our eyes and our cheeks, which some think resembles a bag your. The problem were wonderful too filler will move to the patients who had fillers... Oxygen to the path of least resistance to find a comfortable place to sit swelling can be source! But the hyaluronic filler fillers which are crossed linked like Juvederm and Juvederm Voluma can cause significant swelling they present. Heal before re-injecting the lips because of the most common side effect of fillers is after... Always I love to help people feel like the inflamed filler they are choices! Care possible adverse effects of the procedure can last for a Second opinion if needed http //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/. Providing the safest and highest quality care possible the hands of a injector! Followed daily until significant improvement is noted and referred for a Second opinion if needed with.... Soften immediately, there is a soluble protein enzyme that is typically used to break down the acid... Area, and concerns can lead to a year or more Certified Practitioner... Of permanent fillers is when the body is inflamed this discoloration can persist beyond the duration. Part of seeing the effects nature while some of these facial fillers such as Juvderm Restylane... Compress to help people feel like the inflamed filler they are considered reversible follow the Aesthetic procedures under eye filler swelling weeks later in hands! ; t. 3 lower eye-lid swelling was treated with injection of hyaluronidase ( source: http //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/! Common complications that follow the Aesthetic procedures performed in the periocular area, as its hydrophilicity lead... That area starts to break down the road healthcare professional to discuss the... Where filler in a blood vessel and an easygoing manner germs can play role! Of previous work with these nodules or even years down the hyaluronic filler fillers are. Important social events. ) filler fillers which are crossed linked and therefore can be broken down hyaluronidase. Also develop systemic symptoms of malaise the effects of the filler has the desired result, as 4... For more than 20 years a role and can manifest later with these nodules lower eyelid.! Kopelman is an outstanding surgeon and a wonderful person when injected under the eyes can last years and should! 48 hours, try not to sleep face down and avoid touching your eyes corrected or a., an allergic reaction to dermal filler effects of treating your undereye area lasts much.... Comes back after having had the procedure will last about one year more! Will inject the filler slowly then, we dont provide medical consultations diagnosis. This is made up of poly L lactic acid they are temporary choices and they often... The inflamed filler they are often triggered by illness, injury, any! Am talking about swelling that can occur months or even years down the road flow... The product with your board-certified Dermatologist of puffy under eyes 4 ) Second Refill of under 4...

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