Exact diagnosis may be difficult since delayed filler reactions can present in many ways. Week 1. Juvederm hyaluronic acid is made in a lab but as it is a sugar, your body is able to . Swelling after fillers under eyes is not a comman side effect. How about Belotero balance? Although swelling after fillers under eyes can be a few painful, most patients are satisfied with the results and dont need further treatment. The patient should be screened for any medical issues that could affect the application of filler,1 such as pharmacologic or pathologic clotting disorders, previous vagal episodes, and any history of seizures.2. Some facial fillers can cause significant issues when injected under the eye. Biofilms, aggregates of cells adhered to living or nonliving materials, have been implicated. To get rid of eye bags, surgery may be an option. Juvederm is a family of injectable hyaluronic acid dermal fillers. It is available in 1500 unit ampoule and is a prescription only drug. I also provide training to aspiring cosmetic physicians in advanced cosmetic treatments at the Harley Street Institute. I am having the exact same issue. I will always be here for my patients and I will always make sure my patients are 100% happy in the end. Under-eye filler treatment is a non-surgical procedure typically done in a doctor's office in about 15 to 30 minutes. If you have concerns or questions about the procedure, speak with your medical aesthetic practitioner and be sure to follow any aftercare guidelines. 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. HA gel fillers (Restylane and Juvederm) can also cause swelling. 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. Its essential to obtain informed consent; this should cover the discussion of potential side effects (the most common sequelae include swelling, bruising, and tenderness) and all details of postoperative care. Never too much, always aesthetically gentle and well balanced. If it is too late, it can become problematic. It can hydrate the skin and well-hydrated skin tends to look fluffier, but . You can expect to pay anywhere from $650-$1,200 for under-eye filler, depending on who you go to for the non-surgical procedure, according to Dr. Halim. There were no adverse effects of the treatment and the swelling permanently subsided in the patients who had dermal fillers associated swelling. You do not have to worry about any permanent issues. Thank you for your question. Depending on the type of filler used, your treatment can last up to a year. Under-Eye Filler Procedure. The good news is that our bodies eventually figure it out and we will see the nodules resolve on their own eventually. Two weeks will give the body adequate time to adjust to the vaccine and ensure that one's immune system is functioning normally. 2ml Jawline Filler. In order to reduce swelling after receiving dermal fillers, Dr. Herbstman recommends his New Jersey patients adhere to the following: Overall it has a high safety profile, but must be used with good judgement and caution. More significant complications include migration of the filler, granuloma formation, and infection.3. This gentleman underwent an upper and lower lid blepharoplasty and mid face elevation. Telephone: 0161 865 1141. 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. What you are experiencing is actually quite common with Hyaluronic Acid fillers. Injection discomfort and tenderness can be a significant source of patient anxiety, especially for the first-time patient. Your eyes will look full right away, and you may experience minor redness or swelling in the first 48 hours, but that typically goes away on its own. We use cookies to give you the most relevant experience, Cookie Policy. This is the best way to prevent any kind of complication. Once this is injected into the filler it can take up to one week to fully dissolve. It can also result following the dermal fillers treatment. Discomfort. Vascular compromise. fillers under the eyes often look lumpy after the procedure. He has been there when I needed help with cuts to my face and sunken cheeks. The patient should be placed on empiric oral antibiotics and rechecked within 48 hours. Save my name, email, and website in this browser for the next time I comment. The results will last about a year after the injection. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Update February 2023: Madonna looking unrecognisable at the 2023 Grammy Awards. During the procedure, the doctor will first remove all make-up from the face. I feel so stupid his believing words. Hypersensitivity reactions. Some are hot or cold, soft or firm, tender or non tender. A patient should go to the doctor immediately after the procedure about too much swelling. 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!) 4 Hirsch RJ, Stier M. J Drugs Dermatol. The patient may also develop systemic symptoms of malaise. Because of this, they can be placed too close to the surface and cause swelling. and sometimes hematomas (clots of blood) occur especially if the patient is on blood 5, 11 Late-onset reactions occur at least 3 months after uneventful injection of a dermal filler. A history of allergic reaction to wasp or bee stings represents an increased risk of allergic reaction to hyaluronidase and should be considered as a relative contraindication, as the venom of stinging insects might contain hyaluronidase and this mechanism might be the source of sensitization in affected individuals. The most common complication associated with under eye facial filler Injections is prolonged swelling that can create an unnatural or "overdone" appearance, which can be quite devastating. But if youre unhappy about that extra luggage under your eyes, you might want to consider treatment. Can I have some advice? I got about a "dime-sized" amount of the filler Restylane-L under each eye. But the hyaluronic filler fillers which are crossed linked like Juvederm and Juvederm Voluma can cause significant swelling. He/she may dissolve the product with an enzyme known as, Hyaluronidase. Hyaluronidase is often used to adjust aesthetic outcomes, and is the antidote in emergency cases. ), 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. Lumps or bumps in the lips are more common because we have a lot of these little bumps anyway. So here are some thoughts: Major complications are rare, but they can produce permanent, disfiguring damage. 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. As we age, the natural Hyaluronic acid disappears and causes the sunken appearance around our tear troughs. Hyaluronic acid fillers come in prefilled syringes and there are several different brands and types. However, if its left untreated, it can lead to more serious complications. The advent of facial fillers such as Juvderm, Restylane, Belotero . If the latter is the case, it might take up to two months for the results to fade. Lumpiness is very common to feel in your skin in the days after injection of dermal . About a month and a half later I started with severe facial swelling and pain. 6 Sore Throat Remedies That Actually Work. Would an MRI or CT help a qualified surgeon (Opth. The tear trough area might feel hard, warm and just tender, says Dr. Khetarpal. The appropriate depth of placement is dependent on the product selected and strongly influences the end result. 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. 1A, 1B).2 The surgeon should inject 0.2 mL of hyaluronidase and have the patient massage the involved area, then recheck the patient in 30 minutes to make sure he or she is satisfied with the result. 2019 Harley Street Institute. 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. Early-onset complications are those that occur within the first two weeks after the injection. In addition, areas such as the glabellar region have minimal collateral circulation and are at increased risk of vascular compromise with excessive injection volume. 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. The primary cause of swelling after dermal filler treatment in the tear troughs is simply post-procedural. Sculptra is a semi-permanent filler this is made up of poly l lactic acid. First Refill of Under Eyes 4) Second Refill of Under Eyes, An allergic reaction to hyaluronidase when dissolving lip filler. Fillers can last for a couple of years but vary for every person based on their anatomy and the kind of filler used. He is an artist with a great depth of skills and knowledge and an easygoing manner. Other less frequent causes of puffiness under the eye are from placement of the filler in the wrong location. "That's one of the best, most gratifying things. Most people do see an improvement within 3 days. In order to minimize discomfort, the injection sites are typically numbed beforehand and a very small needle is used to minimize discomfort. 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. Right after your rhinoplasty, you'll likely be wearing a splint, which will help to control the swelling. Under eye facial filler procedures arent a one-time procedure. 19 They can also present as inert, asymptomatic granulomas that may even subside on their own, especially in the case of hyaluronic acid. Unlike lip filler, which lasts about six months, the effects of treating your undereye area lasts much longer. The effects of filler under the eyes can last for a year or more, but they may cause some swelling afterward. "Rarely, swelling after tear trough filler can last weeks to months because the filler can block lymphatic drainage from the area under the eye," she adds. We are committed to continuously improving our practice by incorporating tools and techniques to enhance, Volux I am thrilled to welcome one of our very own at Racquel Aesthetics as a guest writer this week on the blog, Jasmine Henderson, RN. Can a Vampire Facial Make You Look Younger? The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. It should be injected deeper into the malar area to avoid this complication. Well they are off the shelf and dont require surgery like fat grafts and are reversible. Minor complications. Cheek filler can last up to 12 months, sometimes longer, but you'll have to go back to Ageless Clinics for a review 4 weeks after your first treatment. Filler in a blood vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the tissues. The average time range when people return because they feel their under-eye fillers have dissipated is 9-12 months. Reach out if you have any further questions or concerns, and furthermore come in for your complimentary consultation. This had a similar cause to the concepts explained above. The swelling in the lower eye-lid can occur due to the migration of the filler from the malar region. 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. Its best to consult your doctor if you are concerned about the swelling. How did it turn out for you? 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. Chilled cucumber slices. Male jawline fillers. 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. This is because the amount of filler metabolizes differently in each individual. But if you dont want to go through this or are afraid of its possible complications, it may be wise to choose a temporary procedure. Br J Dermatol. The reason for this is because the skin under the eyes is thin and these fillers may make the skin look lumpy. Though an edema doesn't look pretty, it's not a serious complication. 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. After the procedure, swelling may remain around the injection site. The treating physician should keep in mind that the potential exists for complications, especially in the hands of a novice injector. 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. Because they are temporary choices and they are considered reversible. 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. Generally, fillers placed in this area are metabolized over 4 to 12 months. 5 Lemperle G et al. 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. Another possibility is swelling. The information on RealSelf is intended for educational purposes only. Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. True granulomas. I am a wife and a mother of 3 beautiful children under the age of 3. I have known Dr. Kopelman for more than 20 years. Please check your inbox, we have sent you the Download link. 2008;7(9):841-845. If it is too soon, it can cause the swelling to return. 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. Your first visit will include a consultation with a healthcare professional to discuss expectations, goals, and concerns. Most are temporary and eventually absorbed into the body. In some others, even a little amount of dermal filler can lead to constant peri-orbital or malar edema which may last longer than effects of the filler, itself. As with any filler, there is the risk of allergic reactions, infections, and lumping. Again, I explain all of this to you not to scare you, only to educate you. Delayed swelling may also occur after the initial injection due to water attraction from the filler. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. That is not to say that Sculptra or other permanent or semi-permeant fillers dont have a role elsewhere on the face but not under the lower eyelids. 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 allows any inflammation to subside and for the tissue to completely heal so that the new filler will look its very best. Some fillers, like Juvederm, Restylane, and Belotero, can cause swelling in the mid-cheek area. Aside from bruising, patients may experience redness and little bleeding after fillers under eyes. Using facial fillers in general, without expertise in facial anatomy, can result in an irregular appearance. While it's common to have some swelling for a week or two after a filler injection under the eyes, it's not the result anyone wants if it lasts longer than that. You could experience any number of risks or your eyes could get puffy when subjected to fluid. He really made me feel very comfortable in his hands, his bedside manner is top-notch, and his staff were wonderful too. These typically pop up out of nowhere weeks to months after filler injections. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. So before using, it is better to conduct a skin test for checking any possibility of allergic reactions. Eye edema. Permanent eyelid fillers include silicone, Radiesse, and Bellafill. We offer every patient lidocaine-prilocaine 5 percent cream or lidocaine 2 percent dental injection to the infraorbital nerve 15 minutes prior to filler injection. In these cases a steroid injection with Kenalog can help to accelerate the resolution of hematoma. The patient should be followed daily until significant improvement is noted and referred for a second opinion if needed. In order to replace some of that lost volume, you can get whats called a filler, a gel-like substance made of hyaluronic acid, which is a naturally occurring molecule found in our skin. However, you should know that Hyalase can make the swelling worse and cause more bruising. ago. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ). Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. However at times the vessel doesnt fully block, or these signs arent seen right away. When the procedure is reversed, thereve been few reports of any permanent damage. I work as a cosmetic injector and skincare specialist with 12 years of experience in the Aesthetic Industry. Severe swelling after Volbella lip filler. 2022 Dr. Joel Kopelman, MD, FACS. Most patients report feeling only a tiny pinch . They will also be able to determine if the filler needs to be dissolved. We have been seeing this for years with sinusitis, the flu, etc. The tear trough because the skin is so thin and unforgiving here and anatomically it is quite unique and more complex. Your email address will not be published. There are times when someone had filler placed under the eyes several years prior and expected the filler to disappear. Here we try to ensure they are smooth and consistent , however we dont want to over massage these areas, as we would lose the lifting or volumizing effect that was initially intended with the dermal filler injection. Swelling occurs only after the procedure has healed. Other areas of the face such as the chin, cheek bone, or nose, we are almost trying to create small lump or bumps referred to as boluses, to help lift the tissue and create structure. This type of swelling does not require hyaluronidase to dissolve the filler. Common side effects include bruising and swelling, and nodules and bumps under the eye can occur. It is normal to get some natural hyaluronic acid temporarily breaking down (adjacent area) but this quickly regenerates with out own bodies natural HA product within a few weeks, and ultimately collagen remodelling that happens 2-3 months post. Proper injection technique, choice of injection site, and choice of filler can limit the risk of vascular compromise. Find out if tear trough fillers can help you go from looking tired to refreshed! Apparently the injector tried to enhance the lower eyelid and the material was injected too deep. If patients experience minor pain, tenderness, and/or headache after filler injection, they should be counseled to use acetaminophen on the treatment day and to avoid NSAIDs and aspirin for one week, as these can contribute to further bruising. It is important to wait this 2-4 week period before re-injecting with filler. 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. This is called periorbital oedema and is a normal side effect of the procedure. Complications are best prevented with careful planning. 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. Fortunately, touch-up treatments can extend the results of your filler under eyes. 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. The Question Why use Polydioxanone (PDO) threads for a minimally invasive lifting treatment? Hyaluronidase lowers the viscosity of hyaluronan and thereby increasing tissue permeability; it is commonly mixed in tumescent anaesthesia during liposuction. How to Prepare. Advertising on our site helps support our mission. 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 . "If the shadow under your eyes disappears in the light, the dark circle . Nine times out of ten, if the swelling happens quickly, then this is caused by the natural body reaction to a needle or cannula entering the skin, in what is a sensitive area. In addition to redness, bruising, and anxiety, swelling can be permanent. You amy want to consider fat grafting or PRPto this area instead of HA based filler. An injection placed too superficially can produce nodules and an uneven surface; therefore, it is usually preferable to err on the deeper side. In most patients, inflammation improves much after 4 to 5 days, but there may be a milder swelling that takes weeks to fully resolve. December 11, 2013. It has also been recommended for treating some adverse reactions to the Hyaluronic acid fillers as its enzymatic activity degrades hyaluronic acid; innate & exogenous. Preoperative screening. Then, he or she will use alcohol to prevent infections. The full effect of fillers is noticeable after about two weeks. I am still suffering with chronic pain, swelling this is over ten years, also in my lower lip. In some cases, patients may need touch-up treatments at six to eight months. Bruising can last longer but should resolve within one week," dermatologist Rachel Maiman shared with Cosmopolitan . 19 Such a reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup. This often presents as a tender, erythematous, warm nodule that may be fluctuant. Oftentimes, these patients look swollen and feel like they don't look like themselves. 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. A single syringe can be split up in case the area under your eyes does not need much filler. Dr. Doppelt advises waiting a week or so after treatment to see the final results. Filler that is acting up may never dissolve on its own and will likely need to be dissolved. We do not endorse non-Cleveland Clinic products or services. The brand of hyaluronidase that is commonly used in UK is Hyalase (Wockhardt UK Ltd). Do: Use ice packs on your eyes for 10 minutes every hour the night after surgery. It should take about 15 minutes to receive your tear trough correction treatment. In cases such as these we educate our patients on what to look for in the consultation and we do follow up with a safety check 24-48 hours post treatment. Well rested, but still have undereye bags and dark circles? 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. Only experts should be injecting in this area and it's off-label for the below. 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. Restylane usually lasts 3-6 months, but it takes almost 15 days for the swelling to go away. 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. I use hyaluronidiase, which is an enzyme that targets the hyaluronic acid filler. If the episodes don't last long, perhaps it will disappear completely. I call it watchful waiting. We give it two weeks and it should fully resolve on its own. However, if a heavily cross linked H/A is present sometimes it is difficult to breakdown the filler. It too may result in nodules beneath the thin lower eyelid skin. Would it be a different surgeon to go inside the lower lip and try to get three of the painful clumps out? This can reduce the price of the treatment. Dr. Maiman suggests holding a mirror in front of your face and looking up so the light hits your under-eye area directly. Was it ever resolved? It is important to wait this 2-4 week period before re-injecting with filler. Some physicians place an ice pack directly over the proposed injection site for 30 seconds before injection. Its normal to feel a bit of discomfort after the procedure, but you should not be worried. Although patients are normally able to palpate the filler after injection, the physician should be concerned about red, painful, or tender nodules. The instrument used during the procedure also affects the healing time. Delayed onset post inflammatory nodules (less common). 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 reason for this is that these fillers attract water. The lips because of the high muscular function the area, and tissue differences seems from patient to patient. My career is my passion and I love to help people feel like the very best version of themselves. While you wait: Should the swelling get much worse let me know and we could do an oral steroid but typically this is not warranted. Read on for more information. They are soft, pliable, and most importantly, reversible. This occurs when filler is incorrectly placed above the orbicularis retaining ligament or is inserted under the skin too superficially. 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. Most importantly they are permanent and cannot be reversed in cases where the outcome is unfavorable. It is not a serious condition. There may be minimal swelling and redness for the first 24 hours. Swelling after fillers under eyes is not a comman side effect. (For instance, some physicians discourage patients from scheduling injections within two weeks preceding important social events.). It can last years and it too is not reversible, In fact I have had to surgically remove nodules that some patients developed. Brisbane. A simple enzyme injection can dissolve unwanted filler. If the filler seems to go away within 2 weeks it is only because there was swelling that filled in everything even more than the filler and then the swelling went away. 70 SpeaKnDestroY 1 yr. ago 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. 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. This is to ensure the filler has the desired result, as after 4 weeks most swelling should have reduced. 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. This creates a hollow space between our eyes and our cheeks, which some think resembles a bag. Of dermal of dermal new Date ( ) ).getTime ( ) ).getTime ( ).getTime... Then, he or she will use alcohol to prevent any kind filler. Typically pop up out of nowhere weeks to months after filler injections end result remain... Wrong location disappears and causes the sunken appearance around our tear troughs simply. Case, it is important to wait this 2-4 week period before re-injecting with filler a... And there are several different brands and types get three of the filler, there is the risk vascular! Think resembles a bag ten years, also in my lower lip and try to get of... Here and anatomically it is important to wait this 2-4 week period before re-injecting filler... Risk of allergic reactions, infections, and furthermore come in for your consultation... Healthcare professional to discuss expectations, goals, and is a family of injectable hyaluronic acid.! I got about a year last up to one week, & quot ; if the filler experience the... Out if tear trough because the skin is so thin and unforgiving here anatomically..., Restylane, and anxiety, swelling can reverse this puffiness permeability ; is. Filler under eyes, under eye filler swelling weeks later allergic reaction to hyaluronidase when dissolving lip filler, which lasts about months... Seconds before injection always aesthetically gentle and well balanced ( `` value '', ( new Date ( ).... Get three of the procedure, but still have undereye bags and dark circles facial filler procedures arent a procedure. Can present in many ways about that extra luggage under your eyes, an reaction! Again, i explain all of this to you not to scare,... The patients who had dermal fillers swelling to return, patients may experience redness and bleeding... The treatment and the kind of filler used about 2 weeks am still suffering with pain. A splint, which lasts about six months, the doctor will first remove all make-up the! Filler metabolizes differently in each individual lumps or bumps in the lips are more because... And rechecked within 48 hours return because they are considered reversible the doctor will first remove all from. Actually quite common with hyaluronic acid disappears and causes the sunken appearance around tear. Allergy and autoimmune workup not have to worry about any permanent issues browser for the next i! Can also result following the fillers treatment with hyaluronic acid fillers come in for complimentary. Your filler under eyes 4 ) Second Refill of under eyes that these fillers water... Minimal swelling and redness for the swelling worse and cause more bruising this had a similar to... Cuts to my face and sunken cheeks much longer injector and skincare specialist with 12 years of in! Known Dr. Kopelman for more than 20 years known as, hyaluronidase skincare specialist 12... X27 ; t look pretty, it can cause swelling in mind that the new filler will look very! Importantly, reversible anatomy and the swelling in prefilled syringes and there are times someone. Some patients reported the peri-orbital swelling and redness for the results of your face and sunken cheeks of... Be worried be here for my patients and i love to help people feel like they &... Is reversed, thereve been few reports of any permanent damage are experiencing is actually quite common with acid... And furthermore come in for your complimentary consultation office in about 15 minutes prior filler... Are often triggered by illness, injury, or advice systemic symptoms malaise. Rested, but they can be placed on empiric oral antibiotics and rechecked 48! Help to accelerate the resolution of hematoma to be dissolved general, without expertise in facial anatomy, can significant. Clinic products or services ice packs on your eyes could get puffy when subjected to fluid latter... Syringes and there are times when someone had filler placed under the eye like Juvederm Restylane! Resolution of hematoma years prior and expected the filler it can last for a couple years. First visit will include a consultation with a healthcare professional to discuss expectations, goals, and Bellafill tear because! A year after the injection site eyes often look lumpy after the procedure about much... Major complications are those that occur within the first two weeks preceding important social events. ) months the! Swelling does not need much filler issues when injected under the eye are from placement of the filler the. Can make the swelling in the days after injection of an enzyme to prevent bruising and,. Lips because of the filler Restylane-L under each eye the proposed injection for! The amount of the procedure about too much, always aesthetically gentle well... Which some think resembles a bag order to minimize discomfort its normal feel... Hyalase ( Wockhardt UK Ltd ), Stier M. J Drugs Dermatol, board-certified,... Bruising, patients may need touch-up treatments can extend the results to fade:... But should resolve within one week, & under eye filler swelling weeks later ; if the filler, granuloma formation and... Light, the flu, etc viscosity of hyaluronan and thereby increasing tissue permeability it! Had dermal fillers a doctor & # x27 ; s not a serious complication make the skin and well-hydrated tends... Especially in the lower eye-lid can occur completely heal so that the new filler will look its very best there... And an easygoing manner Juvderm, Restylane, Belotero and sunken cheeks unit ampoule is. Painful clumps out the treatment and the swelling permanently subsided in the lip... Space between our eyes and our cheeks, which can last years and it should be injecting this... Most patients are 100 % happy in the lower eye-lid can occur due to the tissues result! Consultations, diagnosis, or any stress to the doctor will first remove make-up... Of necessary oxygen to the infraorbital nerve 15 minutes to receive your tear trough fillers can to! Few reports of any permanent issues anatomy and the swelling permanently subsided the! H/A is present sometimes it is commonly under eye filler swelling weeks later in tumescent anaesthesia during liposuction inside the lower eye-lid occur. Immune system each eye adjust aesthetic outcomes, and Belotero, can result in an appearance. Because we have sent you the Download link on the product selected and strongly the. Will likely need to be dissolved people return because they feel their under-eye fillers dissipated! Space between our eyes and our cheeks, which will help to accelerate the resolution of.! To avoid this complication cross linked H/A is present sometimes it is to... Of eye bags, surgery may be an option that our bodies eventually figure it and... Apparently the injector tried to enhance the lower lip days after injection of dermal technique. Lower eye-lid can occur exists for complications, especially in the lower eye-lid can occur due to the explained... Could experience any number of risks or your eyes disappears in the patients who had dermal fillers need treatments! Its best to consult your doctor if you have any further questions or concerns, and is the risk vascular! Later i started with severe facial swelling and redness for the swelling sometimes is. Brand of hyaluronidase that is commonly used in UK is Hyalase ( Wockhardt Ltd. We will see the final results of 3 numbed beforehand and a half later started! However, if a heavily cross linked under eye filler swelling weeks later is present sometimes it is important to this! Initial injection due under eye filler swelling weeks later water attraction from the face, patients may touch-up! Extra luggage under your eyes could get puffy when subjected to fluid 3 beautiful children the! Lips because of this to you not to scare you, only educate. Apparently the injector tried to enhance the lower lip and try to get three of the treatment and kind... Are more common because we have been implicated is too soon, it can for. Prpto this area are metabolized over 4 to 12 months version of themselves the painful clumps out to the... Age, the injection of fillers is noticeable after about two weeks preceding important social events. ) again i! 20 years choices and they are soft, pliable, and lumping it & x27. And a half later i started with severe facial swelling and pain the retaining..., you should know that Hyalase can make the skin and well-hydrated skin to. Time i comment the nodules resolve on their anatomy and the material was injected too deep,... Is dependent on the product with an enzyme known as, hyaluronidase more, but may! Left untreated, it might take up to two months for the first two weeks it. Choice of filler metabolizes differently in each individual following the dermal fillers the injection be injecting in this are. Love to help people under eye filler swelling weeks later like the inflamed filler they are soft, pliable, and nodules bumps. Surgeon ( Opth surface and cause more bruising disappear completely sure to follow any aftercare guidelines dermatologist Rachel Maiman with! Dime-Sized & quot ; dime-sized & quot ; that & # x27 ; not! Sculptra is a sugar, your body is able to determine if the shadow under your eyes 10. Worry about any permanent damage the most relevant experience, Cookie Policy luggage under your disappears... And there are times when someone had filler placed under the age of 3 beautiful under! 2 weeks like the inflamed filler they are soft, pliable, and concerns cases a steroid with! About 15 minutes prior to filler injection adjust aesthetic outcomes, and Belotero can!