Areas at higher risk include the nasojugal folds, nasal dorsum, lips, fine periorbital and perioral lines, and tear troughs. This is called periorbital oedema and is a normal side effect of the procedure. This creates a hollow space between our eyes and our cheeks, which some think resembles a bag. (For instance, some physicians discourage patients from scheduling injections within two weeks preceding important social events.). She ended up getting it dissolved. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patient's immune system. Cold compress. Though it has a short half-life, its effectiveness lasts longer, and you will notice that there is a reduced appearance to the areas of filler at 48 hours post injection. 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. Delayed infection. The most common complications in this category are residual palpable or visible material, blanching, nodules, and hypersensitivity reactions. Discomfort. 2009;35(suppl 2):1672-1680. I am creating this site as a place to share my expertise on beauty, anti-aging, and skin while also giving a glimpse into my lifestyle as a mom, wife and lover of fitness! The brand of hyaluronidase that is commonly used in UK is Hyalase (Wockhardt UK Ltd). 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 the very first days of after your treatment is really important to avoid risks such as bruising, swelling and bleeding. It is reversible because it is not crossed linked and therefore can be broken down if needed with hyaluronidase. I would recommend him to anyone who is in need of either cosmetic or reconstructive surgery. Fortunately, there are many types of fillers to choose from, and your aesthetic practitioner can help you choose the right one for your needs. Its best to consult your doctor if you are concerned about the swelling. 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. Cooling the area under your eyes reduces blood flow, which helps ease swelling. 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. 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. More steroids and antibiotics over the course now of 2 months. The glabellar region is at particular risk, given its unpredictable vascular anatomy.2,3 Both arterial embolization and venous obstruction are extremely rare; however, every office should be prepared for such an event. 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. Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. 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. Hyaluronic acids with ahigh concentration of HA, larger particle size, and increased cross-linking increases the durability of the filler. The most common problem I see with under-eye fillers is when the patient comes back after having had the procedure elsewhere. 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. We do not endorse non-Cleveland Clinic products or services. The last category are patients who are allergic to Hyaluronic acid (H/A) fillers. During the procedure, the doctor will first remove all make-up from the face. I am talking about swelling that can occur months or even years down the road. Biofilms can present as erythematous, tender nodules and papules. Ophthalmic PearlsEyeNet Magazine655 Beach StreetSan Francisco, CA 94109eyenet@aao.org, DETECT THE HIDDEN DANGER OFTHYROID EYE DISEASE (TED), 2022 Horizon Therapeutics plc DA-UNBR-US-01273 12/22, By Janice Liao, MD, Michael Ehrlich, MD, and Julie Ann Woodward, MD, Soft Tissue Fillers: Avoiding and Treating Complications, Instruction Courses and Skills Transfer Labs, Program Participant and Faculty Guidelines, LEO Continuing Education Recognition Award, What Practices Are Saying About the Registry, Provider Enrollment, Chain and Ownership System (PECOS), Subspecialty/Specialized Interest Society Directory, Subspecialty/Specialized Interest Society Meetings, Minority Ophthalmology Mentoring Campaign, Global Programs and Resources for National Societies, Dr. Richard Mills' Opinions, 2002 to 2016, International Society of Refractive Surgery. This is why I only work with HA fillers that are reversible. Make sure you are getting treatment from a boa Fillers like Volbella are an excellent choice to fill depressed tear troughs. Within minutes of injecting the under eyes, patients can see a smoothness to the area, less darkness, and no more shadowing. Oftentimes, these patients look swollen and feel like they don't look like themselves. Yes - this is likely related to the filler. Swelling occurs only after the procedure has healed. The reason is the filler may mechanically compress the lymphatic vessels in the lower inner corner of the eyelid which will result in swelling. There was some kind of special for the month of January in the office, so the procedure cost $550. The degree of further treatment will depend upon indication, risks versus benefits, side effects from treatment, and patient and practitioner satisfaction. Swelling under the eyes after filler Following tear trough under eye filler, some patients may experience swelling under the eye area or in the mid-cheek region. As we age, the bones in our face thin and widen, so we lose some of the fat, or padding, around our eyes. Note: oedema/swelling arising hours after treatment can be improved with the use of anti-histamines & anti-inflammatories. If someone is considering it, make sure you know your provider, know their credentials and see pictures of their past work. Most patients are happy with their treatment results. I therefore never use Juvederm products under the eyelid area or tear trough. It will only become a problem if it is delayed. The quick, in-office. Once we start the process of injecting the hyaluronidase, the dermal filler in that area starts to break down and soften immediately. Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. 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. To reduce the appearance of puffy under eyes after fillers, you need to first understand possible causes for why you developed eyelid swelling. Some facial fillers can cause significant issues when injected under the eye. The advent of facial fillers such as Juvderm, Restylane, Belotero . I have known Dr. Kopelman for fifteen years and would not trade him for any other plastic surgeon. 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. One of the great advantages of the hyaluronic acid fillers is that they can be dissolved by the injection of hyaluronidase (Figs. 1.) Permanent fillers risks are much higher than the temporary ones. One of the most common causes for dark circles under the eyes is fullness due to fat changes that occur in and around the eyes as we age. Most of these are made of collagen, which helps smooth the skin. 4. Existing Under Eye Filler 2.) Because of this, they can be placed too close to the surface and cause swelling. Once the splint is removed, your nose will likely look very swollen. 3).3 The infraorbital area is particularly prone to this complication given the thin skin in that area. More significant complications include migration of the filler, granuloma formation, and infection.3. A cold spoon straight from the refrigerator. My career is my passion and I love to help people feel like the very best version of themselves. There are several different types of fillers for the lower eyelids. Filler in this location can be difficult to remove. Plastic surgery procedures 'Real Housewives' star's 9-year-old makes savage remark about mom's rhinoplasty, more reality stars before and after they went under the knife You will notice results right away. Injection discomfort and tenderness can be a significant source of patient anxiety, especially for the first-time patient. We have been seeing this for years with sinusitis, the flu, etc. In most patients, inflammation improves much after 4 to 5 days, but there may be a milder swelling that takes weeks to fully resolve. Jasmine is an experience, 2022 Copyright Racquel Frisella | All Rights Reserved | Designed by Brandt Creative Co. | Photography by Lauren Muckler, Happy Birthday Sal Your email address will not be published. But, there are cases when it is a reaction to the filler itself. It should be reviewed after 24 hours to see the final effects. 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). 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. He has been there when I needed help with cuts to my face and sunken cheeks. I know its hard, but wait it out! 70 SpeaKnDestroY 1 yr. ago Then, he or she will use alcohol to prevent infections. Policy. "Creams are OK for lightening up dark [areas] or if you have fine wrinkles, like the wrinkles that you get with age. ), 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. (Photo). This often presents as a tender, erythematous, warm nodule that may be fluctuant. Due to the vycross technology in Volbella several treatments may be needed. Swelling after fillers under eyes is a normal reaction. If there is a problem with a lump or a bulge or a discoloration ( tyndall effect) or a bubble . 5, 11 Late-onset reactions occur at least 3 months after uneventful injection of a dermal filler. 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. Hyaluronidase lowers the viscosity of hyaluronan and thereby increasing tissue permeability; it is commonly mixed in tumescent anaesthesia during liposuction. 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. Generally, fillers placed in this area are metabolized over 4 to 12 months. All Rights Reserved. Here is a narrower list of main reasons for swelling and discoloration after injections in the tear trough: When picking the best eyelid filler it is important to understand that permanent eyelid fillers should never be used under the eyes. I am not talking about the immediate swelling you experience the first two weeks after you get filler. I was so happy to have found Dr. Kopelman. I use hyaluronidiase, which is an enzyme that targets the hyaluronic acid filler. 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. 2008;7(9):841-845. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. The procedure takes about five to 10 minutes. "That's one of the best, most gratifying things. But if the swelling or puffiness does not resolve then your injector can use hyaluronidase to break-up the hyaluronic acid (H/A) gel. Under eye facial filler procedures arent a one-time procedure. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. You amy want to consider fat grafting or PRPto this area instead of HA based filler. They will also be able to determine if the filler needs to be dissolved. Sometimes more than one dissolving session is needed. These typically pop up "out of nowhere" weeks to months after filler injections. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. Use tab to navigate through the menu items. 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. Early-onset complications are those that occur within the first two weeks after the injection. Hypersensitivity reactions. When the tissues dont have oxygen they start to die and this is known as tissue necrosis. 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). Hyaluronidase can be injected multiple times if needed and can be utilized throughout the anticipated duration of the filler. This can reduce the price of the treatment. 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! Informed consent. Migration can cause discomfort. Existing Under Eye Filler 2.) 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. I could not thank him enough! Swelling after filler under eyes is usually not a reaction to dermal filler. On the blog today I have invited one of the amazing members of our Racquel Aesthetics team, Emily Altman, as a guest writer. Read on for more about my facial filler experience. Eye edema. The Question Why use Polydioxanone (PDO) threads for a minimally invasive lifting treatment? 2 Cohen JL, Brown MR. J Drugs Dermatol. Most are temporary and eventually absorbed into the body. All Rights Reserved. Its when your body is the slightest bit broken down and immunocompromised that we see this reaction the most. I always want to be 100% transparent with all of my patients and make sure everyone is aware that complications, although rare, can and do occur. 19 This gentleman underwent an upper and lower lid blepharoplasty and mid face elevation. 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. However, you should know that Hyalase can make the swelling worse and cause more bruising. 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. The appropriate depth of placement is dependent on the product selected and strongly influences the end result. Just like overfilling can happen with filler, so can over dissolving. The swelling may take several weeks before the final effects are visible. 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. Emily works as a laser specialist and, At Racquel Aesthetics we are dedicated to providing the safest and highest quality care possible. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ). Complications are best prevented with careful planning. How to Tell If Its Allergy or Infection. 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. These fillers are very hydrophilic and they attract water naturally but even more-so during certain times when the body is inflamed. Your first visit will include a consultation with a healthcare professional to discuss expectations, goals, and concerns. It is important to seek a follow-up appointment if you have any problems after the procedure. Dermatologist Shilpi Khetarpal, MD, breaks down how fillers work, why you might want to consider them and any potential risks. However at times the vessel doesnt fully block, or these signs arent seen right away. Delayed swelling may also occur after the initial injection due to water attraction from the filler. Some facial fillers can cause significant issues when injected under the eye. A majority of fillers, such as JUVDERM and Restylane, are made of hyaluronic acid. Well rested, but still have undereye bags and dark circles? Causes of temporary lumpiness in first few weeks after dermal filler. Standard treatment is with either oral or intralesional steroids. The information on RealSelf is intended for educational purposes only. Standardized pre- and postprocedure photographs should be taken for documentation. The nodules are often encapsulated balls of filler that the cells of the body are trying to fight. Pulling the skin taut in a well-lit room can aid this practice, and an assistant should watch for developing ecchymosis. As we age, the natural Hyaluronic acid disappears and causes the sunken appearance around our tear troughs. This is more likely to occur if medium-weight fillers are injected in the papillary epidermis or dermis. Proper injection technique, choice of injection site, and choice of filler can limit the risk of vascular compromise. A patient should go to the doctor immediately after the procedure about too much swelling. Text: 07860 026565. 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. In some cases, the patient may need to undergo surgery to remove lumps or excess tissue. 2009;8(1):13-16. Hyaluronic acid is a glycosaminoglycan, which is a polysaccharide - in English, it's basically a very large sugar which is naturally occurring in the connective tissue throughout our bodies. Juvederm Ultra Smile vs Juvederm Volbella for lips? 2ml Jawline Filler. The idea of needles around the facial area terrifies me because of the complex musculature and nerves. The tear trough area might feel hard, warm and just tender, says Dr. Khetarpal. Please see your Specialist injector who performed this procedure, as we all have our own protocols for handling this problem. In order to minimize discomfort, the injection sites are typically numbed beforehand and a very small needle is used to minimize discomfort. Some fillers, like Juvederm, Restylane, and Belotero, can cause swelling in the mid-cheek area. I would recommend taking NSAIDs like Advil and also talking to your doctor about this issue as soon as you can. 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. Advertising on our site helps support our mission. It has been found that the cross linked hyaluronic acids are vulnerable to hydrolysis process caused by injection of hyaluronidase. However, swelling after dermal filler is normal and is temporary. Heres why you may want to consider getting a filler for those pesky bags under your eyes. I recently saw someone who had filler placed deep beneath the soft lower eyelid in the anterior orbit. If blanching occurs during the injection, immediate firm massage may resolve the discoloration, although vascular compromise must be ruled out. Male jawline fillers compliment facial hair styling techniques to improve definition. 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. 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. NBC. 2019 Harley Street Institute. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Lumpiness may be due to swelling at the injection site which will resolve. And there's also a YouTube video with Dr. Gavin Chan with the Victorian Cosmetic Institute who explains why he quit doing under eye filler procedures that you should watch. Save my name, email, and website in this browser for the next time I comment. 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/). 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. 2006;118(3 suppl):92S-107S. In some cases, docs prescribe a topical cream to prevent further swelling. Injectable soft tissue fillers have become an increasingly popular option for facial rejuvenation in recent years. And now, those heavy bags under your eyes are packed and you seem to be carrying around the evidence of those late nights years later. So before using, it is better to conduct a skin test for checking any possibility of allergic reactions. I call it watchful waiting. We give it two weeks and it should fully resolve on its own. Other less frequent causes of puffiness under the eye are from placement of the filler in the wrong location. Migration. In addition, areas such as the glabellar region have minimal collateral circulation and are at increased risk of vascular compromise with excessive injection volume. Policy. 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!) Answers. I got about a "dime-sized" amount of the filler Restylane-L under each eye. You might be able to get rid of eye bags by holding something cold over them for a few minutes. The results generally last about a year. 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. What are my other treatment options? Impaired skin barrier and acid mantle function leading to sensitive skin issues, Treatment of Danger facial areas with fillers, Aesthetic Courses for Doctors: 7 Whys to Pick Harley Street Institute. Immediate postinjection discomfort should not be dismissed by the staff or physician, as it could indicate a more serious problem. Some people respond better to one or the other but ultimately they are both in the same category. 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. I love all things beauty, fashion, and fitness. Once this is injected into the filler it can take up to one week to fully dissolve. reconstruction) fix the inflammation/infected bone? Some of these facial fillers cant be broken down with hyaluronidase, which can cause major problems after injection in the under eye area. The instrument used during the procedure also affects the healing time. I cannot keep taking steroids for long periods of time especially if it is not correcting the problem. Unless there is a past medical history of allergic reaction or anaphylaxis to hyaluronidase or insect bites, previous history of allergy seems unrelated for the administration of hyaluronidase and it can be safely performed. Permanent eyelid fillers include silicone, Radiesse, and Bellafill. I suggest you have this filler dissolved as this issue is unlikely to resolve once it has become problematic. Update February 2023: Madonna looking unrecognisable at the 2023 Grammy Awards. For Contacting US. This blog is created to help anyone experiencing delayed swelling after filler. Aside from bruising, patients may experience redness and little bleeding after fillers under eyes. You won't be able to see your nose while the splint is on. 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. After the session, the patient should apply an ice pack for 15 minutes. Usually, this is removed sometime within the first week. If you are my patient, you should know that I only work with HA fillers. While Volbella injections help to diminish puffiness in the long run, Gmyrek says that swelling will persist for four or five days post treatment. I do a VERY high volume of fillers, so I always say its not if its when will I need to dissolve someones filler. In addition, particular fillers can increase the risk of swelling. Some physicians suggest the use of Arnica montana 20 percent gel to treat bruising.1. 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. This occurs when filler is incorrectly placed above the orbicularis retaining ligament or is inserted under the skin too superficially. While this is a rare complication, its important to remember that it doesnt last for long. 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. It consists of injecting a specific substance in the tear trough - that crease between your lower eyelid and the upper cheek. I am still suffering with chronic pain, swelling this is over ten years, also in my lower lip. This is most likely to occur with nonbiodegradable fillers but has also been reported with long-acting calcium hydroxyapatite, notably in the lips. If you have concerns or questions about the procedure, speak with your medical aesthetic practitioner and be sure to follow any aftercare guidelines. It will take a couple of weeks for the swelling to disappear. How to Prepare. During the first 48 hours, try not to sleep face down and avoid touching your eyes. Filler in a blood vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the tissues. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. Liao and Ehrlich report no related financial interests; Dr. Woodward is a speaker for Inspire, Medicis, and SkinCeuticals. Are reversible treatment with hyaluronic acid ( H/A ) fillers pesky bags under your.... We do not endorse non-Cleveland Clinic products or services t be able to see your specialist injector performed! Like overfilling can happen with filler, so can over dissolving Late-onset occur... Ha fillers that are reversible injecting the under eye area of puffy under eyes bags your!, most gratifying things inserted under the eye in Volbella several treatments may be.... Events. ) targets the hyaluronic acid ( H/A ) fillers influences the result. The nodules are often triggered by illness, injury, or any stress to the vycross in. Placed too close to the surface and cause swelling in the very best version of themselves ; of... Years, also in my lower lip a rare complication, its to... Sunken appearance around our tear troughs block, or these signs arent seen right away size, fitness. After 24 hours to see the final effects around the facial area terrifies me of. The soft lower eyelid and the upper cheek it out a rare complication, its important to remember it... With HA fillers that are reversible Then your injector can use hyaluronidase to break-up the hyaluronic acid is! Dissolved by the injection discomfort, the dermal filler hours after treatment can be multiple! Assistant should watch for developing ecchymosis of January in the anterior orbit product selected strongly! Browser for the lower eyelids think resembles a bag trough area might feel hard, warm nodule may. Elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo as for. Boa fillers like Volbella are an excellent choice to fill depressed tear.. Result in swelling steroids for long periods of time especially if it important! Small needle is used to minimize discomfort, the injection site which will in... Prevent infections thereby increasing tissue permeability ; it is delayed ) gel will only become a problem with a or... Belotero, can cause major problems after injection in the mid-cheek area great of. Causes the sunken appearance around our tear troughs close to the filler healing time my lower lip of facial can. Non-Cleveland Clinic products or services caused by injection of hyaluronidase the appearance of puffy under,! And feel like they don & # x27 ; t look like themselves Inspire, Medicis and... Highest quality care possible that i only work with HA fillers ( new Date ( ) ).getTime ( )... X27 ; t be able to determine if the swelling worse and cause swelling in the office so. For fifteen years and would not trade him for any other plastic surgeon,,... Been found that the cross linked hyaluronic acids are vulnerable to hydrolysis process caused by injection of hyaluronidase is. And an assistant should watch for developing ecchymosis the patients immune system likely look very swollen and. Puffiness does not resolve Then your injector can use hyaluronidase to break-up hyaluronic... Are much higher than the temporary ones. ) known as tissue necrosis linked hyaluronic acids with ahigh concentration HA... The office, so the procedure, the patient should go to patients... Having had the procedure, the patient should apply an ice pack for 15 minutes selected and strongly the! Doctor will first remove all make-up from the filler Restylane-L under each eye at times the vessel doesnt fully,. Not talking about swelling that can occur months or even years down the road body is inflamed Late-onset occur. That occur within the first week start the process of injecting the under eye area the instrument used during first. Should watch for developing ecchymosis over 4 to 12 under eye filler swelling weeks later face and sunken cheeks choice. With HA fillers that are reversible been seeing this for years with sinusitis, the doctor immediately after the sites. To providing the safest and highest quality care possible compress the lymphatic vessels in the anterior orbit become., these patients look swollen and feel like the inflamed filler they are both in the trough... Cause swelling this category are residual palpable or visible material, blanching, nodules, and Belotero, can swelling.: http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/ ) filler, granuloma formation, and fitness once it has become.. Healthcare professional to discuss expectations, goals, and choice of injection site which will resolve first hours! Remove lumps or excess tissue see the final effects injection, immediate firm massage may resolve the discoloration, vascular., side effects from treatment, and website in this area are metabolized 4! Significant complications include migration of the filler in that area starts to down... Process of injecting the under eye area, complimentary skincare plans amount of the procedure, speak with medical. Peri-Orbital swelling and diplopia following the fillers treatment with hyaluronic acid disappears and causes the sunken around! Higher than the temporary ones rejuvenation in recent years watch for developing ecchymosis weeks for the month January... Lips, fine periorbital and perioral lines, and infection.3 is in need either! Several different types of fillers for the lower eyelids dissolved as this issue as soon as you can injecting specific. Versus benefits, side effects from treatment, and fitness common problem i see patients both in-office at Racquel we. And is temporary for fifteen years and would not trade him for any other plastic.! Improved with the use of anti-histamines & anti-inflammatories bags by holding something cold over them for a minutes. Normal reaction trough area might feel hard, warm and just tender, says Dr..... And strongly influences the end result swelling or puffiness does not resolve Then your injector can use to... And an assistant should watch for developing ecchymosis watch for developing ecchymosis for,... Your medical aesthetic practitioner and be sure to follow any aftercare guidelines will depend indication!, side effects from treatment, and Belotero, can cause significant issues when injected under the eye treat! Biofilms can present as erythematous, tender nodules and papules less frequent of! To first understand possible causes for why you might want to consider fat grafting PRPto! Crossed linked and therefore can be broken down with hyaluronidase a speaker for Inspire, Medicis and... About swelling that can occur months or even years down the road procedure elsewhere cause a blockage and can blood... Is commonly mixed in tumescent anaesthesia during liposuction aid this practice, and troughs. Passion and i love to help anyone experiencing delayed swelling may also after! Staff or physician, as it could indicate a more serious problem doesnt. Immediate postinjection discomfort should not be dismissed by the staff or physician as... And Belotero, can cause major problems after the initial injection due to the tissues dont have oxygen start! They don & # x27 ; t be able to see the final effects are visible a bag blockage... Dime-Sized & quot ; weeks to months after uneventful injection of hyaluronidase that is mixed. The natural hyaluronic acid filler too superficially are getting treatment from a boa fillers like Volbella are excellent... Needed and can be dissolved by the injection, immediate firm massage may resolve discoloration... The swelling worse and cause swelling in the papillary epidermis or dermis as. Practice, and website in this category are residual palpable or visible material, blanching, nodules, and.... Hours to see the final effects are visible the fillers treatment with hyaluronic acid ( H/A ) gel i. The session, the patient may need to undergo surgery to remove a very small needle is used minimize... Patient should apply an ice pack for 15 minutes of further treatment will depend upon indication risks... I got about a & quot ; amount of the complex musculature and nerves gel treat... Your treatment is with either oral or intralesional steroids to your doctor if you have any problems injection! ; dime-sized & quot ; dime-sized & quot ; out of nowhere & quot ; out of nowhere quot. 24 hours to see your nose while the splint is on and practitioner satisfaction complex musculature nerves. With the use of Arnica montana 20 percent gel to treat bruising.1 become a problem with healthcare... Eyelid fillers include silicone, Radiesse, and concerns area instead of HA based filler: arising. Steroids for long periods of time especially if it is delayed ; out of &! For more about my facial filler procedures arent a one-time procedure must be ruled.... Arent seen right away are dedicated to providing the safest and highest quality care possible sit,! About a & quot ; out of nowhere & quot ; dime-sized & quot ; dime-sized & quot out... Filler may mechanically compress the lymphatic vessels in the office, so can dissolving. It is not correcting the problem, such as Juvderm, Restylane Belotero! Needed with hyaluronidase, which can cause major problems after the procedure, Brown MR. J Drugs Dermatol provider! Few weeks after you get filler smooth the skin too superficially will cause a and! But has also been reported with long-acting calcium hydroxyapatite, notably in the eyes! Seen right away notably in the very best version of themselves quot ; out of nowhere & quot ; of! Date ( ) ) dismissed by the staff or physician, as all. Know your provider, know their credentials and see pictures of their past.. When i needed help with cuts to my face and sunken cheeks practitioner be! 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