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. Sometimes, hyaluronic acid can be accidentally injected into a blood vessel and this could possibly lead to temporary vision problems. The idea of needles around the facial area terrifies me because of the complex musculature and nerves. The effects of filler under the eyes can last for a year or more, but they may cause some swelling afterward. If you are noticing lumps (rather than initial swelling), it's time to get in touch. If youd like, you can use ice or a cold compress to help with any swelling. This is why hyaluronidase may require multiple sessions. I highly recommend Dr. Kopelman and I personally would only use him!!! Male jawline fillers. In these cases a steroid injection with Kenalog can help to accelerate the resolution of hematoma. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. This had a similar cause to the concepts explained above. An emergency case is where filler in unintentionally injected into a blood vessel. 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. Board Certified Nurse Practitioner & Aesthetic Specialist based in Saint Louis, Missouri. 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. They will also be able to determine if the filler needs to be dissolved. Swelling after fillers under eyes is not a comman side effect. Adjusting to Your Filler In some cases, docs prescribe a topical cream to prevent further swelling. Use tab to navigate through the menu items. Minor complications. The results generally last about a year. Puffiness from under eyelid filler may be a normal but temporary consequence of injections in the tear trough. However at times the vessel doesnt fully block, or these signs arent seen right away. About a month and a half later I started with severe facial swelling and pain. Delayed-onset complications are those that occur after the first two weeks postinjection. Immediate postinjection discomfort should not be dismissed by the staff or physician, as it could indicate a more serious problem. Heres why you may want to consider getting a filler for those pesky bags under your eyes. Mastering the Core Principles By Mentorship. Read on for more information. Swelling occurs only after the procedure has healed. Other factors like genetics, diet, increased sun exposure and smoking can also thin out facial bones over time. In these cases, your plastic surgeon may administer hyaluronidase (Hyalase) as a temporary measure. In the very first days of after your treatment is really important to avoid risks such as bruising, swelling and bleeding. In these cases, your plastic surgeon may administer hyaluronidase (Hyalase) as a temporary measure. The most common problem I see with under-eye fillers is when the patient comes back after having had the procedure elsewhere. 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. As far as cosmetic treatments go, dermal fillers can do wonders at reviving lost volume and enhancing different areas of the face . Delayed onset post inflammatory nodules (less common). You may also notice the appearance of dark cycles and eye wrinkles in different areas of the face as you age. If you are my patient, you should know that I only work with HA fillers. 6 Sore Throat Remedies That Actually Work. Once this is injected into the filler it can take up to one week to fully dissolve. . 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. 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. Answers. Would an MRI or CT help a qualified surgeon (Opth. The reason for this is because the skin under the eyes is thin and these fillers may make the skin look lumpy. Severe swelling after Volbella lip filler. Best of luck! So before using, it is better to conduct a skin test for checking any possibility of allergic reactions. 3 Sclafani AP, Fagien S. Dermatol Surg. The reason is the filler may mechanically compress the lymphatic vessels in the lower inner corner of the eyelid which will result in swelling. But hyaluronic acid fillers are far less invasive, and less time consuming. Worsening of patient appearance after filler injection will be regarded by the patient as a major complication and should be addressed promptly. We do not endorse non-Cleveland Clinic products or services. 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). During the first 48 hours, try not to sleep face down and avoid touching your eyes. Dr. Liao is an orbital and ophthalmic plastic surgery fellow at the Medical College of Wisconsin in Milwaukee; Dr. Ehrlich is an oculoplastic surgeon with Danbury Eye Physicians in Danbury, Conn.; and Dr. Woodward is chief of the oculoplastic and reconstructive surgery service at the Duke Eye Center in Durham, N.C. Drs. Late presentation raises suspicion for atypical bacteria, especially mycobacteria. Some fillers can be very firm and stiff like Jell-O, others are going to be very water-like and thin, says Dr. Khetarpal. He is a treasure in a world of plastic surgery, where so much can go wrong! These typically pop up out of nowhere weeks to months after filler injections. 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. First Refill of Under Eyes 4) Second Refill of Under Eyes . 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). Maybe you enjoyed one too many all-nighters in your youth. 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. I has around 1ml of volbella under my eyes (tear trough). In order to reduce swelling after receiving dermal fillers, Dr. Herbstman recommends his New Jersey patients adhere to the following: ), 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. It is easily reversible with hylaronidase which is rarely needed. 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. It can also result following the dermal fillers treatment. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. Once the splint is removed, your nose will likely look very swollen. After the procedure, swelling may remain around the injection site. 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. What is the Top Tear Trough and Under Eyelid Filler Available? Thorough knowledge of both pertinent facial anatomy and the specific characteristics of each filler is critical. Swelling occurs from both the inflammatory effects of the injection itself and the increased volume of the filler. In most cases, swelling will subside within a few days. Well rested, but still have undereye bags and dark circles? Hyaluronidase can be injected multiple times if needed and can be utilized throughout the anticipated duration of the filler. I had a facelift and my eyes done and really feel younger. 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. I can think of one other here who injected her lips trying to make them . But if youre unhappy about that extra luggage under your eyes, you might want to consider treatment. Save my name, email, and website in this browser for the next time I comment. There are times when someone had filler placed under the eyes several years prior and expected the filler to disappear. Your email address will not be published. It has been found that the cross linked hyaluronic acids are vulnerable to hydrolysis process caused by injection of hyaluronidase. Hopefully this will settle down, however most Specialist will investigate and take a through history. To ensure optimal and safe results, it is important to follow the instructions provided by your healthcare professional including refraining from massaging . The information on RealSelf is intended for educational purposes only. 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. "That's one of the best, most gratifying things. Think of fillers like an implant. Delayed infection. There was some kind of special for the month of January in the office, so the procedure cost $550. Patient expectations. While its very unusual for Volbella to produce this much swelling, its still possible for someone to develop so much inflammation. 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. Swelling will reach its peak at around 24-72 hours after treatment, at which point, it will begin to gradually subside. All Rights Reserved. Left side was always lumpy and the doctor told me to gently massage and it will eventually smooth out. Google Youtuber Alexandria Anele's experience with undereye filler. Hylase Dessau, Riemser Pharma GmbH, Greifswald) nature while some of its brands are extracted from the venom of cobra. 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. 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 swelling settled after 3-4 weeks giving a much more natural and less tired looking appearance. It should be injected deeper into the malar area to avoid this complication. Some patients tissues have more pockets or laxity and therefore less support in keeping a filler in place. This type of swelling does not require hyaluronidase to dissolve the filler. These typically pop up "out of nowhere" weeks to months after filler injections. Sculptra is a semi-permanent filler this is made up of poly l lactic acid. 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. Once this is injected into the filler it can take up to one week to fully dissolve. I am a wife and a mother of 3 beautiful children under the age of 3. The procedure takes about five to 10 minutes. Many times, if the nodules are causing discomfort or visibly displeasing we will treat them in hopes of quicker resolution. I would try whichever one your doctor recommends and try the other one the second time around and see which one you prefer. Cast usually $600 each (I'm in Canada) [deleted] 7 mo. Permanent fillers risks are much higher than the temporary ones. During the procedure, the doctor will first remove all make-up from the face. Contact the clinic to arrange a follow up with one of our aesthetic medical professionals. So finally what about hyaluronic acid fillers. A simple enzyme injection can dissolve unwanted filler. It will take a couple of weeks for the swelling to disappear. Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. Two weeks will give the body adequate time to adjust to the vaccine and ensure that one's immune system is functioning normally. The effects of the procedure can last up to a year. Do: Use ice packs on your eyes for 10 minutes every hour the night after surgery. Once I was off the steroids the symptoms would return only more severe causing headaches and is getting closer to the eyes. 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