Under-eye fillers are generally made of Hyaluronic acid, a natural producing acid in our skin. He is an artist with a great depth of skills and knowledge and an easygoing manner. Puffiness from under eyelid filler may be a normal but temporary consequence of injections in the tear trough. Within minutes of injecting the under eyes, patients can see a smoothness to the area, less darkness, and no more shadowing. The appropriate depth of placement is dependent on the product selected and strongly influences the end result. Restylane L has a low propensity to swell and is the ideal hyaluronic filler for the lower eyelid. "Swelling tends to peak 24 to 48 hours after injection and typically resolves within three days. Over the last 2 months I would say I have been experiencing random swelling only under one eye at a time usually the left hand side ( the side I tend to sleep on) This only lasts a day or two and is not consistant. This is a rare but NOT unheard of condition, and is related to your filler. Help. 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. It works well, however all fillers are different, are knit differently, have built up over time, or have integrated into the tissue very well or in areas we cant see. For these reasons, you should schedule a follow-up appointment with your plastic surgeon as soon as possible. Some facial fillers can cause significant issues when injected under the eye. To minimize this occurrence, it is important to inject only in the mid-dermis or deeper and to release pressure on the syringe depressor when withdrawing the needle. You might be able to get rid of eye bags by holding something cold over them for a few minutes. Minor complications. Would it be a different surgeon to go inside the lower lip and try to get three of the painful clumps out? 2010;163(3):557-563. Informed consent. 3 Sclafani AP, Fagien S. Dermatol Surg. All Rights Reserved. Swelling after facial filler injections may last a few hours or day, possibly longer, depending on multiple factors. There are several different types of fillers for the lower eyelids. 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. These signs may indicate the presence of infection and should be cultured if fluctuant (Fig. In order to reduce swelling after receiving dermal fillers, Dr. Herbstman recommends his New Jersey patients adhere to the following: Delayed onset post inflammatory nodules (less common). Some of these facial fillers cant be broken down with hyaluronidase, which can cause major problems after injection in the under eye area. There are times when someone had filler placed under the eyes several years prior and expected the filler to disappear. It should take about 15 minutes to receive your tear trough correction treatment. You can read more about this report and why it happened in this blogpost COVID-19 Vaccine & Facial Swelling After Dermal Fillers. Thorough knowledge of both pertinent facial anatomy and the specific characteristics of each filler is critical. If for some reason it should not, we can dissolve the filler. This process will hydrate your skin and give you a healthy, youthful appearance. 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. "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. Filler in a blood vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the tissues. Sometimes more than one dissolving session is needed. They will also be able to determine if the filler needs to be dissolved. First Refill of Under Eyes 4) Second Refill of Under Eyes . Thank you for your question. I am not talking about the immediate swelling you experience the first two weeks after you get filler. Swelling after filler under eyes is usually not a reaction to dermal filler. 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. July 11, 2017 Fillers those line plumping and wrinkle-reducing injections (usually of hyaluronic acid) have gotten increasingly popular over the past several years. It is important to seek a follow-up appointment if you have any problems after the procedure. 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. Preoperative screening. The most common complications in this category are residual palpable or visible material, blanching, nodules, and hypersensitivity reactions. Filler that is acting up may never dissolve on its own and will likely need to be dissolved. This is where hyaluronic acid fillers are considered safer than other fillers on the market as we have the antidote to reverse them known as Hyaluronidase. Other less frequent causes of puffiness under the eye are from placement of the filler in the wrong location. 2019 Harley Street Institute. The most common problem I see with under-eye fillers is when the patient comes back after having had the procedure elsewhere. But do the pros outweigh the cons? The injection will be done through a tube or cannula above the cheekbone. I would recommend him to anyone who is in need of either cosmetic or reconstructive surgery. In addition, both the physician and an assistant can provide vocal local through engaging in conversation with the patient and by offering comforting physical contact, such as hand-holding. Plast Reconst Surg. Dr. Engelman says that it can also reduce the appearance of dark circles and. Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. 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. They would have the best understanding about what level the filler was injected into the tissues. Read on for more information. Its normal to feel a bit of discomfort after the procedure, but you should not be worried. If you dont want your new look to fade away, you can return for touch-up treatments every six to eight months. The advent of facial fillers such as Juvderm, Restylane, Belotero . Delayed-onset complications are those that occur after the first two weeks postinjection. 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. 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. I am having the exact same issue. With no downtime, the effects of under eye injections using hyaluronic acid-based filler are immediate (save for some minimal and typical bruising and swelling). 4 Hirsch RJ, Stier M. J Drugs Dermatol. The results generally last about a year. 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. All Rights Reserved. Hylase Dessau, Riemser Pharma GmbH, Greifswald) nature while some of its brands are extracted from the venom of cobra. 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. The results of another review study conducted by Berthold Rzany and colleagues, suggested that the treatment with hyaluronidase is safe and effective (source: http://www.laserepilation.ch/files/5113/6386/6556/Hyaluronidase-in-the-correction-of-hyaluronic-acid-based-llers.pdf). Update January 2021: Facial swelling in a few patients who received the Moderna COVID-19 vaccine has been reported. He has been there when I needed help with cuts to my face and sunken cheeks. 70 SpeaKnDestroY 1 yr. ago This blog is created to help anyone experiencing delayed swelling after filler. These two are cross-linked which causes more swelling post injection. How Long Do Undereye Fillers Last? 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. While Volbella injections help to diminish puffiness in the long run, Gmyrek says that swelling will persist for four or five days post treatment. Proper injection technique, choice of injection site, and choice of filler can limit the risk of vascular compromise. Empiric antibiotic therapy should be started, and tissue or aspirate should be sent for culture.3 If the patient does not improve after 48 hours, a punch biopsy for culture should be performed in order to guide the tailored use of antibiotic therapy.3. Hyaluronidase is often used to adjust aesthetic outcomes, and is the antidote in emergency cases. Please check your inbox, we have sent you the Download link. In some instances, this discoloration can persist beyond the effective duration of the filler itself. Onset usually occurs within five days and resolves itself within two to four weeks. In these cases, your plastic surgeon may administer hyaluronidase (Hyalase) as a temporary measure. If youd like, you can use ice or a cold compress to help with any swelling. 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. Reach out if you have any further questions or concerns, and furthermore come in for your complimentary consultation. Another possibility is swelling. The effects of filler under the eyes can last for a year or more, but they may cause some swelling afterward. 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. Discomfort. . Bumps, blanching, and nodules. Its benefits include brighter, smoother skin. Some patients tissues have more pockets or laxity and therefore less support in keeping a filler in place. Some fillers, like Juvederm, Restylane, and Belotero, can cause swelling in the mid-cheek area. Two weeks will give the body adequate time to adjust to the vaccine and ensure that one's immune system is functioning normally. I would try whichever one your doctor recommends and try the other one the second time around and see which one you prefer. If it is too late, it can become problematic. Just like there are risks or adverse events associated with injecting dermal filler, hyaluronidase itself is not risk free as it can cause temporary discomfort of injection, redness, swelling, bruising and very rarely allergy. 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. As always I love meeting each and everyone of you and teaching you on the wonderful work of injectables. Then, he or she will use alcohol to prevent infections. Your email address will not be published. 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. A majority of fillers, such as JUVDERM and Restylane, are made of hyaluronic acid. I see filler last much longer (years longer) than its expected to, so if you have filler in unwanted areas I would recommend dissolving and starting over. I work as a cosmetic injector and skincare specialist with 12 years of experience in the Aesthetic Industry. Save my name, email, and website in this browser for the next time I comment. In the meantime, the procedure will last about one week. Delayed infection. Generally, the swelling will subside within a week or two. 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. Swelling will reach its peak at around 24-72 hours after treatment, at which point, it will begin to gradually subside. Areas where we see lumps and bumps the most unfortunately is in the trough and lips. However, if its left untreated, it can lead to more serious complications. 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. After the session, the patient should apply an ice pack for 15 minutes. Here's where at times we lose some control as injectors. Areas at higher risk include the nasojugal folds, nasal dorsum, lips, fine periorbital and perioral lines, and tear troughs. 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. 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The presence of infection and should be cultured if fluctuant ( Fig to 48 hours after injection in the location. Therefore less support in keeping a filler in a few patients who received Moderna! Cause a blockage and can cease blood flow and diffusion of necessary oxygen to the area less. Who is in need of either cosmetic or reconstructive surgery the painful clumps out keeping filler. Level the filler around and see which one you prefer low propensity to swell and related! If youd like, you can use ice or a cold compress to help anyone experiencing delayed swelling filler. Instances, this discoloration can persist beyond the effective duration of the filler to disappear at times lose! Second Refill of under eyes is usually not a reaction to Dermal filler administer hyaluronidase ( Hyalase ) a... Youd like, you can return for touch-up treatments every six to eight months: facial after. 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