The effects of filler under the eyes can last for a year or more, but they may cause some swelling afterward. 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. Other topics addressed by the medical professional include: 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. Swelling after fillers under eyes is not a comman side effect. Under-eye filler treatment is a non-surgical procedure typically done in a doctor's office in about 15 to 30 minutes. Male jawline fillers compliment facial hair styling techniques to improve definition. Never too much, always aesthetically gentle and well balanced. Eye bag surgery works by tightening muscles, removing excess skin, and potentially elevating suborbital (under the eye) fat to offer a more refreshed appearance. More significant complications include migration of the filler, granuloma formation, and infection.3. The appearance of lumps usually continues to improve for 2-3 weeks after the procedure. Using facial fillers in general, without expertise in facial anatomy, can result in an irregular appearance. Hyaluronidase lowers the viscosity of hyaluronan and thereby increasing tissue permeability; it is commonly mixed in tumescent anaesthesia during liposuction. However at times the vessel doesnt fully block, or these signs arent seen right away. Be sure to follow post-treatment instructions, which typically include the. Can a Vampire Facial Make You Look Younger? An injection placed too superficially can produce nodules and an uneven surface; therefore, it is usually preferable to err on the deeper side. Davin Lim, MBBS, FACD - Account Suspended. The advent of facial fillers such as Juvderm, Restylane, Belotero . Oral prednisone is also a consideration if edema is thought to be compressing a vessel. The full effect of fillers is noticeable after about two weeks. These are rare and occur in less than 0.1 percent of cases.3 Granuloma formation typically occurs within six months but has been reported as late as 15 months postinjection. In some cases, the patient may need to undergo surgery to remove lumps or excess tissue. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures. I love all things beauty, fashion, and fitness. Choice of filler. Swelling occurs from both the inflammatory effects of the injection itself and the increased volume of the filler. 5, 11 Late-onset reactions occur at least 3 months after uneventful injection of a dermal filler. Reach out if you have any further questions or concerns, and furthermore come in for your complimentary consultation. If you'd like, you can use ice or a cold compress to help with any swelling. Injectable soft tissue fillers have become an increasingly popular option for facial rejuvenation in recent years. Ultimately filler will move to the path of least resistance to find a comfortable place to sit. Swelling after filler under eyes can occur up to a month after the injection. Some parts of the face are prone to swelling, while others are less susceptible. Advertising on our site helps support our mission. Policy. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. This is most likely to occur with nonbiodegradable fillers but has also been reported with long-acting calcium hydroxyapatite, notably in the lips. The area under your eyelids will look fuller right away. Br J Dermatol. All Rights Reserved. Only experts should be injecting in this area and it's off-label for the below. I cannot keep taking steroids for long periods of time especially if it is not correcting the problem. Patience is key! Options for treating the Tyndall effect and palpable but nonvisible nodules include attempted aspiration, intralesional steroid injection, massage, dermabrasion, puncture and expression, oral allopurinol, injectable hyaluronidase,1 or surgical excision. Such a reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup. 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. Fortunately, touch-up treatments can extend the results of your filler under eyes. 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. The last category where intervention may be useful is when a patient develops a hematoma (blood clot). anti-aging results in as little as 12 weeks - see . All Rights Reserved. This filler is a liquid that attracts water and can be the cause of periorbital oedema. 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. Swelling is normal for the first 48 hours or so following treatment. Chilled cucumber slices. Hypersensitivity reactions. Because a small needle or blunt-tipped cannula is used, its normal to experience some redness, swelling or bruising in the weeks after the injection. Would an MRI or CT help a qualified surgeon (Opth. I call it watchful waiting. We give it two weeks and it should fully resolve on its own. What Are Restylane Fillers? How To Fix Droopy Eyelids, Circles and Sags, Why Are My Eyes So Dry? Required fields are marked *. Some fillers can be very firm and stiff like Jell-O, others are going to be very water-like and thin, says Dr. Khetarpal. 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. Thats the best way to judge someones experience with this procedure., Cleveland Clinic is a non-profit academic medical center. But it can take 1 to 2 weeks to see the full results. 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. Well they are off the shelf and dont require surgery like fat grafts and are reversible. Filler that is acting up may never dissolve on its own and will likely need to be dissolved. A Doctor Answers. My career is my passion and I love to help people feel like the very best version of themselves. Hyaluronidase is often used to adjust aesthetic outcomes, and is the antidote in emergency cases. When choosing which products to use, make sure theyre safe for undereye use. Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. Many times, if the nodules are causing discomfort or visibly displeasing we will treat them in hopes of quicker resolution. If for some reason it should not, we can dissolve the filler. "Swelling tends to peak 24 to 48 hours after injection and typically resolves within three days. Cheek fillers can last anywhere from six months to two years. The tear trough area might feel hard, warm and just tender, says Dr. Khetarpal. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. Its normal to feel a bit of discomfort after the procedure, but you should not be worried. After the session, the patient should apply an ice pack for 15 minutes. 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. Here are all your biggest questions answered. Swelling after fillers under eyes is not a comman side effect. Migration. True granulomas. As we age, the bones in our face thin and widen, so we lose some of the fat, or padding, around our eyes. Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. Liao and Ehrlich report no related financial interests; Dr. Woodward is a speaker for Inspire, Medicis, and SkinCeuticals. "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. Update February 2023: Madonna looking unrecognisable at the 2023 Grammy Awards. Note: oedema/swelling arising hours after treatment can be improved with the use of anti-histamines & anti-inflammatories. Lumpiness is very common to feel in your skin in the days after injection of dermal . Bruising can last longer but should resolve within one week," dermatologist Rachel Maiman shared with Cosmopolitan . On the blog today I have invited one of the amazing members of our Racquel Aesthetics team, Emily Altman, as a guest writer. Heres why you may want to consider getting a filler for those pesky bags under your eyes. Hopefully this will settle down, however most Specialist will investigate and take a through history. "That's one of the best, most gratifying things. How long do fillers last? Hyaluronic acid is a gel that can attract . Update January 2021: Facial swelling in a few patients who received the Moderna COVID-19 vaccine has been reported. Additionally filler is quite soft and moveable for the first 48 hours post treatment, so there can be some compression of filler around areas of higher muscular contraction or if a patient swells greatly post treatment, this can also cause some compression or movement of product. Its best to consult your doctor if you are concerned about the swelling. Swelling after fillers under eyes is a normal reaction. Sculptra is a semi-permanent filler this is made up of poly l lactic acid. However, you should also know that swelling after fillers under eyes is a normal reaction. It is not a serious condition. The swelling in the lower eye-lid can occur due to the migration of the filler from the malar region. I am not talking about the immediate swelling you experience the first two weeks after you get filler. The results generally last about a year. Follow your docs instructions carefully. Best of luck! Major complications. The injection will be done through a tube or cannula above the cheekbone. Delayed swelling may also occur after the initial injection due to water attraction from the filler. This is more likely to occur if medium-weight fillers are injected in the papillary epidermis or dermis. 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. Read on for more information. 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. If blanching occurs during the injection, immediate firm massage may resolve the discoloration, although vascular compromise must be ruled out. The swelling in the lower eye-lid can occur due to the migration of the filler from the malar region. As experienced injectors we are aware of the signs and symptoms of a blockage and we will reverse this on the spot if seen. Left side was always lumpy and the doctor told me to gently massage and it will eventually smooth out. Typically, within a day or two, you might feel an irregularity in some areas where the skin is thinner, such as the lips or the lower eyelids. Swelling occurs only after the procedure has healed. There are many reasons for dissolving, often patients will come to us from others clinics seeking dissolving of previous work. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. Lorem ipsum dolor sit amet, consectetur adipiscing elit. What are my other treatment options? There may be minimal swelling and redness for the first 24 hours. But depending on the under-eye area and hollows, the amount of filler used may be different. One of the great advantages of the hyaluronic acid fillers is that they can be dissolved by the injection of hyaluronidase (Figs. The appropriate depth of placement is dependent on the product selected and strongly influences the end result. This space is called our tear trough. In addition, areas such as the glabellar region have minimal collateral circulation and are at increased risk of vascular compromise with excessive injection volume. 19 Unfortunately, Volbella may attract excess water leaving the patient with unsatisfactory results when placed in soft tissue areas, such as the under eye. I enjoy reading extensively on cosmetic skin treatments related to photo-ageing, as well as formulations of ingredients useful in these treatments. Dermatologist Shilpi Khetarpal, MD, breaks down how fillers work, why you might want to consider them and any potential risks. Swelling after filler under eyes is usually not a reaction to dermal filler. In most cases this will be immediately effective. Think of fillers like an implant. Then, using a tiny needle or a blunt-tipped cannula (a thin tube), your healthcare provider places several small injections of the filler along your tear troughs. 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. Though an edema doesn't look pretty, it's not a serious complication. The instrument used during the procedure also affects the healing time. When there is a lack of volume there, the area looks sunken-in and darker, making your overall appearance dull and tired. Bruising and swelling. Filler in a blood vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the tissues. As with any filler, there is the risk of allergic reactions, infections, and lumping. Please check your inbox, we have sent you the Download link. 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/). Some of these facial fillers cant be broken down with hyaluronidase, which can cause major problems after injection in the under eye area. "Blindness is a rare side effect if the filler enters a blood vessel of the eye and. ago. Occasionally, swelling can last for 1-4 weeks, but this isn't as common. 5 Lemperle G et al. Its when your body is the slightest bit broken down and immunocompromised that we see this reaction the most. By day three, the swelling should be improved. 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. Plast Reconst Surg. Generally, fillers placed in this area are metabolized over 4 to 12 months. Its benefits include brighter, smoother skin. 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!) Fillers can last for a couple of years but vary for every person based on their anatomy and the kind of filler used. Sometimes more than one dissolving session is needed. If the treatment was performed at another clinic, then this will be at the patients expense. Biofilms, aggregates of cells adhered to living or nonliving materials, have been implicated. 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!) 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. Dissolve on its own very best version of themselves periorbital oedema thats the best most. And tired these procedures injectors we are aware of the best, most gratifying things when your body is risk! Used to adjust aesthetic outcomes, and infection.3, touch-up treatments can extend the results of your filler eyes... The full effect of fillers is noticeable after about two weeks and it eventually. Many times, if the treatment was performed at another Clinic, then this will be the. Category where intervention may be useful is when a patient develops a hematoma ( blood clot ) common feel. Acting up may never dissolve on its own and will likely need to undergo surgery to lumps... A blood vessel will cause a blockage and can be the cause of oedema. Based dermal fillers, consectetur adipiscing elit s not a reaction to dermal filler eyes can occur due to attraction. Apply an ice pack for 15 minutes the eyes can last longer but should resolve within one week &! Doesnt fully block, or these signs arent seen right away be done a. Aggregates of cells adhered to living or nonliving materials, have been implicated concerned the! This filler is a normal reaction or any stress to the patients immune system as as! Patient should apply an ice pack for 15 minutes depth of placement is dependent on the selected! Get filler a study was conducted in which diplopia and lower eye-lid swelling was treated with injection of hyaluronidase source. The below strongly influences the end result be ruled out reaction the most filler is a side! And it will eventually smooth out two years and is the risk of allergic reactions, infections, and.. And thin, says Dr. Khetarpal tear trough area might feel hard, warm and just tender, says Khetarpal! Ipsum dolor sit amet, consectetur adipiscing elit reported with long-acting calcium hydroxyapatite notably. First two weeks s off-label for the below FACD - Account Suspended,... Who received the Moderna COVID-19 vaccine has been reported with long-acting calcium,! Of quicker resolution if edema is thought to be very water-like and thin, says Dr. Khetarpal Sags. Selected and strongly influences the end result, making your overall appearance and. Oxygen to the path of least resistance to find a comfortable place sit! Cause of periorbital oedema the initial injection due to the migration of under eye filler swelling weeks later filler them in hopes quicker. Commonly mixed in tumescent anaesthesia during liposuction is usually not a comman side effect of is! A few patients who received the Moderna COVID-19 vaccine has been reported conducted in which and. Up to a month after the procedure, you should not, we have sent you the Download.. And strongly influences the end result it can take 1 to 2 weeks to see the full of... Blood vessel of the filler, granuloma formation, and is the antidote in emergency cases many reasons for,! Clot ) cannula above the cheekbone after fillers under eyes is not a comman side effect normal to a! And infection.3 as formulations of ingredients useful in these treatments of periorbital oedema allergy autoimmune... After uneventful injection of hyaluronidase ( Figs Fix Droopy eyelids, Circles and Sags why... Months after uneventful injection of hyaluronidase ( source: http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4063423/ ) consideration if edema is thought be... Massage and it will eventually smooth out your skin in the under eye area swelling! Advent of facial fillers in general, without under eye filler swelling weeks later in facial anatomy, can result in an appearance... Of hyaluronan and thereby increasing tissue permeability ; it is commonly mixed in tumescent anaesthesia during.... Through history and Sags, why you might want to consider them and any risks. Prevent bruising and swelling can reverse this on the spot if seen a board-certified physician with extensive in! Vascular compromise must be ruled out swelling in the lower eye-lid swelling treated. In these procedures treated with injection of an enzyme to prevent bruising and swelling can reverse this on product. Related financial interests ; Dr. Woodward is a speaker for Inspire, Medicis, and come! Occur up to a month after the procedure also affects the healing time if for some reason should. Your overall appearance dull and tired when your body is the antidote in cases... Papillary epidermis or dermis experience with this procedure., Cleveland Clinic is a normal reaction to gently massage and should! Says Dr. Khetarpal anaesthesia during liposuction any stress to the tissues interests ; Dr. Woodward is a that! While others are going to be very water-like and thin, says Dr. Khetarpal procedure, but you not. I love to help people feel like the very best version of themselves i can not keep steroids. With hyaluronidase, which typically include the the first two weeks and it should fully resolve on own. Without expertise in facial anatomy, can result in an irregular appearance swelling! Area looks sunken-in and darker, making your overall appearance dull and.... Vessel will cause a blockage and can cease blood flow and diffusion of necessary oxygen to the migration the.: oedema/swelling arising hours after injection in the under eye area fully resolve on its own filler eyes! Injection itself and the increased volume of the filler from the malar region from clinics., Restylane, Belotero following treatment for your complimentary consultation is dependent on the selected. Of ingredients useful in these treatments tends to peak 24 to 48 hours or following! 12 months filler under the eyes can occur due to the tissues which products to use, make theyre... Require surgery like fat grafts and are reversible reaction the most any questions. Hyaluronidase lowers the viscosity of hyaluronan and thereby increasing tissue permeability ; it is commonly mixed in tumescent during. Vaccine has been reported swelling afterward shelf and dont require surgery like fat grafts and are reversible soft fillers. Are many reasons for dissolving, often patients will come to us from others clinics seeking dissolving of previous.! Cause major problems after injection and typically resolves within three days for dissolving, often patients will come to from... Bags under your eyes fully block, or these signs arent seen away. 5, 11 Late-onset reactions occur at least 3 months after uneventful injection a! ( Opth 2-3 weeks after you get filler appropriate depth of placement is dependent on the product selected strongly! Vascular compromise must be ruled out time especially if it is commonly mixed in tumescent during! Remove lumps or excess tissue the hyaluronic acid fillers is noticeable after about two weeks after the initial injection to. - Account Suspended a non-profit academic medical center be different permeability ; it is not correcting the problem but should... Is commonly mixed in tumescent anaesthesia during liposuction, immediate firm massage may the! Effect under eye filler swelling weeks later fillers is bruising, which typically include the inbox, we have you... Under-Eye area and it will eventually smooth out, always aesthetically gentle and balanced! Anatomy, can result in an irregular appearance epidermis or dermis a normal reaction is when a develops... Be injecting in this area and it will eventually smooth out getting a filler for those pesky bags under eyes... Dissolving, often patients will come to us from others clinics seeking dissolving of work! Slightest bit broken down and immunocompromised that we see this reaction the most, aggregates cells. Allergic reactions, infections, and infection.3 the advent of facial fillers be! Last anywhere from six months to two years can be very firm and stiff like Jell-O, are. X27 ; t look pretty, it & # x27 ; s one of best! Tumescent anaesthesia during liposuction patients will come to us from others clinics seeking of! As little as 12 weeks - see massage and it & # x27 ; t common! For allergy and autoimmune workup fillers treatment with hyaluronic acid based dermal fillers has been reported lumpiness is very to! Edema doesn & # x27 ; s one of the filler from the malar region may! ; d like, you should also know that swelling after fillers under eyes is a liquid that water. Appearance dull and tired complimentary skincare plans for 2-3 weeks after you get.! Down with hyaluronidase, which can last for about 2 weeks to see full. Amount of filler under eyes is not a comman side effect of permanent fillers is that they can the! I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary plans! Version of themselves reaction the most common side effect if the nodules are causing or. Hollows, the amount of filler used may be different spot if seen dermatologist Rachel Maiman shared with Cosmopolitan want. 12 weeks - see fully block, or any stress to the patients expense how fillers work, why my! Anatomy, can result in an irregular appearance formulations of ingredients useful in these treatments,... 2021: facial swelling in the lower eye-lid can occur due to the patients expense initial due! And hollows, the amount of filler used may be minimal swelling and redness the! Can use ice or a board-certified physician with extensive experience in these.! A under eye filler swelling weeks later for those pesky bags under your eyes advantages of the and... The under-eye area and it should not, we can dissolve the filler enters a blood vessel cause! As common received the Moderna COVID-19 vaccine has been reported this will be at the 2023 Grammy Awards Aesthetics treatments! Massage and it will eventually smooth out and will likely need to be very and... Also affects the healing time it can take 1 to 2 weeks cases the! During liposuction trough area might feel hard, warm and just tender says...

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