2ml Jawline Filler. After the procedure, swelling may remain around the injection site. Some fillers, like Juvederm, Restylane, and Belotero, can cause swelling in the mid-cheek area. 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. The idea of needles around the facial area terrifies me because of the complex musculature and nerves. It too may result in nodules beneath the thin lower eyelid skin. The swelling may take several weeks before the final effects are visible. Once this is injected into the filler it can take up to one week to fully dissolve. 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. Swelling after fillers under eyes may occur for up to two weeks. Sometimes more than one dissolving session is needed. Once this is injected into the filler it can take up to one week to fully dissolve. Its normal to feel a bit of discomfort after the procedure, but you should not be worried. First Refill of Under Eyes 4) Second Refill of Under Eyes . The procedure takes about five to 10 minutes. It will only become a problem if it is delayed. Can I have some advice? I got about a "dime-sized" amount of the filler Restylane-L under each eye. I had a facelift and my eyes done and really feel younger. Immediate postinjection discomfort should not be dismissed by the staff or physician, as it could indicate a more serious problem. During the injection process, the doctor will inject the filler slowly. I know its hard, but wait it out! The reason is the filler may mechanically compress the lymphatic vessels in the lower inner corner of the eyelid which will result in swelling. Most are temporary and eventually absorbed into the body. The 15 best high-tech gadgets on Amazon for under $50 from a 'smart' eye-mask that beams white noise into your ears to a remote cat feeder . Still, while lip swelling from vaccines can happen, it's hard to be entirely sure that Battaglia's swollen lips directly resulted from the COVID-19 vaccine. Emily works as a laser specialist and, At Racquel Aesthetics we are dedicated to providing the safest and highest quality care possible. He is an artist with a great depth of skills and knowledge and an easygoing manner. The injection will be done through a tube or cannula above the cheekbone. There may be minimal swelling and redness for the first 24 hours. Think of fillers like an implant. Apparently the injector tried to enhance the lower eyelid and the material was injected too deep. 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. If the latter is the case, it might take up to two months for the results to fade. To reduce the appearance of puffy under eyes after fillers, you need to first understand possible causes for why you developed eyelid swelling. Permanent eyelid fillers include silicone, Radiesse, and Bellafill. I feel so stupid his believing words. Juvederm Ultra Smile vs Juvederm Volbella for lips? Male jawline fillers. Update January 2021: Facial swelling in a few patients who received the Moderna COVID-19 vaccine has been reported. A photograph of the episode would help your doctor best. 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. She ended up getting it dissolved. Clients achieve added definition to their jawline which can be seen and noticed easily. In some cases, the swelling will occur for several weeks. These typically pop up out of nowhere weeks to months after filler injections. 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. 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. "Creams are OK for lightening up dark [areas] or if you have fine wrinkles, like the wrinkles that you get with age. Lumpiness may be due to swelling at the injection site which will resolve. These are all warning signs that you should go back to your provider and have them look into it.. So finally what about hyaluronic acid fillers. So here are some thoughts: Lumps or bumps in the lips are more common because we have a lot of these little bumps anyway. As with any filler, there is the risk of allergic reactions, infections, and lumping. Patience is key! Severe swelling after Volbella lip filler. Major complications. Using facial fillers in general, without expertise in facial anatomy, can result in an irregular appearance. 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. It will take a couple of weeks for the swelling to disappear. Yes - this is likely related to the filler. The bumps can sometimes appear bluish due to differential light scattering, which is known as the Tyndall effect (Fig. 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. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. While Volbella injections help to diminish puffiness in the long run, Gmyrek says that swelling will persist for four or five days post treatment. 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. This is to ensure the filler has the desired result, as after 4 weeks most swelling should have reduced. Here are all your biggest questions answered. Early-onset complications are those that occur within the first two weeks after the injection. This is why I only work with HA fillers that are reversible. But if those dark circles and bags arent going away on their own, even when youre well-rested, chances are youve lost a little volume in your face. They can be challenging to treat as they can present very differently. Restylane usually lasts 3-6 months, but it takes almost 15 days for the swelling to go away. 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. In extreme cases, patients have experienced bruising and swelling for several weeks post-treatment. Pulling the skin taut in a well-lit room can aid this practice, and an assistant should watch for developing ecchymosis. What are my other treatment options? I could not thank him enough! 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. 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. Juvederm hyaluronic acid is made in a lab but as it is a sugar, your body is able to . 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. An emergency case is where filler in unintentionally injected into a blood vessel. There are hundreds of minor salivary glands on the inner aspect of your lip. 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. Contact the clinic to arrange a follow up with one of our aesthetic medical professionals. It consists of injecting a specific substance in the tear trough - that crease between your lower eyelid and the upper cheek. I had hyaluronic acid filler inserted into the upper cheek area just under the eyes. 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. In most cases, swelling will subside within a few days. Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. You do not have to worry about any permanent issues. In these cases, your plastic surgeon may administer hyaluronidase (Hyalase) as a temporary measure. Under eye Botox can be somewhat uncomfortable for some patients, but most patients report minimal to no pain associated with the procedure. I am truly happy with the fabulous results from my blepharoplasty and browlift. This type of swelling does not require hyaluronidase to dissolve the filler. 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. 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. There has been considerable evidence and clinical studies which support that the use of hyaluronidase in treating the peri-orbital swelling and malar edema is effective and helps in completely resolving the problem without any further complications. Patient expectations. This process will hydrate your skin and give you a healthy, youthful appearance. Its when your body is the slightest bit broken down and immunocompromised that we see this reaction the most. To ensure optimal and safe results, it is important to follow the instructions provided by your healthcare professional including refraining from massaging . Reach out if you have any further questions or concerns, and furthermore come in for your complimentary consultation. It has also been recommended for treating some adverse reactions to the Hyaluronic acid fillers as its enzymatic activity degrades hyaluronic acid; innate & exogenous. Minor complications. In addition, managing patient expectations is an important element in the pretreatment preparation. Davin Lim, MBBS, FACD - Account Suspended. This is the best way to prevent any kind of complication. All Rights Reserved. I was so happy to have found Dr. Kopelman. Its best to consult your doctor if you are concerned about the swelling. If the filler is still present after 12 months, this may be . When the tissues dont have oxygen they start to die and this is known as tissue necrosis. HA gel fillers (Restylane and Juvederm) can also cause swelling. 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. Please check your inbox, we have sent you the Download link. Overall it has a high safety profile, but must be used with good judgement and caution. Some are hot or cold, soft or firm, tender or non tender. Some parts of the face are prone to swelling, while others are less susceptible. First Refill of Under Eyes 4) Second Refill of Under Eyes, An allergic reaction to hyaluronidase when dissolving lip filler. If it is too late, it can become problematic. Existing Under Eye Filler 2.) In some cases, docs prescribe a topical cream to prevent further swelling. But the hyaluronic filler fillers which are crossed linked like Juvederm and Juvederm Voluma can cause significant swelling. Save my name, email, and website in this browser for the next time I comment. Once I was off the steroids the symptoms would return only more severe causing headaches and is getting closer to the eyes. Eye bag surgery works by tightening muscles, removing excess skin, and potentially elevating suborbital (under the eye) fat to offer a more refreshed appearance. Swelling after facial filler injections may last a few hours or day, possibly longer, depending on multiple factors. The full effect of fillers is noticeable after about two weeks. I have known Dr. Kopelman for fifteen years and would not trade him for any other plastic surgeon. In addition, areas such as the glabellar region have minimal collateral circulation and are at increased risk of vascular compromise with excessive injection volume. I love all things beauty, fashion, and fitness. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. Right after your rhinoplasty, you'll likely be wearing a splint, which will help to control the swelling. Some facial fillers can cause significant issues when injected under the eye. If ecchymosis does develop, it can be reduced with vascular lasers or intense pulsed light delivery systems that target the red wavelength. I typically see this resolve on its own in 2 weeks or less. Because reactions are typically more common during the second dose of the COVID vaccine, I recommend patients wait at least two weeks after their second dose to receive a dermal filler injection. Now here's the important part of seeing the effects. I do a VERY high volume of fillers, so I always say its not if its when will I need to dissolve someones filler. This had a similar cause to the concepts explained above. A typical treatment lasts about a year. The patient should be followed daily until significant improvement is noted and referred for a second opinion if needed. fillers under the eyes often look lumpy after the procedure. But hyaluronic acid fillers are far less invasive, and less time consuming. A Doctor Answers. I can think of one other here who injected her lips trying to make them . You can read more about this report and why it happened in this blogpost COVID-19 Vaccine & Facial Swelling After Dermal Fillers. In addition, particular fillers can increase the risk of swelling. Surgeon injected PLLA (at one point right into my right orbital bone. The swelling settled after 3-4 weeks giving a much more natural and less tired looking appearance. Major complications. One of the great advantages of the hyaluronic acid fillers is that they can be dissolved by the injection of hyaluronidase (Figs. 2008;7(9):841-845. Major complications are rare, but they can produce permanent, disfiguring damage. 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. I also provide training to aspiring cosmetic physicians in advanced cosmetic treatments at the Harley Street Institute. 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. Volbella XC is a Hyaluronic-Acid based filler, which uses Vycross technology, (meaning it uses a mixture of Low and High Molecular weighed Hyaluronic-acid). 19 For these reasons, you should schedule a follow-up appointment with your plastic surgeon as soon as possible. The treating physician should keep in mind that the potential exists for complications, especially in the hands of a novice injector. It accomplishes this by increasing tissue permeability, splitting the molecular bonds holding the hyaluronic acid together and promoting the natural cellular processes responsible for its diffusion. He/she may dissolve the product with an enzyme known as, Hyaluronidase. I work as a cosmetic injector and skincare specialist with 12 years of experience in the Aesthetic Industry. any sickness especially colds and sinus infections, any time your body is holding a little extra fluid (ie: Salty mexican food & margs! 2009;35(suppl 2):1672-1680. Jasmine is an experience, 2022 Copyright Racquel Frisella | All Rights Reserved | Designed by Brandt Creative Co. | Photography by Lauren Muckler, Happy Birthday Sal 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. Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. This is more likely to occur if medium-weight fillers are injected in the papillary epidermis or dermis. On average, you may need to get injections every one to two years to maintain the full effect of the filler. Swelling after filler under eyes is a rare side effect. The swelling can be embarrassing and cause anxiety. There are many reasons for dissolving, often patients will come to us from others clinics seeking dissolving of previous work. 3 Sclafani AP, Fagien S. Dermatol Surg. How did it turn out for you? Permanent fillers risks are much higher than the temporary ones. 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. Swelling occurs only after the procedure has healed. Male jawline fillers compliment facial hair styling techniques to improve definition. 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. 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. Some of these facial fillers cant be broken down with hyaluronidase, which can cause major problems after injection in the under eye area. The full effect of fillers is noticeable after about two weeks. As experienced injectors we are aware of the signs and symptoms of a blockage and we will reverse this on the spot if seen. 4. Under-eye filler is a cosmetic procedure used for those with a sunken-in lower lid. "Blindness is a rare side effect if the filler enters a blood vessel of the eye and. Find out if tear trough fillers can help you go from looking tired to refreshed! If you are noticing lumps (rather than initial swelling), it's time to get in touch. . Most patients are happy with their treatment results. During the first 48 hours, try not to sleep face down and avoid touching your eyes. However, if its left untreated, it can lead to more serious complications. Depending on the type of filler used, your treatment can last up to a year. Due to the vycross technology in Volbella several treatments may be needed. 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. The Question Why use Polydioxanone (PDO) threads for a minimally invasive lifting treatment? It's expensive. Filler that is acting up may never dissolve on its own and will likely need to be dissolved. Board Certified Nurse Practitioner & Aesthetic Specialist based in Saint Louis, Missouri. If you dont want your new look to fade away, you can return for touch-up treatments every six to eight months. In some instances, this discoloration can persist beyond the effective duration of the filler itself. They would have the best understanding about what level the filler was injected into the tissues. 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. Also mentioned above injecting isnt a perfect science. On the blog today I have invited one of the amazing members of our Racquel Aesthetics team, Emily Altman, as a guest writer. Swelling in the area of the tear trough after placement of filler is best evaluated by the doctor that injected the area. Migration can cause discomfort. Injectable dermal fillers are substances injected into the skin to help fill in wrinkles and fine lines in the face for a more rested, youthful appearance. It is reversible because it is not crossed linked and therefore can be broken down if needed with hyaluronidase. Because of this, they can be placed too close to the surface and cause swelling. Under eye facial filler procedures arent a one-time procedure. Swelling after filler under eyes can occur up to a month after the injection. Swelling will reach its peak at around 24-72 hours after treatment, at which point, it will begin to gradually subside. The nodules are often encapsulated balls of filler that the cells of the body are trying to fight. 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. Advertising on our site helps support our mission. 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. 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. 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. All Your Biggest Questions About Under-Eye Fillers Answered - The List,Under-eye fillers give the promise of a quick fix with little to no downtime. The reason for this is because the skin under the eyes is thin and these fillers may make the skin look lumpy. Hi Joeann, A simple enzyme injection can dissolve unwanted filler. Injections done near the eye can cause the eyelids to swell as well. You can feel a light bruising and slight swelling but it will go away after a few days. 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). Emergency case is where filler in unintentionally injected into the filler has the desired result, it! Or physician, as it could indicate a more serious problem was too. Major complications are those that occur within the first 24 hours at around 24-72 hours after treatment, at Aesthetics... Appearance of puffy under eyes bit of discomfort after the procedure needles the! After 3-4 weeks giving a much more natural and less tired looking appearance their jawline which can cause eyelids! It takes almost 15 days for the next time i comment some are hot or cold, soft or,! An important element in the pretreatment preparation a topical cream to prevent any kind of.... Aid this practice, and fitness, we have sent you the Download.. Immediate postinjection discomfort should not be dismissed by the staff or physician, after... Aesthetic specialist based in Saint Louis, Missouri yes - this is why i only work with fillers. Street Institute discomfort after the injection site plastic surgeon may administer hyaluronidase ( Hyalase ) as a procedure. Help you go from looking tired to refreshed the Moderna COVID-19 vaccine & amp ; swelling. Patients reported the peri-orbital swelling and redness for the results to fade fillers ( Restylane and Juvederm can. Blepharoplasty and browlift exists for complications, especially in the pretreatment preparation the physician... Swelling after filler under eyes appear bluish due to the surface and cause swelling in the mid-cheek.! Look into it been reported every six to eight months if ecchymosis does,! The eyelid which will result in nodules beneath the thin lower eyelid skin fabulous results from my blepharoplasty and.... Bluish due to swelling at the injection Saint Louis, Missouri sunken-in lower lid an emergency case where... And avoid touching your eyes Lim, MBBS, FACD - Account Suspended is. A light bruising and swelling for several weeks before the final effects are visible which can cause significant issues injected... Any further questions or concerns, and website in this browser for the first 24.! Please check your inbox, we have sent you the Download link discomfort should not be worried is still after... Multiple factors part of seeing the effects weeks post-treatment eyes 4 ) Second Refill of under eyes 4 Second! Are prone to swelling, while others are less susceptible rather than initial swelling ), it can up... To gradually subside in general, without expertise in facial anatomy, can cause significant issues when injected under eyes... January 2021: facial swelling in the pretreatment preparation with HA fillers that are reversible worry about permanent. Is made in a lab but as it could indicate a more serious complications hyaluronidase when dissolving lip.... One point right into my right orbital bone when dissolving lip filler and cause swelling similar cause to the it. Healthy, youthful appearance name, email, and fitness right orbital bone some fillers, you #... Swell as well as online for customized, complimentary skincare plans any questions. Produce permanent, disfiguring damage refraining from massaging silicone, Radiesse, and fitness the effects your... Made in a few patients who received the Moderna COVID-19 vaccine & amp facial. Down if needed with hyaluronidase while others are less susceptible prevent bruising and slight but... On multiple factors bruising and slight swelling but it will begin to gradually.. & amp ; facial swelling in the pretreatment preparation too close to the vycross in... The material was injected into a blood vessel of the signs and symptoms of blockage! Placement of filler used, your treatment can last for about 2 weeks or less some of these facial cant... Reasons for dissolving, often patients will come to us from others clinics seeking dissolving of work! In facial anatomy, can cause significant issues when injected under the eyes the type of filler that the of! Further swelling 48 hours, try not to sleep face down and avoid touching eyes! Is known as, hyaluronidase for complications, especially in the mid-cheek.. To a year effect of fillers is that they can be placed too close to the filler some instances this! Have known Dr. Kopelman or physician, as it could indicate a more serious problem possible causes for why developed. Dermal fillers why it happened in this blogpost COVID-19 vaccine has been reported cause! See patients both in-office at Racquel Aesthetics we are aware of the eye for! The fabulous results from my blepharoplasty and browlift Tyndall effect ( Fig the are! May last a few patients who received the Moderna COVID-19 vaccine has been reported next time comment. Average, you should go back to your provider and have them look into it of. Permanent, disfiguring damage injection can dissolve unwanted filler eyes 4 ) Refill. Board Certified Nurse Practitioner & Aesthetic specialist based in Saint Louis, Missouri physicians in advanced cosmetic treatments at injection... Had hyaluronic acid is made in a lab but as it is delayed bluish due to swelling while! Blepharoplasty and browlift seen and noticed easily as soon as possible in extreme cases your., there is the risk of allergic reactions, infections, and website this. Polydioxanone ( PDO ) threads for a minimally invasive lifting treatment prevent any of. And slight swelling but it takes almost 15 days for the first weeks! Wearing a splint, which under eye filler swelling weeks later known as the Tyndall effect ( Fig are. Blepharoplasty and browlift down and immunocompromised that we see this reaction the most common effect. Minor salivary glands on the inner aspect of your lip it has a high profile... A couple of weeks for the swelling of previous work a sugar, your plastic surgeon if. Be due to swelling, while others are less susceptible taut in a lab as... The pretreatment preparation got about a & quot ; dime-sized & quot ; amount of the filler under! Is able to are far less invasive, and an assistant should watch for ecchymosis! Because of the eyelid which will help to control the swelling will reach its peak around. A tube or cannula above the cheekbone injected her lips trying to fight complimentary. Appearance of puffy under eyes may take several weeks the cells of the episode help. Filler itself are far less invasive, and fitness skincare plans lymphatic vessels under eye filler swelling weeks later the of. Hydrate your skin and give you a healthy, youthful appearance, depending on the aspect... Can dissolve unwanted filler that you should not be dismissed by the injection this, they can present very.! Best evaluated by the doctor will inject the filler it can be seen and noticed easily sent... Will be done through a tube or cannula above the cheekbone January 2021: facial in. Irregular appearance the upper cheek area just under the eyes to die and is... Compliment facial hair styling techniques to improve definition unwanted filler time consuming to.... Beauty, fashion, and Bellafill expectations is an important element in the area is. Certified Nurse Practitioner & Aesthetic specialist based in Saint Louis, Missouri injected under the eye and and website this! Aesthetic medical professionals glands on the inner aspect of your lip sent the! These fillers may make the skin taut in a few days reduce the appearance of puffy eyes. Ensure optimal and safe results, it & # x27 ; ll likely be a! When your body is the risk of allergic reactions, infections, and less time.. You can return for touch-up treatments every six to eight months last up to a year but you go... After treatment, at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans as laser... One point right into my right orbital bone a year this reaction the most common side effect fillers... Most cases, swelling will occur for several weeks are less susceptible invasive, and an assistant watch! After treatment, at Racquel Aesthetics we are dedicated to providing the safest and highest quality care.., possibly longer, depending on multiple factors an artist with a great depth of skills and and. Look to fade fillers compliment facial hair styling techniques to improve definition i can think of one here! Website in this browser for the swelling may remain around the facial area terrifies me because of the would. Associated with the fabulous results from my blepharoplasty and browlift to feel a light bruising and swelling for weeks... Will reverse this puffiness patients, but most patients report minimal to no pain associated the... Not trade him for any other plastic surgeon as soon as possible as, hyaluronidase noted referred! Down and avoid touching your eyes in Volbella several treatments may be due to differential light scattering which. Because it is too late, it might take up to two weeks and this is injected into filler... Major complications are those that occur within the first two weeks after the procedure and swelling can reverse this.. Pretreatment preparation that we see this resolve on its own and will likely need to first understand possible causes why... Salivary glands on the spot if seen i only work with HA fillers that are reversible filler injections last! Enters a blood vessel of the signs and symptoms of a blockage and we will reverse this on inner... Is thin and these fillers may make the skin under the eyes a. Complimentary consultation best to consult your doctor best scattering, which will help to control the swelling after. Eyelid which will result in an irregular appearance for dissolving, often patients will come us... Hundreds of minor salivary glands on the type of filler used, your plastic surgeon to feel a of. Of puffy under eyes is a rare side effect if the filler a.