In the last few weeks, 3 patients have presented to me who have had complications from dermal fillers under the eyes after treatment at different clinics.
Tear troughs can be difficult, but when the results are great, we can see why it is such a popular treatment.
This patient had some dermal filler injected over a year ago to treat her tear troughs, causing lumpiness and the tindall effect (the product appearing blue through the skin). The nurse at the clinic where she was treated used hyalase/hyaluronidase to dissolve it on the right, but the patient didn’t notice much improvement. I treated her with hyaluronidase today. We may have to do several sessions of hyaluronidase to get perfect results in this case.
This patient had her tear troughs filled 2 years ago at another clinic, and has had a lump under her right eye ever since. We didn’t hyalase today, because the patient was here for a volumising treatment. I really want to treat this lump to improve symmetry in the area
see below: lump of dermal filler under right eye, looks like a bag under eye, making eye appear older
Asymmetry quite obvious under eyes due to lump of dermal filler on right
A young girl emailed me with photos of her eyes, because she was upset about how they had changed. She had dermal fillers injected at another clinic 3 months ago. The results at the time were good, but she felt that in the last few weeks, the results were looking strange, like the product had moved. On examination there did appear to be a lump at the border of the tear trough, on the nose side, and on the outer side of the tear trough. I hyalased the area and results of this were perfect!
The interesting thing about this case was that I asked the patient why she had wanted her tear troughs filled. She said that the tear troughs weren’t what she presented to the doctor with at all. She was concerned about the dynamic lines under the outside of her eyes. I asked if the doctor had suggested muscle relaxant injections, but she said that they didn’t offer that to her. I did some muscle relaxant injections on her low crows feet/cheeks, and she was delighted with the results. We treated the lines she was originally trying to get rid of!!!
MORE PHOTOS TO COME AFTER TREATMENT OF THESE DERMAL FILLER COMPLICATIONS
You make like the following posts about injection of dermal fillers in tear troughs
A post re problems with dermal filler under eyes
Also my post about Why my own tear troughs aren’t filled