How can I correct the puffiness and bruised look under my eyes? Will dissolving the filler restore my natural look?

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Cosmetic Treatments Questions › Category: Hyaluronidase › How can I correct the puffiness and bruised look under my eyes? Will dissolving the filler restore my natural look?

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A patient asked 3 months ago

I had Juvaderm injected into my tear trough for under eye hollowing in September 2019. The area is puffy, looks lumpy and has a blue shade discoloration. I would like to have the filler dissolved but am interested in knowing why the results came out like this, how much dissolver should be used, does it need to be done in sessions? Also, do you know how I can find a doctor in my area that specializes in filler dissolution? First time I’ve had this done.

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Dr. Elham Jafari Staff answered 2 months ago

Dissolving Filler under Eyes

Hi and thank you for your question! To be able to make a more accurate assessment, we should also see pictures taken before the filler treatments, but just based on the look and your description, you appear to have some overfilling and somewhat superficial placement of the filler (causing the bluish discoloration or Tyndall effect. There are various fillers in the Juvederm family and among them, Juvederm Volbella is one of my favorite fillers for under the eyes. Other options include Belotero or Restylane, and you should stick with hyaluronic-acid-based fillers for under the eyes. At this time, hyaluronidase enzyme injection appears to be the most reasonable course of action. I personally prefer a more gradual and conservative approach to ensure we don’t do over correction. I hope it helps and good luck!

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