Here she is after having both the lower lid bags and festoons treated. When the hollow becomes more pronounced again, I’ll go back for more. The photos on this website are not intended to represent the results that every patient can expect. Solution: Puffy Under Eyes After Filler Injection. Please Note: Procedure results vary greatly from patient to patient and are not guaranteed. Disclaimer: All content on this site should be considered general information and not a substitute for personal medical advice. All content copyrighted by Mitesh Kapadia MD, PhD. Find the answers to your questions. Click here to find out more. Festoons and malar mounds can wax and wane — that is their nature. You are the best!! Alix Tunell is a writer in New York City. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment. Facial Rejuvenation FL 3715 7th Terrace Vero Beach, FL 32960 Ph: (772) 978-0484. Surgery or laser surgery is another option, but reviews are mixed because of the potential for scarring. I swear this happened to me from Botox. Its extremely depressing. If your dark circles are actually caused by darker pigment in your skin, filler will only accentuate them. It should be noted that no filler is currently FDA approved for under-eyes but as doctors we can use them safely off-label at our own discretion. After placement of fillers, in the second picture, you can see the irregular contours and marked swelling of the festoon. This is particularly true when surgery is only performed to remove fat from the lower eyelid. Laser resurfacing is helpful in tightening loose, crepey skin in the lower eyelid and upper cheek area and can firm the region around the cheek bag. You never know what kind of special deals he may find. However, malar edema is also a known complication of facial aesthetic procedures, especially facial fillers used in the under eye and cheek region. Restoring lost volume to the areas around the festoon will smooth the cheek and soften the overall contour. Click here to find out more. Here we list our recent training in our constant effort to help you get exactly what you need. Yes finally someone can explain why this happened to me twice!! The information on this site is intended for general purposes only and is not intended to nor implied to be a substitute for professional medical advice relative to specific medical conditions or questions. It’s best to flatten the festoon, not to inflate them. After years of asking dermatologists and plastic surgeons what could be done for my tired-looking undereyes, I realized my most effective option would be to get undereye filler (or, as it's sometimes called, "tear-trough filler") to level things out and diffuse the dark shadows. By directly compressing the area of malar edema for about 10 seconds, several times per day, this will speed resolution of the edema in many cases. Here is where the doc will make his latest announcements. Dr. Pierone is the leading injector of Bellafill® in the United States and is a nationally recognized trainer and researcher. It is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual and is not to be used or relied upon for any diagnostic or treatment purposes. Malar edema represents lymphatic fluid that has migrated into the subcutaneous space. I discussed this at length in my podcast with Dr. John Martin. View our many before and after galleries of real procedures on real patients. Working in the beauty industry in the age of Instagram has admittedly made me a bit too fixated on my appearance, but it’s also taught me how to differentiate between empty marketing and what actually works. I had a purplish dot at the cannula’s entry point—made by a single needle puncture—for about a week, but it was easily hidden with makeup. Thank you so much Kathryn for your kind words. Take a look at this patient who had fillers placed under her eyes in an attempt to camouflage lower lid bags and festoons. Events are happening all year long. Any treatment that causes swelling of the face can also make them swell. “The undereye is the most common place to need to tweak again," says Liotta. He healed his cheek scars very well to the point of being invisible. Festoons can appear when the cheeks and lower eyelids lose fullness due to aging. There are several reasons why puffiness can happen after under-eye fillers and I list the most common causes below. They tend to reoccur after lower eyelid lift surgery. Stay up-to-date on the latest event happenings. Its not a perfect result, as is typical when treating this condition, but his appearance is much better overall. Festoons and malar mounds can also become much more noticeable after having fillers placed in the face. Before and after photos of other patients may not be predictive of your own results. She performs many of the procedures Dr. Pierone provides. Thank you for the info and education! That might mean adding a few more drops of filler or using a pinch of hyaluronidase to flatten out any minor puffiness. This can be done with filler injections or fat injections.. If you’re ready to get started with any of Dr. Scheiner’s treatments, including his proprietary RESET® treatments for Festoons or for sun damage, start by letting Dr. Scheiner know about you and your reason for seeking treatment. Prices vary from doctor to doctor and geographical location, but in a major city, it’s safe to assume the procedure will set you back at least a grand. Required fields are marked *. Juvederm Voluma is notorious for creating swelling and puffiness under the eyes when it’s too close to the thin eyelid skin. Thanks for your comments. Although sometimes used to treat festoons, direct excision under eye bag surgery is risky. “Just because something isn’t FDA-approved doesn’t mean it’s dangerous when done by an expert,” says Liotta. Body fluid can seep into this space, leading to swelling of the skin, and this leads to swollen mounds on the cheeks.
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