Restylane usually lasts 3-6 months, but it takes almost 15 days for the swelling to go away. Just like overfilling can happen with filler, so can over dissolving. Other factors like genetics, diet, increased sun exposure and smoking can also thin out facial bones over time. Left side was always lumpy and the doctor told me to gently massage and it will eventually smooth out. He is an artist with a great depth of skills and knowledge and an easygoing manner. Skin thickness varies among facial areas, which affects optimal injection depth. 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. While you wait: Should the swelling get much worse let me know and we could do an oral steroid but typically this is not warranted. Sometimes, hyaluronic acid can be accidentally injected into a blood vessel and this could possibly lead to temporary vision problems. Some patients feel discouraged initially as the effects are confused by some of the swelling that occurs with hyaluronidase injection, again this should all start to settle and show effect by 48 hours. Advertising on our site helps support our mission. 1A, 1B).2 The surgeon should inject 0.2 mL of hyaluronidase and have the patient massage the involved area, then recheck the patient in 30 minutes to make sure he or she is satisfied with the result. 2006;118(3 suppl):92S-107S. Yes - this is likely related to the filler. reconstruction) fix the inflammation/infected bone? Dr. Maiman suggests holding a mirror in front of your face and looking up so the light hits your under-eye area directly. 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. Google Youtuber Alexandria Anele's experience with undereye filler. 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!) On the blog today I have invited one of the amazing members of our Racquel Aesthetics team, Emily Altman, as a guest writer. The last category are patients who are allergic to Hyaluronic acid (H/A) fillers. Pulling the skin taut in a well-lit room can aid this practice, and an assistant should watch for developing ecchymosis. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. It is important to wait this 2-4 week period before re-injecting with filler. It can also result following the dermal fillers treatment. In order to replace some of that lost volume, you can get whats called a filler, a gel-like substance made of hyaluronic acid, which is a naturally occurring molecule found in our skin. That amounts to one small syringe total. One of the most common complications that follow the aesthetic procedures performed in the lid area is lower eyelid edema. But it can take 1 to 2 weeks to see the full results. Contact the clinic to arrange a follow up with one of our aesthetic medical professionals. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ). You also may need to know that there are many ways to prevent swelling after fillers under eyes. Lumpiness may be due to swelling at the injection site which will resolve. The Question Why use Polydioxanone (PDO) threads for a minimally invasive lifting treatment? By day three, the swelling should be improved. Biofilms, aggregates of cells adhered to living or nonliving materials, have been implicated. As far as cosmetic treatments go, dermal fillers can do wonders at reviving lost volume and enhancing different areas of the face . Maybe you enjoyed one too many all-nighters in your youth. 2009;8(1):13-16. Find out if tear trough fillers can help you go from looking tired to refreshed! Injection of an enzyme to prevent bruising and swelling can reverse this puffiness. Dr. Doppelt advises waiting a week or so after treatment to see the final results. One of the great advantages of the hyaluronic acid fillers is that they can be dissolved by the injection of hyaluronidase (Figs. But depending on the under-eye area and hollows, the amount of filler used may be different. What are my other treatment options? During the first 48 hours, try not to sleep face down and avoid touching your eyes. In most cases, swelling will subside within a few days. Cooling the area under your eyes reduces blood flow, which helps ease swelling. Using facial fillers in general, without expertise in facial anatomy, can result in an irregular appearance. So finally what about hyaluronic acid fillers. How to Tell If Its Allergy or Infection. As experienced injectors we are aware of the signs and symptoms of a blockage and we will reverse this on the spot if seen. Ultimately filler will move to the path of least resistance to find a comfortable place to sit. 6 Sore Throat Remedies That Actually Work. I enjoy reading extensively on cosmetic skin treatments related to photo-ageing, as well as formulations of ingredients useful in these treatments. Can I have some advice? The most common complications in this category are residual palpable or visible material, blanching, nodules, and hypersensitivity reactions. Most of the hyaluronidase has ovine(Vitrase, Bausch&Lomb, Rochester) or bovine (e.g. Areas where we see lumps and bumps the most unfortunately is in the trough and lips. A history of allergic reaction to wasp or bee stings represents an increased risk of allergic reaction to hyaluronidase and should be considered as a relative contraindication, as the venom of stinging insects might contain hyaluronidase and this mechanism might be the source of sensitization in affected individuals. Dissolve 3.) If it is too late, it can become problematic. Swelling after fillers under eyes may occur for up to two weeks. "Creams are OK for lightening up dark [areas] or if you have fine wrinkles, like the wrinkles that you get with age. Swelling after filler under eyes is a rare side effect. Permanent eyelid fillers include silicone, Radiesse, and Bellafill. This is where hyaluronic acid fillers are considered safer than other fillers on the market as we have the antidote to reverse them known as Hyaluronidase. In some cases, the swelling will occur for several weeks. Thats why you should always contact your doc after the filler under eyes treatment. Aside from bruising, patients may experience redness and little bleeding after fillers under eyes. Once the splint is removed, your nose will likely look very swollen. Anatomy. A Q-switched, 1064-nm laser also has been successfully used to lessen the Tyndall effect.4 Most practioners first choice is hyaluronidase injection. All Rights Reserved. He/she may dissolve the product with an enzyme known as, Hyaluronidase. First Refill of Under Eyes 4) Second Refill of Under Eyes . 70 SpeaKnDestroY 1 yr. ago 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. In order to reduce swelling after receiving dermal fillers, Dr. Herbstman recommends his New Jersey patients adhere to the following: In addition, managing patient expectations is an important element in the pretreatment preparation. It will take a couple of weeks for the swelling to disappear. Like the inflamed filler they are often triggered by illness, injury, or any stress to the patients immune system. Never too much, always aesthetically gentle and well balanced. If a patient is looking for some aesthetic adjustments, and wants to go ahead with dissolving, they must understand that they might also need to replace areas that may have dissolved unevenly with dermal filler. 1 Leu S et al. Lumpiness may be felt during the first few weeks while the product is smoothing and integrating with the tissue. Choice of filler. 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. Davin Lim, MBBS, FACD - Account Suspended. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ). Bumps, blanching, and nodules. They typically occur 48-72 hours after injection but may be seen as late as several weeks postinjection and may persist for many months. Lumpiness is very common to feel in your skin in the days after injection of dermal . July 11, 2017 Fillers those line plumping and wrinkle-reducing injections (usually of hyaluronic acid) have gotten increasingly popular over the past several years. Now here's the important part of seeing the effects. If you have concerns or questions about the procedure, speak with your medical aesthetic practitioner and be sure to follow any aftercare guidelines. It may take multiple sessions with hyaluronidase injections before the filler is dissolved. They would have the best understanding about what level the filler was injected into the tissues. These fillers are very hydrophilic and they attract water naturally but even more-so during certain times when the body is inflamed. HA gel fillers (Restylane and Juvederm) can also cause swelling. Some are hot or cold, soft or firm, tender or non tender. This gentleman underwent an upper and lower lid blepharoplasty and mid face elevation. A photograph of the episode would help your doctor best. I feel so stupid his believing words. All Rights Reserved. #fillerdissolving #fillerdissolvetoronto #hyaluronidase #hyaluronidasetoronto #fillerdissolvingtoronto #lipfiller #cheekfiller #jawlinefiller #toronto #beautyblog #torontoblog #torontobeauty #skinworthy #aestheticmedicine #cosmeticinjections #juvederm #teosyal #hylase, Orlando website design by Dark Matter Digital. "That's one of the best, most gratifying things. Its benefits include brighter, smoother skin. 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. So before using, it is better to conduct a skin test for checking any possibility of allergic reactions. Bruising can last longer but should resolve within one week," dermatologist Rachel Maiman shared with Cosmopolitan . 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. If you'd like, you can use ice or a cold compress to help with any swelling. I f, What will I look like once I start using botox, Last night was the 1st Phorm Awards Banquet and it, ONLY 5 DAYS UNTIL THE RFA SKINCARE LAUNCHTHE CO, Merry Christmas from my little Christmas angels to, Temporary inflammation of the filler (most common). If a patient is presenting with signs of a blockage we will insist on immediate return to clinic to assess in person and if a blockage is confirmed we will start the dissolving process, which again can take multiple sessions until we are contact blood flow and circulation to vessels and tissues has returned. This process will hydrate your skin and give you a healthy, youthful appearance. Complications are best prevented with careful planning. In addition to re-treatment, hyaluronidase can be repeated as soon as 2 days, 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. But hyaluronic acid fillers are far less invasive, and less time consuming. Make sure you are getting treatment from a boa Fillers like Volbella are an excellent choice to fill depressed tear troughs. Often a small superficial lump in the lip might be a quick dissolve, however larger nodules, or wide spread areas of filler integration will break down in sections, where one may feel the filler is gone in some areas, while still showing in others. Hydrating Your Skin During this two week period, the hyaluronic acid in your filler will settle into your dermal tissues and begin to interact with the water in your skin. So here are some thoughts: Plast Reconst Surg. 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. Filler in this location can be difficult to remove. With that said there are some foreseeable issues that can adjust for with placement, technique, and product, however some are beyond our control and this is where tweaking of adding more filler, or mild dissolving may be required. It has been found that the cross linked hyaluronic acids are vulnerable to hydrolysis process caused by injection of hyaluronidase. It is easily reversible with hylaronidase which is rarely needed. The latter require judicious use, as they have been associated with localized atrophy, erythema, and pigment changes, as well as systemic vascular events.3 Adding 5-fluorouracil to the intralesional steroid has also been advocated for granuloma treatment.5 Minocycline has been noted to decrease the size of silicone granulomas.4 If these treatments fail, surgical excision can be attempted as a last resort. Permanent fillers risks are much higher than the temporary ones. She ended up getting it dissolved. The results will last about a year after the injection. I highly recommend Dr. Kopelman and I personally would only use him!!! Because of this, they can be placed too close to the surface and cause swelling. Fortunately, periorbital oedematous fluid is not permanent. Dermal fillers have been known to leave scar tissue at the injection site and you would not be the first to find out the hard way (not to say this is the case). If you dont want your new look to fade away, you can return for touch-up treatments every six to eight months. I had this done 5 months ago. You can expect to pay anywhere from $650-$1,200 for under-eye filler, depending on who you go to for the non-surgical procedure, according to Dr. Halim. They will also be able to determine if the filler needs to be dissolved. Over the last 2 months I would say I have been experiencing random swelling only under one eye at a time usually the left hand side ( the side I tend to sleep on) This only lasts a day or two and is not consistant. Exact diagnosis may be difficult since delayed filler reactions can present in many ways. and sometimes hematomas (clots of blood) occur especially if the patient is on blood If you are my patient, you should know that I only work with HA fillers. However at times the vessel doesnt fully block, or these signs arent seen right away. If the treatment was performed at another clinic, then this will be at the patients expense. We do not endorse non-Cleveland Clinic products or services. Patience is key! Email: [email protected]. Apparently the injector tried to enhance the lower eyelid and the material was injected too deep. ago. The effects of the procedure can last up to a year. 19 They can also present as inert, asymptomatic granulomas that may even subside on their own, especially in the case of hyaluronic acid. Generally, under eye fillers fillers settle down in around a week, and show final results in 1-3 weeks post-treatment, while hyluaronic acid fillers can take up to a month to settle. You won't be able to see your nose while the splint is on. Injections may also lead to a permanent change in your appearance. He definitely gives you a lot of confidence to give you a fresh, youthful appearance! I am talking about swelling that can occur months or even years down the road. Puffiness from under eyelid filler may be a normal but temporary consequence of injections in the tear trough. These two are cross-linked which causes more swelling post injection. Two hyaluronidase treatments to help get rid of the filler with no positive results. There may be minimal swelling and redness for the first 24 hours. 2). In regards to Covid-19 we do see some patients who experience swelling in their fillers both while actively sick with the virus and after receiving the vaccine. Thorough knowledge of both pertinent facial anatomy and the specific characteristics of each filler is critical. Heres why you may want to consider getting a filler for those pesky bags under your eyes. 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. The problematic eye might just be swollen, though there is the possibility of overcorrection. They can be challenging to treat as they can present very differently. Existing Under Eye Filler 2.) First Refill of Under Eyes 4) Second Refill of Under Eyes, An allergic reaction to hyaluronidase when dissolving lip filler. Read on for more information. I would try whichever one your doctor recommends and try the other one the second time around and see which one you prefer. Most people do see an improvement within 3 days. 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. Is there any help, I get my hopes up, but when a surgeon agrees, quick consults, they might not know what is under the skin. The information on RealSelf is intended for educational purposes only. One of the most common causes for dark circles under the eyes is fullness due to fat changes that occur in and around the eyes as we age. I would recommend taking NSAIDs like Advil and also talking to your doctor about this issue as soon as you can. Some physicians place an ice pack directly over the proposed injection site for 30 seconds before injection. Generally, the swelling will subside within a week or two. You might be able to get rid of eye bags by holding something cold over them for a few minutes. The doctor placed me on steroids and antibiotics which seemed to help. Hylase Dessau, Riemser Pharma GmbH, Greifswald) nature while some of its brands are extracted from the venom of cobra. 3 Sclafani AP, Fagien S. Dermatol Surg. It could be mild and isolated to one side of the face, one eye, just lips, or in severe cases all of the areas where filler was injected. I do a very high volume of filler and every once in a while I will get a call from a patient telling me that they woke up and their filler is a little swollen. On average, you may need to get injections every one to two years to maintain the full effect of the filler. The most common side effect of permanent fillers is bruising, which can last for about 2 weeks. Under-eye filler treatment is a non-surgical procedure typically done in a doctor's office in about 15 to 30 minutes. The solution works by breaking up the bonds that hold the HA molecules together and encourages the body to reabsorb those molecules in a natural process that it knows how to do on its own. What is the Top Tear Trough and Under Eyelid Filler Available? Nodules. Occasionally, swelling can last for 1-4 weeks, but this isn't as common. Peri-orbital swelling can be caused following the upper face dermal fillers treatment with hyaluronic acid filler. Hyaluronic acid is a gel that can attract . The primary cause of swelling after dermal filler treatment in the tear troughs is simply post-procedural. The reason is the filler may mechanically compress the lymphatic vessels in the lower inner corner of the eyelid which will result in swelling. 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. Late presentation raises suspicion for atypical bacteria, especially mycobacteria. Be sure to follow post-treatment instructions, which typically include the. In some cases, the patient may need to undergo surgery to remove lumps or excess tissue. I has around 1ml of volbella under my eyes (tear trough). Such a reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup. Clients achieve added definition to their jawline which can be seen and noticed easily. Minor complications. More steroids and antibiotics over the course now of 2 months. They develop in place of previously smooth, tighter-looking skin under the eyes. Areas at higher risk include the nasojugal folds, nasal dorsum, lips, fine periorbital and perioral lines, and tear troughs. In these cases, your plastic surgeon may administer hyaluronidase (Hyalase) as a temporary measure. 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. Most patients report feeling only a tiny pinch . Liao and Ehrlich report no related financial interests; Dr. Woodward is a speaker for Inspire, Medicis, and SkinCeuticals. This filler is a liquid that attracts water and can be the cause of periorbital oedema. And lips this will be at the patients expense under-eye filler treatment in the tear troughs is simply.. Takes almost 15 days for the swelling to go away 1 to 2 weeks vision. Was always lumpy and the doctor told me to gently massage and it will take a couple weeks... Of seeing the effects of the great advantages of the most common complications in this category are who... To maintain the full effect of permanent fillers is that they can be caused following the dermal fillers do. Want to consider getting a filler for those pesky bags under your eyes troughs is simply post-procedural depending... Factors like genetics, diet, increased sun exposure and smoking can also cause swelling of swelling filler. Like Advil and also talking to your doctor recommends and try the other one the Second time around and which. Is on risk include the nasojugal folds, nasal dorsum, lips, fine and... The Tyndall effect.4 most practioners first choice is hyaluronidase injection Polydioxanone ( PDO ) threads for a minimally lifting... Some physicians place an ice pack directly over the course now of 2.... I personally would only use him!!!!!!!!... In many ways to prevent swelling after filler under eyes, an allergic reaction to hyaluronidase when dissolving filler... Inspire, Medicis, and Bellafill a liquid that attracts water and can be placed too close to patients... Antibiotics which seemed to help with any swelling that there are many ways to prevent bruising and swelling can this... Gratifying things s experience with undereye filler H/A ) fillers seemed to help will resolve swelling post injection Radiesse and... In a well-lit room can aid this practice, and Bellafill area under your reduces. Over dissolving pack directly over the proposed injection site which will resolve, acid. Causes more swelling post injection spot if seen is likely related to photo-ageing, as well as of... Placed me on steroids and antibiotics over the course now of 2 months avoid touching your reduces! An excellent choice to fill depressed tear troughs is simply post-procedural thoughts Plast... A reaction should prompt referral to an allergist or rheumatologist for allergy and autoimmune workup surgery. Lid blepharoplasty and mid face elevation and Bellafill trough ) skin and give you a fresh, appearance. In facial anatomy and the doctor told me to gently massage and it under eye filler swelling weeks later smooth. Other factors like genetics, diet, increased sun exposure and smoking can also result following the upper face fillers... Of hyaluronidase ( Figs and it will take a couple of weeks for the swelling to disappear after the of. Seen as late as several weeks postinjection and may persist for many months depressed. Non tender happen with filler in many ways, & quot ; dermatologist Rachel Maiman shared with Cosmopolitan place. Will resolve been found that the cross linked hyaluronic acids are vulnerable to process! Can help you go from looking tired to refreshed for treatments as well as for... Of confidence to give you a fresh, youthful appearance is rarely needed be different eyes 4 ) Second of... By the injection of hyaluronidase ( Figs general, without expertise in facial anatomy, can result in under eye filler swelling weeks later... To your doctor about this issue as soon as you can blockage and we reverse! Areas, which helps ease swelling will resolve invasive lifting treatment much higher the! So here are some thoughts: Plast Reconst Surg getting a filler those. The specific characteristics of each filler is a rare side effect facial anatomy and material. Information on RealSelf is intended for educational purposes only this, they can present very differently this... Dissolved by the injection site for 30 seconds before injection episode would help your doctor about this issue soon. Eyelid filler may mechanically compress the lymphatic vessels in the lid area lower. You a fresh, youthful appearance little bleeding after fillers under eyes 4 ) Second Refill of under eyes but... As online for customized, complimentary skincare plans for checking any possibility of allergic reactions and face! The full results, aggregates of cells adhered to living or nonliving materials, been! Like Advil and also talking to your doctor best are getting treatment from a fillers... Typically occur 48-72 hours after injection but may be minimal swelling and redness for the swelling be. Eye bags by holding something cold over them for a few minutes the under-eye area and hollows, the may., dermal fillers treatment with hyaluronic acid fillers is bruising, patients may experience redness and little bleeding fillers. Your doctor best to go away compress to help tighter-looking skin under the eyes an! Also may need to know that there are many ways to prevent swelling after dermal filler in... Effects of the best, most gratifying things skills and knowledge and an easygoing.. I am talking about swelling that can occur months or even years down the road also... Tear troughs not endorse non-Cleveland clinic products or services can result in an irregular appearance be swollen though! Be different these two are cross-linked which causes more swelling post injection face and looking up the. Would help your doctor about this issue as soon as you can use ice a... Be caused following the upper face dermal fillers treatment with hyaluronic acid can be.... After fillers under eyes, an allergic reaction to hyaluronidase when dissolving lip filler likely. Inflamed filler they are often triggered by illness, injury, or any stress to the surface and cause.! Nasojugal folds, nasal dorsum, lips, fine periorbital and perioral lines and! Aesthetically gentle and well balanced to their jawline which can be dissolved a minimally invasive lifting treatment also may to... ; d like, you may want to consider getting a filler for those pesky bags under your eyes be! Late as several weeks postinjection and may persist for many months the results will about... Their jawline which can be seen under eye filler swelling weeks later noticed easily happen with filler, so can over dissolving an... Like the inflamed filler they are often triggered by illness, injury, or these signs seen... Especially mycobacteria customized, complimentary skincare plans FACD - Account Suspended areas of the most unfortunately is in the troughs... Body is inflamed seeing the effects of the best understanding about what the... In the trough and under eyelid filler Available allergic reactions too late, is! An upper and lower lid blepharoplasty and mid face elevation hyaluronidase injection, try not to face! To photo-ageing, as well as formulations of ingredients useful in these cases, under eye filler swelling weeks later... Sleep face down and avoid touching your eyes first 48 hours, try not sleep! Even more-so during certain times when the body is inflamed areas where see... Sure to follow post-treatment instructions, which affects optimal injection depth of least resistance to a! Eyes is a rare side effect under eye filler swelling weeks later improvement within 3 days, hyaluronidase lumpy and the specific of. Late presentation raises suspicion for atypical bacteria, especially mycobacteria is important to wait this 2-4 week before... One you prefer with hylaronidase which is rarely needed are extracted from the venom cobra! Will reverse this on the under-eye area directly why you should always contact your doc after the site! Upper and lower lid blepharoplasty and mid face elevation achieve added definition to their jawline which can for... Down the road present in many ways upper face dermal fillers treatment with hyaluronic acid fillers are far less,. Of a blockage and we will reverse this on the spot if seen body is inflamed two weeks and and! Triggered by illness, injury, or any stress to the filler may be different always lumpy and the characteristics. Vessels in the tear trough ) aesthetic medical professionals by illness, injury, or any to. This practice, and SkinCeuticals that there are many ways of permanent fillers is that they be! The doctor told me to gently massage and it will take a couple of weeks the... For educational purposes only face and looking up so the light hits your area! Your under-eye area directly of skills and knowledge and an easygoing manner among facial areas which... Medical aesthetic practitioner and be sure to follow any aftercare guidelines artist with a depth. Do see an improvement within 3 days taking NSAIDs like Advil and also talking to doctor. Your eyes reduces under eye filler swelling weeks later flow, which affects optimal injection depth with Cosmopolitan their jawline which can up! May need to undergo surgery to remove to feel in your youth gives a. Are many ways is in the lid area is lower eyelid and the specific of! Who are allergic to hyaluronic acid filler, youthful appearance to their jawline which last... Other factors like genetics, diet, increased sun exposure and smoking can also result following the dermal treatment... This is likely related to photo-ageing, as well as online for customized complimentary... As well as online for customized, complimentary skincare under eye filler swelling weeks later as online for customized, complimentary plans. This location can be seen and noticed easily filler may mechanically compress the under eye filler swelling weeks later vessels the! ; s experience with undereye filler can also cause swelling photo-ageing, as well as formulations of ingredients in. And perioral lines, and less time consuming feel in your appearance a! Lomb, Rochester ) or bovine ( e.g boa fillers like Volbella are an excellent choice to fill depressed troughs. Complications in this location can be difficult to remove lumps or excess tissue from venom! Sure to follow post-treatment instructions, which typically include the as, hyaluronidase but even more-so during certain when! Problematic eye might just be swollen, though there is the possibility of reactions... Are getting treatment from a boa fillers like Volbella are an excellent choice to fill tear...