How Do You Manage Oedema After Tear Trough Filler?

[@why3453]

I extend my deepest gratitude to you! A week after undergoing the tear trough procedure, one of my patients experienced unexpected bruising under one eye and swelling under both eyes. The patient was understandably upset, and the situation was challenging. Fortunately, I stumbled upon your invaluable video, and I decided to follow your techniqu to address the concerns my patient was facing. The results were nothing short of miraculous! Within three days, the swelling subsided, and the bruising decreased significantly. I am immensely thankful for finding your video and learning from your expertise. Your guidance has made a remarkable difference for my patient, and I am genuinely relieved to have resolved the issue successfully. Once again, thank you for sharing your knowledge and making a positive impact on my professional life.

[@sarahdancemum5201]

I had a lump under my eye, and droopy looking swelling by my cheeks! Did the massage and it’s mad a massive difference! My undereye now looks really smooth! Great video/advice!

[@eliadvo]

the procedure starts at 6:45

[@Michelle-1123]

Thank you! Thank you! Thank you! And Thank you! I had the tear trough done a week ago and suddenly I have bags and lumps on one eye and alot of bruising on the other eye. I did your technique on the swollen lumpy side and it worked! It went down tremendously. I will work on it again tomorrow. I am so glad I found your video.

[@ashi8731]

Hi there I have same problem on one eye with swelling and it's been 1 week. I did this massage and the swelling has seem to gone down but my eye looks abit hollow and dark under where the swelling was. Did this happen with you?

[@Michelle-1123]

@ashi8731 yes, I have one eye that looks ok and the other looks hollow which is why I even did the tear trough. The person I went to had no experience. I probably would never do it again.

[@deborah3912]

Oh thank you sooo much! I'm almost 4 weeks out from my filler undereye injection. I have lumps and the plastic surgeon told me to just press on the lump....no results. I just finished with the message and already see the lumps being minimized. GOD bless you!!

[@Amaaaltu]

How is it going

[@pattyfeury5870]

I have a patient that has developed edema one month after having Volbella injected in the tear trough area to camouflage his bags. Patient had 0.2 cc under each eye succeeded making the patient happy. He is upset that he has swelling one month later does not want Hylenex injected will try the massage. Thank you for the time you take in doing the videos!

[@nimpfaelyn]

Hello ❤️ may I ask if the massage was helpful for your patient? I'm having Volbella in my tear trough as well and fear hyaluronidase a lot...

[@Amaaaltu]

@@nimpfaelynhow did it go im scared i might get this

[@nimpfaelyn]

@@Amaaaltu hey ☺️ I did PRP instead of hyaluronidase. It actually helped flushing my lymphatics and reducing the odema a lot. Don't do hyaluronidase unless you have a necrosis caused by ha filler

[@2cents859]

This massage was so helpful… I have severe swelling after a PCL Product using iniblanc technique and whole face is swollen but one eyes was more puffy than the other and it definitely helped thanks doc !

[@obibioaestheticinstitute9841]

Great idea and one I have used as a variation for treatment of periorbital edema post filler complications. I have had patients referred to me for treatment of complications after having had their tear troughs injected. Lymphatic drainage is very helpful along with a pressure dressing to the lower lids when the patient is to be supine (sleeping) to lessen the postural edema. Hydrafacial's lymphatic drainage handpiece has been a very helpful tool (adjust the suction setting to avoid being too rough). Massaging down into the lymph nodes in the preauricular area, mastoid, and down the neck into the lymph nodes in the clavicle area will help, too. Thank you for your helpful video - I will surely send people to view your presentation!!!!

[@nurjulau]

What an excellent explanation ! Thank you Dr Tim !

[@LePetitChatNoir79]

You made me feel loads better! Thank you so much for this. 😊

[@michellelafleur7162]

Great video. Thank you for all the information. How is lymphedema treated? Under eye filler was dissolved twice, but I still have swelling.

[@ramonarolando7026]

Thank you so soooo much for the massage advice!!!! Incredible!!! The bags were horrible after filler (5 days ago) so bad i was looking at blepharoplasty to remove them(which scares me to death :) i massaged as you instructed and they're gone! I can't believe it! Thank you!!!

[@iulianavasnic9514]

The massage is a very good advice

[@jennifersalerno3279]

We had a pt that needed tear trough filler and cheek support. She had a very low grade need for cheek support and wanted to just have tear trough filler ( budget/ priority choice). Restylane 0.5 each side was adm with a cannula. She previous to the procedure had no noticeable malar bag. However after her malar bag became pronounced and heavy. We used hyaluronidase and massaged. She continued to have the noticeable malar bag. I then went and provided cheek support (supraperiosteal). She continued to have the the malar bag heaviness. Everything improved it slightly. But it was still visible, pt and practitioner frustrated. The tear trough filler was performed by a less experienced injector , however corrections by long term experienced injector. Thoughts?

[@PhuongNguyen-sj9ti]

Thank you for such an information. Can I ask you which size of Cannula did you choose to treat tear trough?

[@danelleDNP9999]

Tried this, firm massage 1 year after filler in trough last night and woke with increase peri orbital edema

[@tracy9397]

Thank you so much for this. I've been searching all over the Internet for what to do and haven't found anything. It's been a week and I have a couple of lumps. I'll give it one more week and try this if it doesn't go down.

[@lilyvonshtuup]

Hi Tracy-did this work for you lovely ?

[@deborahh3861]

Excellent tips. Thanks!!

[@bengtsson0019]

Wow 4 years and I have had this problem. Will be trying this technique. Thank you.

[@rondaletchk3803]

You could've gotten them dissolved

[@kristianps2433]

Did it work?

[@htc2817]

@@rondaletchk3803dissolving doesn’t always work. I had it before dissolution and I still have it more than a month after 😢😢

[@lahoppstress]

Dr Pearce- your tear troughs look amazing, have you had the procedure done yourself?

[@melindachisholm6418]

I have had NOTHING but trouble with my experience! Every time I go back he adds more! Thinking it is not full enough... then I get another issue. This has gone on for 3 months! I’m done with this! He did my cheeks because he said he does not do eyes without doing cheeks for balance! I had awesome cheeks! I think the raising of my cheekbones made me require more filler in eyes! This has been a 5000 dollar deal! I went in there just wanting tear troughs filled and tweaked and I have had my pocket book busted and NOT happy! What do ya do?

[@maximilianc9897]

The green reflection on your left eye was so cool. It looked as though it was deliberate...like you’d call yourself the cyborg doctor !

[@pankajthakrar1679]

Brilliant, thanks Tim

[@edcubberly8907]

When should the massage be started ? Massage for 3-5 minutes. How often ? Sorry, if I missed this on your video. Thanks !

[@debraorr3716]

Hi over the last 2 years I've been removing my under eye fillers. I did laxer on the upper and lower eyelids. Proceedure was extremely painful and not very successful. I waited 4 months before I refilled below my eyes. Immediately they bruised extremely bad. They were bruised and swollen for more than a week. Tomorrow is 2 weeks and now I have 2 massive large lumps directly below the eyes. I'm so stressed about this, I look actually worse now. The doctor I go too comes to Dubai once a month so now I have to wait for him to return. In the meantime what can I do to help with the weird puffy lumps. 🙏🙏🙏

[@TODOMATIO]

Same!!! Can you please let me know what have happened? How did this ordeal end?

[@donnakrutzmoorefilmhmua1364]

Very helpful!! Thank You!!!

[@cordeliaelliott7766]

I've been told to massage mine upwards now I'm really confused after watching this but upwards seems to be working

[@WanderlustButterfly]

What is the Dr referring to at 9 min and 10 seconds? Higher lasers? I'm having trouble understanding. Thank you.

[@RoyalNorthern251]

Hi. Loving the information. Can Hyalase 2 years post tear trough?

[@sky-du9tg]

Can this oedema caused by lumi eyes? If yes then wt to do for this?

[@MsVickie2012]

I would never get filler again. When I was doing research all I heard was the good things. After I got them I looked like a had bags under my eyes and I’m glad time has passed and it’s about gone now. I was too scared to get it dissolved. Heard too many horror stories about the entire process. I just waited it out but I’ll try massaging it to totally get rid of it

[@veggiechica]

Ms.Vickie2012, can you tell me how long it took for the bags under the eyes to go away, and if you massaged them? Did you have a lot of bruising? if so, how long did it take to heal?

[@MsVickie2012]

@@veggiechica Hi, I had under eye fillers 2 years ago and they are just now going away. I haven’t done this technique. To be fair, the fillers only looked bad in certain lighting but in the sun it looked okay. I’d just never get them again. When I initially got them it didn’t take long to heal, few days. I just didn’t like how they looked after. But if you just got yours done you may have a better experience than I did. Hope all works out for you

[@veggiechica]

@@MsVickie2012 so far, all I see is bruises and it’s been 3 weeks. My right under eye has a small lump and that’s the reason I asked you… I hope it goes away with time, I don’t want to get injected again, this is it for me… I may have discoloration too but it’s still yellow from the bruising

[@MsVickie2012]

@@veggiechica from what I’ve heard through different blogs is that others have experienced that too. It’s a side effect but goes away. Everyone is different. Realself is a good site to go to. A lot of feedback for different procedures.

[@unknown.0000bv]

Hi Dr Tim I had inner corners of my tear trough done over 2 years ago the injector informed me she would bring me back 1 week later to do outer tear trough (which I thought was odd) the day after I had a black eye and was extremely swollen unfortunately any messages I sent were ignored, the black eye healed but I have swelling in the area she injected the filler i have been told it was possibly a heavy filler and injected superficially so its carring fluid/water... So I would like to know if getting it dissolved would help and is there any dangers with doing so? many thanks 😊

[@ellieco9174]

I had my upper lid hollowing filled 2 days ago and this morning I woke up with a lot of oedema on the upper lids! I'm hoping it goes down!

[@DrTimPearce]

Tricky procedure, I hope it settled for you.

[@Ma-dd3xn]

Can tyndall effect be massaged away like this too?

[@angie1412]

Thank you xx!

[@capellihairextsny]

When is it the best time to remove filler if it’s making your eye swollen but got rha 4 in outer orbital rim a over a week ago

[@chantellep2641]

How often a day would you massage the area ?

[@KC__1997]

Thanks so much for this information. Mine swells immediately. I massage then ice. It takes a few days to get the final goal.

[@valentinax209]

great advice!

[@rajamaher2065]

Thank you so much for your information in did very helpful thank you 🙏

[@UCHIHA_CHARIZARD]

Hello doctor M from india My eye filler accoeomg to।doctor is migrated My eyea are puffy now Pls tell what should i do to get rid of it

[@zxresa]

Would this work for puffy eyes please?

[@jessicasonnier2168]

When you do this is the filler moving down too?

[@afsheenvalliani3933]

If fillers gone wrong at least one year back on lips and cause in symmetric what can be done and not even dissolved after Hyaluronidase?

[@veelook4932]

Hi. Thank you for your video! question...Is there any chance that you can move your filler down and make the bags/puffiness worse when you do the massage?

[@DrTimPearce]

yes that could happen- cheek skin is 10 x thicker than the lower lid so it's less likely to show through.

[@lisaboxell670]

Will it cause the filler to migrate down if its cheek filler blocking your lymphatic system?

[@ashi8731]

Hi there I have swelling under one eye and it's been 1 week. I did this massage and the swelling has seem to gone down but my eye looks abit hollow and dark under where the swelling was, why has this happened could it be less filler?

[@lashtribe]

What about plasma under the eye? Does this work the same?😊

[@DrTimPearce]

Prp or prf are a fabulous alternative. However they won’t create much volume. More of an improvement in colour and texture. Kind regards Mary. Clinical advisor for Dr Tim

[@mikagraves5515]

Hello, I’m wondering if what I have had done has gone wrong? I had filled Put in the tear trough 5 months ago, one side puffed the skin along malar bone area and the skin was looking very crapey. So a bout 3 weeks to a month, the doctor the dissolving enzyme in that spot. Unfortunately, it’s dessolved all of the filler on the left eye. So a couple weeks later she did a touch up. It seemed to settle ok, but what I was noticing is the condition of the skin under my eyes had gone really wrinkly. So 3 weeks ago now I had PRF done under my eyes and now I am suffering from major blue bags well after the initial swelling has gone down. The weird thing is that I can feel this heavy sensation now along both sides of my nose, in my cheeks. It’s hard to describe the feeling, almost like a tingling, but heavy as well. The fat pads seem very dark and swollen and I just don’t know what steps to take to resolve this? Im having a very difficult time even leaving my house at the moment. Please guide me in the right direction and is this now fogging to be permanent damage to my tear through through area? Thank you kindly

[@msnzbody3712]

Thank you❤

[@MsBRETTB]

I'm going to do that massage as well! How do you know if too much filler was placed?

[@DrTimPearce]

you can sometimes shift it into the cheek, or it's time to reverse it.

[@MsBRETTB]

@@DrTimPearce Thank you, I ended up seeing a plastic surgeon and had him dissolve it. Looks like there is some left, I was SO overfilled!!!

[@LauraFlanagan-h6s]

I have puffy eye bags after redensity 1 skin booster 2mobyhs after, can this be dissolved?

[@tessala272]

Thank you very much

[@dominiquew.8181]

I had Prf under eyes and I am swollen and it is very noticeable.how long will it last? I had. Hydro facial the next day as soon as it got swollen to do a lymphatic massage there. Got a little better but still swollen.

[@maryannhumphrey2248]

Hi i had fat transfer under my eyes 5 weeks ago . I still have swollen puffy under my eyes . Please help ive been told its water retention and will have a better result . How long will the swelling last

[@lisaboxell670]

I had cheek filler for the first time a couple weeks ago as well as masseter botox. Now my right cheek has edema and looks like a chipmunk. Do you know if its the voluma or the botox? Could one be blocking my lymphatic system?

[@Miriam-ul4ke]

What happens when you have Tyndall blue and no swelling?

[@TODOMATIO]

This means it needs to be dissolved immediately, you got vein occlusion!

[@mirtagriggs]

I’m assuming it the hylenex because it did get hollow under the eye

[@TheDruffne]

My last filler with redensity 2 lead to intense swelling and extremely puffy eyes. I did already 3 Hylase Sessions and can still see some swelling. Can it be that the swelling will stay forever?

[@Blkbeautee]

Thank you, I will try massaging. I have had my filler under one eye for 6 months and I hate it. I just found out about dissolving it and if this massage technique doesn't work I will get my one eye dissolved.

[@Blkbeautee]

@ayokilaza NO...lol

[@user-pi5zx7nv7g]

Hello Dr., Around 5 months after I had gotten my lip fillers done (for the 2nd time), I woke up at 3 am with extremely swollen, hot lips, it was painful. Is it possible to have an allergic reaction to the hyaluronic acid filler, 5 months post treatment? And why didn’t I have this experience after my first treatment? I‘ve seen doctors who diagnosed me with a general Quincke's oedema and urticaria (hives). I haven’t told them about my filler, since I had gotten them over 5 months prior to the oedema and didn’t think it was necessarily relevant to that situation. Is there a possibility to contact you via e-mail to explain more of the medical details? I would really want to get my lip fillers re-done, but I‘m afraid I could get a bad reaction again. When I remove a pimple on my face, the area swells up disproportionately too (areas where I haven’t gotten any filler). I don’t know what to do.

[@OliviamZ94]

This has happened to me too, it is very scary and unpredictable. I take benadryl and it goes down slowly, but it is frustrating not knowing WHY it happens.

[@loverics4906]

Do you charge them to reverse it in a case like this?

[@DrTimPearce]

If the filler placed by one of us we wouldn’t charge. But we would charge for dissolving someone else’s work. We always recommend they return to their own practitioner first of all. Kind regards Mary. Clinical advisor for Dr Tim

[@Geosoberdiaries]

Hi Tim, I got cheek filler 4 days ago, my right side is still quite swollen Especially under my eye, it’s not sure but just super puffy compared the the other side! do you have any advice for this? Thanks

[@DrTimPearce]

It could be post procedural swelling but if it's getting worse from now you definitely need a review, if it's not improving by tomorrow same advice would apply. By four days benign things should have peaked.

[@jenniferstearns1491]

Thank you for the information. You mention Hyaluronidase as a last resort treatment, what treatment would you recommend for non HA filler like Artefill if massage is not effective? If the edema is slight to moderate is there a way to camouflage/blend into the cheek using a different filler?

[@tracy9397]

You had artefill done under your eyes??! I've always,heard that's a big no!

[@kitkat7491]

Water tablets help but not great long term

[@davidmitchell5365]

Thanks

[@mirtagriggs]

I dissolved my 3yr old versa filler and now 3 days later it’s puffy after dissolving 8:57

[@stephenwellington4184]

Cool video!!!!!👍🏻

[@UCHIHA_CHARIZARD]

Hello doctor

[@msnzbody3712]

Is there any correlation between swelling and how deep the filler was injected?

[@DrTimPearce]

Yes. The more superficial the filler the more swelling will occurs. Tear trough needs to be placed strictly deep. Kind regards Mary. Clinical advisor for Dr Tim

[@coptarors9635]

@@DrTimPearceI tried needle deep on preperiosteal layer but the needle went in just approximately 1 mm and it already touched to bone and immediately after the procedure the patient periorbital area was marked swelling, the question is Is this considered superficial even though I got to the bone? Ps.I used high G prime filler here I’m now really scared that it will not resolve on its own due to the filler attracts water This is 1 day post-procedure, I need to wait atleast 2 weeks right Dr.Tim?

[@inghamschick]

I have hard lumps is this normal

[@sky-du9tg]

Do u still hv?

[@suzannesaidso3079]

I am getting sea sick watching this bloke

[@pietime3554]

Omg your so handsome! 😍

[@amybelovedtree]

Right

[@lilmar1710]

Debbie it’s so quiet

[@123arcadia]

Tangents

[@Lovebug-ut8mx]

3

[@Loveluvlashes]

❤

[@salwamohd9762]

Why you talking more than doing practice!!

[@debbieg8260]

most annoying video - you keep moving around and the camera is shaking the whole time!!!

[@unknown.0000bv]

that's so rude Dr Tim is so informative and gives great advice! if your eyes cant take movements dont watch 🤦‍♀️

[@sarahtomlinson74]

It’s not a film all you need to do is listen to him

[@redvelvet4340]

doc how to contact you please.... 😟😟😟

[@DrTimPearce]

Hi Ate. How can we help. Kind regards Mary. Clinical advisor for Dr Tim