Medical Case Reports
Evidence of successful resolution · Includes medical extraction photos
5 cases
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Video Cases
1-Pinhole Minimally Invasive Removal
Two Dissolver Injections Failed? These "Fake Eye Bags" Were Encapsulated HA
This patient endured two years of visible under-eye lumps resembling heavy eye bags. Two dissolver injections were completely ineffective. Upon examination, the HA filler had formed a hard capsule — the body built a wall around the foreign material, making enzymatic dissolution impossible. Using our micro-pinhole extraction technique, we precisely removed the encapsulated filler while navigating the complex periorbital vasculature, restoring smooth under-eye contours.
Caught It! The "Caterpillar" Under the Eye
This stubborn Ellansé nodule had been hiding under the eye for six months. No surgery needed — just a single pinhole to aspirate it out. One month follow-up showed excellent recovery: completely smooth, no indentation or skin laxity. The hardest part of extraction repair isn't the technique — it's giving patients peace of mind that removal won't cause disfigurement.
That "Bump" Under the Eye Stayed for Three Years
This patient had a visible lump under her eye for three years with an unnatural white tint. She didn't even know what material was injected. The tear trough is one of the most challenging areas in aesthetic medicine — collagen stimulators labeled as unsuitable for periorbital use are sometimes marketed as "tear trough solutions." These non-degradable nodules can appear months or even years later and won't dissolve on their own. Using our micro-pinhole technique, we precisely removed the stubborn nodule without damaging surrounding tissue, restoring natural under-eye contours.
Permanent Filler Can Be Removed! Aquamid Migration Extraction Record
This case reveals two critical facts often overlooked. First, permanent fillers can be extracted. Aquamid injected 15 years ago shows as a classic "pseudocyst pool" on ultrasound with zero degradation. Using high-resolution ultrasound guidance and micro-pinhole technique, we safely extracted it in segments without traditional wide-incision surgery. Second, fillers migrate. Imaging clearly shows this permanent material didn't stay in the nasolabial folds — it migrated upward toward the nasal ala and downward toward the marionette lines, driven by years of gravity and facial muscle activity. This explains why some patients feel their face "looks increasingly off" without being able to pinpoint why.
Those Two "Caterpillars" Under Your Eyes Aren't What You Think
And please — stop massaging it yourself. This 45-year-old patient had collagen stimulator injected under her eyes years ago. Initially fine, but lumps and bumps gradually appeared. Someone suggested filling the adjacent depression with HA to camouflage the bumps. Mixing different materials only made things worse. Then came the worst part: she thought daily vigorous massage would break it up. Instead, the small nodules grew into two prominent ridges she couldn't hide — even smiling made them worse. Ultrasound told the whole story. The subcutaneous structure was completely disrupted. At scan point #2, a bright, stone-hard nodule — a classic granulomatous reaction. No amount of massage can dissolve a stone. You're just stimulating more inflammation. We treated this under ultrasound guidance — like driving with GPS. Visualizing vessels, nerves, and nodule positions precisely, then using micro-pinhole technique to methodically remove the stubborn material. Safety above all. The rule for collagen stimulator complications: once nodules form, never massage. More stimulation means more inflammation and larger nodules. Let a specialist assess with ultrasound — don't try to fix it at home.
The information on this website is for educational purposes only and does not constitute medical advice. Individual results may vary depending on personal conditions; actual outcomes cannot be guaranteed. All medical procedures carry potential risks and complications. Please consult a qualified physician before making any treatment decisions.