Tear Trough Lumps/Nodules
77 · · Last reply 🌐 繁中
Hi everyone, I'd like to ask the experts here, or anyone who has had a similar experience...
I had Princess hyaluronic acid filler injected into my tear troughs at a clinic, and now there are obvious hard lumps under my eyes. They look like two caterpillars, and when I smile it's incredibly stiff 😭
I thought getting hyaluronidase would fix it, but I went to two clinics to try dissolving it and the lumps still haven't gone away! The doctor told me it might be a capsule that has formed, or something to do with the product's properties, but I really don't want to carry these two blobs around for the rest of my life...
I'd like to ask everyone:
Has anyone had hyaluronic acid dissolving not work, and how did you finally get rid of it? (Surgical removal? Or some special laser?)
I'm begging for recommendations: authoritative doctors or clinics in the Greater Taipei area (or anywhere in Taiwan) who are good at fixing botched cosmetic procedures?
I break down every time I look in the mirror. Thank you all in advance for coming to my rescue! 🙏
3 Replies
Dr. Ta-Ju Liu · Board-certified dermatologist🌐 繁中 Doctor
Hello, I am Dr. Liu. I have encountered cases like this, and they are not uncommon.
Direct Answer: If hyaluronidase was injected twice without resolution, the next step is not to blindly inject more hyaluronidase, nor is it laser therapy. Instead, you need to use high-frequency ultrasound to clearly see what is inside before deciding on the treatment approach.
Possible Causes to Differentiate
When two caterpillar-like bumps appear under the eyes after tear trough Hyaluronic Acid (HA) fillers, and the stiffness worsens when smiling, common causes include:
1. Superficial placement
2. Product aggregation or migration
3. Swelling due to Hyaluronic Acid water absorption
4. Subsequent fibrosis or encapsulation
The skin around the eyes is inherently very thin, so even the slightest unevenness will be visibly prominent.
General Treatment Directions
- In some cases, residual Hyaluronic Acid is indeed still present, and they simply require more precise dissolution, possibly even Ultrasound-guided hyaluronidase injection.
- In other cases, the main problem is no longer the Hyaluronic Acid itself, but fibrosis, encapsulation, or a chronic inflammatory reaction. In such instances, hyaluronidase alone will have limited effectiveness.
- Lasers are usually not the primary treatment for this type of Hyaluronic Acid lump/nodule.
- First, determine whether it is residual Hyaluronic Acid, fibrosis, or other tissue issues, and then decide whether to proceed with precise dissolution, local medication, or Pinhole Extraction. This prevents you from heading in the wrong direction with subsequent treatments.
When to Seek Medical Attention Immediately
If the swelling, redness, heat, and pain under the eye rapidly worsen, if the skin turns pale or purplish, or if there are changes in vision, do not wait—seek medical attention immediately.
This online response is for general health education purposes and does not constitute a diagnosis, nor can it replace an in-person consultation and ultrasound examination.
Anonymous🌐 繁中
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Anonymous🌐 繁中
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