Malar Edema After Filler

Should I Have Injectable Fillers After A Cheek Lift? Q: Dr. This translates to an injectable solution that is attainable for increasing numbers of patients who want sustained age-defying benefits without downtime at a fraction of the cost of other fillers or surgery. These are the redundant folds of the loose skin, fat, muscle or fluid that appear at the lower eyelid-cheek interface. In some others, even a little amount of dermal filler can lead to constant peri-orbital or malar edema which may last longer than effects of the filler, itself. Scar maturation is complete about 12 months after the surgery. com Before After HA Complications of HA filler treatment are rare, but do occur These guidelines may help guide clinicians to recognize and treat potential complications. Dermal fillers typically add volume, but, like fat grafting, they cannot add sharp lines and definition that lasts too long after the initial injection. Eyelid surgery, or blepharoplasty, is an operation that corrects drooping eyelids as well as the bags and bulges. If angioedema occurs after a substantial period of time from the treatment (eg, months after lip augmentation), it may be due to an acquired angioedema rather than a reaction to the filler itself. 0 degrees F, shortness of breath, sore throat, loss of smell or taste, extreme fatigue, chills or shivering, muscle aches recent onset of headaches, cough, or have been recently exposed to someone diagnosed with COVID-19, please see a primary care doctor to be evaluated for a. Other reported symptoms after using dermal fillers include occasional nodules, lumps, visible material, and malar edema. The technique approaches midface rejuvenation with reference to both the bony skeleton and the medial malar fat compartment. Most of the swelling is gone by 1-2 weeks. The patient presented two more times with the same complaint, at 4 and 18 months after initial injection, and was successfully treated. - There may be different incisions depending on the technique applied, but they do not cause a noticeable scar in the cheek bone area. Malar Implants. 5 min) after injection. This should subside within a day or so. After the procedure, slight hyperemia and edema are possible, which do not pose a danger and wear off in 1-3 days. ” It refers to swelling in the area around the eyes, known as the eye orbit. At OFAA, our mission is to make you more confident in delivering filler treatments. Swelling after the procedure usually peaks 1-2 days later. After the procedure you may experience mild to moderate soreness. Blindness After Facial Filler Injections: The Role of Extravascular Hyaluronidase on Intravascular Hyaluronic Acid Embolism in the Rabbit Experimental Model. Results: 22 patients were enrolled in the study. Use a coolpack to reduce the swelling. Facial Fat Transfer Mexico - Board certified plastic surgeons in Mexico offering world class services at affordable prices. Hair dye allergy can cause immediately after application or within 48 hours, which causes contact dermatitis it may vary from mild to severe reactions mild reaction includes redness of the skin, itching, swelling, followed by rashes, and even blisters. Algeness® LD 1% provides a safe, effective, and immediate solution. Malar edema is also known by the name malar bags or festoons. smooth gel injection reduces the risk of post-injection edema and bruises fast recovery after the procedure Bonetta Deep is ideal for correction of moderately pronounced and deep wrinkles, as well as facial contouring and lip augmentation. Complications: Early Onset. Permanent Fillers Autologous Fat - The original filler Silicone - Controversial Polymethylmethacrylate (PMMA, Plexiglas, Lucite, acrylic glass) • Used in bone cement, lenses, dental work, pacemakers • Bellafill (2015, Artefill 2003) correction of nasolabial folds (Artecoll in Europe) –Microspheres (30 - 42 mm ) in 3. It is a very common problem and many people develop malar edema simply as a feature of facial aging. The phenomenon of malar edema can be explained by an understanding of the anatomy of the lower eyelid. Most fillers contain hyaluronic acid (HA) or polymethylmethacrylate (PMMA) to plump the face. After your Revanesse Versa treatment, you should be able to return to your normal daily activities with no downtime required. Botox starts working after a few days, and has its maximal effect after a couple of weeks. Because the mini facelift is less invasive and requires less downtime than the traditional facelift, the mini facelift is often referred to as a. That being said, we can consider options such as what we do in our practice, if you can treat underlying allergies, sinuses or the smoker to stop smoking, you can get some improvements with the malar edema or malar festoons. Start studying JCD Cosmetics - Botox/Injectable Fillers/Liposculpting. A year goes after a year. The filler is injected into the middle and deep dermis layers. Whether Dr. Use a coolpack to reduce the swelling. Firmer gels have a higher elastic modulus (G’) and may be more likely to cause malar edema, such as Perlane, Restylane, and Juvederm Voluma. Usually injectable fillers such as Restylane can in certain cases causes more swelling by the virtue of the fact that hyaluronic acid is very hydrophilic. Loss of cheek volume causes an aged, tired appearance and implants can restore this volume. The adipose-derived stem cells were abstracted and injected into the damaged area on the nose tip. However, it must be noted that a hyaluronidase injection may also dissolve injected hyaluronic acid fillers and may therefore negatively affect tear-trough augmentations. Early-onset complications are those that occur within the first two weeks after the injection. The cheek harbors the lymphatic that drains swelling from the undereye area. However, Versa is praised for causing considerably less swelling when compared to other dermal fillers. This causes the condition to worsen. Malar implants are specially designed prosthetics made of silastic, a firm silicone rubber that is used in a variety of medical applications. Although many patients describe enjoying a nice glow after the sun, it is not recommended by ANY plastic surgeons or dermatologists. The visible effects of the treatment last for approximately six to nine months after one procedure. After cheek filler I developed Malar mounds. Cold compresses may be used immediately after treatment to reduce swelling. Injectable fillers can:. After your Surgery It is very common for patients to have an exaggerated appearance after the procedure and have the appearance of a chipmunk due to significant swelling. A 25-yr old woman who had a filler (Artecoll; Artes Medical, San Diego, California) injected into her forehead and nose. The results from RADIESSE® are visible almost immediately after treatment and can last up to a year or more for many patients. How to Reduce Swelling After Lip Injections. Complications: Early Onset. - Swelling (even if just a bit) is observed; however, no significant bruise occurs. So we’ve removed extra skin by making a small incision and tightening the lower lid. These are useful for filling areas of thin skin like the lower eyelids. In addition, we do employ the use of fillers as well as platelet-rich plasma. The filler is injected into the middle and deep dermis layers. But what causes periorbital edema and how might it be treated?. Malar Implants. A 50-year-old woman with lid edema following HA-filler injection (E) before and (F) one week after the injection of 0. They help highlight the midface, promote youthful appearance and aesthetically beautiful. Swelling and bruising can often give the appearance of an ‘uneven’ treatment, but this will be assessed at your 14-day post treatment review. - Swells and bruises may last for a period up to 5-10 days. This happens because of multiple reasons 1. Based on the time elapsing from the HA injection and the appearance of the complication, lower eyelid edema can be differentiated between 2 different forms. Dr Tim Pearce discusses how to manage oedema administering after tear trough filler. Occasionally filler, especially those with higher water-binding capacity, may prompt or worsen malar edema in some, such as those who have had previous periorbital surgery or trauma and may have disrupted lymphatics. Extra icing can definitely help. Festoons and malar mounds can also become much more noticeable after having fillers placed in the face. Swelling is normal and responds well to a cool compress, head elevation, and light activity. Malar edema is a serious and long-lasting complication that has been reported with all fillers when injected into the infraorbital hollow and tear. There are many synthetic filler products in the market. FBGs appear on imaging months to years after filler injection. So we’ve removed extra skin by making a small incision and tightening the lower lid. Check out the results from Dr. Make sure you are receiving FDA approved cosmetic fillers which are make according to authorized guidelines to avoid. These are all typically short-lived; soreness will usually resolve by the day after the procedure, and swelling should be minor and only last for a few days. -Volume of injected material: excessive volumes. Dec 8, 2020 - If you suffer from under eye bags or dark circles under your eyes, don't settle for unnatural results like fillers or other surgical procedures. Malar edema is also known by the name malar bags or festoons. Injectable fillers can:. Know more about its cost/ price, doctor's profile, clinic/ center address, review, before after photos, video, risk & recovery time, patient testimonials etc. In some others, even a little amount of dermal filler can lead to constant peri-orbital or malar edema which may last longer than effects of the filler, itself. They worsen with smiling and lessen when you lie flat. In June 2019, her bilateral malar cheeks were treated with Juvéderm Voluma. The maximal swelling after any surgery is typically 2 days after a procedure. Cheek implants are sized in accordance to your other features to add volume and definition to the face. Cruise, extreme cases can cause problems with peripheral vision. Immediately after surgery, the face will be fitted with bandages, taped, or otherwise secured in order to speed the recovery process and to reduce swelling. Edema can occur anywhere treatment is performed; however, the areas of the face that specifically appear to be prone to swelling are the lips, periorbital region, and malar region. HA fillers are hydrophilic meaning they attract water after they are placed in the body. Unlike puffy eyelids, malar bags are puffy due to the eyelid fat that is stored under the eyelid and is permanent. Lip fillers – add extra volume and plumpness to lips. Festoons and malar mounds can also become much more noticeable after having fillers placed in the face. The patient was diagnosed with a probable bacterial infection and the dermatologist recommended the patient receive antibiotics before any more fillers. Curr Opin Ophthalmol. The longevity of your Juvederm treatment will also greatly depend on which areas of the face are injected. 1055/b-0040-178128 Chapter 10 Filler Injection of the Malar and Zygomatic Regions Introduction A young and attractive face is characterized by a well-contoured and convex malar region. Over time, skeletal changes, fat loss and collagen depletetion will flatten the malar area of the cheeks. 5 ml (75 IU) of hyaluronidase into each lower eyelid. Dermal fillers typically add volume, but, like fat grafting, they cannot add sharp lines and definition that lasts too long after the initial injection. Patients are generally able to return to work the very same day and resume exercise and other strenuous activities the following day. Answer: Malar Edema after Filler It sounds like the filler exacerbated this are of the face and it is easily fixed by having Hyalurnoidase injected into the area. Walker, MD, Atlanta Facial Plastic Surgeon. However, malar edema is also a known complication of facial aesthetic procedures, especially facial fillers used in the under eye and cheek region. These are the redundant folds of the loose skin, fat, muscle or fluid that appear at the lower eyelid-cheek interface. Malar edema is a particularly serious complication that has been frequently reported with all fillers when injected into the infraorbital hollow and tear troughs. While there are many other methods used to emphasize cheekbones, there are advantages to using implants over a fat transfer, injectable fillers, and other lifting methods. Cheek augmentation with a dermal filler can last 6 months to a few years, depending on the product chosen. 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. Three weeks later, the patient came back to us with a complaint of a soft tissue swelling, involving the areas where the filler was injected [Figure 3]. According to Allergan’s clinical studies on the eye area, 59% of subjects were rated by investigators at Day 30 as having none or only mild wrinkles. Most of the swelling is gone by 1-2 weeks. In some others, even a little amount of dermal filler can lead to constant peri-orbital or malar edema which may last longer than effects of the filler, itself. Much like Juvederm and other HA fillers, post injection you may experience slight swelling, tenderness, bruising, firmness, lumps/bumps, redness, pain, discoloration, and itching to the injection site. These side effects tend to be mild to moderate, and subside within a week after treatment. Face swelling that occurs alongside other symptoms, such as breathing. Three weeks after surgery, you can resume all your activities, including sports. The final design had 5mm orbital rim height and about 2mm cheek projection. usual complications such as swelling by overcorrection, nodules and edema by compression of lymphatic system. And most commonly treated with women, And most commonly treated with women, Cindy Jackson has performed thousands of Botox between the state of Florida on Careerjet. Festoons are generally defined as "a curtain of fabric draped and bound at intervals to form graceful curves". This translates to an injectable solution that is attainable for increasing numbers of patients who want sustained age-defying benefits without downtime at a fraction of the cost of other fillers or surgery. Other less common side effects can consist of discomfort and pain after the injections have taken place. It is not limited to older patients, as many individuals inherit a predisposition toward development of fat pouches […]. Extra icing can definitely help. Non-surgical alternatives include the use of facial fillers, which are usually temporary. -Volume of injected material: excessive volumes. Well, I had the cheek lift, and while it made some major improvements, I still have some sagging. According to Allergan’s clinical studies on the eye area, 59% of subjects were rated by investigators at Day 30 as having none or only mild wrinkles. Periorbital edema is the proper term for “puffy eyes. This is the before and after of a patient we did a subciliary approach lower blepharoplasty. Cheek Augmentation & Malar Implants Procedures Toronto IT IS ALL ABOUT FACIAL VOLUME AS WE AGE. Malar Rash & Red Eye Symptom Checker: Possible causes include Rosacea. Most patients choose to have a follow up treatment 6-12 months after initial treatment for wrinkles. Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. Although they have an excellent safety profile, filler-related issues such as visibility/palpability, contour abnormalities, malar edema, and blue-gray dyschromia can occur. See full list on zwivel. Management of persistent, defined as greater than one-month duration, malar persistent, recurrent swelling two months after HA filler injection [9]. Using similar techniques to a facelift surgery,the targeted areas for sagging skin are around your cheeks, jawline, and forehead. On imaging, they are evenly sized, appear harder and whiter than granulomas, and remain stable over time. Festoons, also called cheek festoons, eyelid festoons or malar festoons, are pockets of swelling that usually form on the upper cheeks where they meet the thin skin of the eyelids. Certain fillers are more hydrophilic than others. HA fillers are hydrophilic meaning they attract water after they are placed in the body. 5 mL for each nasolabial fold with a threading technique. The adipose-derived stem cells were abstracted and injected into the damaged area on the nose tip. If angioedema occurs after a substantial period of time from the treatment (eg, months after lip augmentation), it may be due to an acquired angioedema rather than a reaction to the filler itself. Patients are advised to stay away from direct sunlight, saunas, and stream rooms for 48 hours after the procedure. No nursing care is required. After the treatment, the treated area may be somewhat red and swollen. For dermal fillers in general malar edema that is long-lasting responds poorly to treatment and experts recommend prevention (selecting patient and filler, limiting filler volume, placing the product deep). Cheek Filler Why may we need cheek filler? Cheek fillers – what’s all the fuss about? As we get older, one of the most noticeable facial changes is the loss of volume in the cheek area as the malar fat pads separate and move down under the force of gravity. We have resumed seeing patients and performing surgeries. However, malar edema is also a known complication of facial aesthetic procedures, especially facial fillers used in the under eye and cheek region. Now we have the autologous fat fillers too which are non allergic, giving beautiful results. The phenomenon of malar edema can be explained by an understanding of the anatomy of the lower eyelid. Hyaluronic Acid Fillers—an Algorithm-based Approach Snozzi & van Loghem (2018) 10. Use a coolpack to reduce the swelling. A few years later, in the area of the orbital bones a second line appears. The swelling is really really severe, more severe than Restylane Sub-Q and much more than Juvederm Voluma. After the procedure, slight hyperemia and edema are possible, which do not pose a danger and wear off in 1-3 days. Some patients reported the peri-orbital swelling and diplopia following the fillers treatment with hyaluronic acid based dermal fillers. To help alleviate swelling, we recommend an antihistamine during the day, such as Zyrtec or Claritin, and Benadryl. The time it will take for you to see your final results varies depending on which filler you choose for treatment. After your Chicago RADIESSE treatment session, you may experience mild tenderness, itching, swelling or bruising at the injection site, although these typically resolve on their own within a few days. The first is that fillers placed in the face can generally cause swelling to occur in the face, and some of this swelling can find its way into the area of the festoon. Malar edema is an adverse event arising from filler injections of the central midface to correct the infraorbital hollow and tear trough. Patients are advised to stay away from direct sunlight, saunas, and stream rooms for 48 hours after the procedure. This means that there is less of a chance of an allergic reaction than there is for other fillers. For example, many physicians avoid Juvederm in the periocular area, as its hydrophilicity can lead to significant fluid attraction and periocular edema. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Cheek Filler Why may we need cheek filler? Cheek fillers – what’s all the fuss about? As we get older, one of the most noticeable facial changes is the loss of volume in the cheek area as the malar fat pads separate and move down under the force of gravity. These last 3 products use proprie-. 33(3):421-30. If the doctor injures a little vein, you will have a small bruise in that area for a week or so. Recognition and management of filler-related issues are critical prior to subsequent procedures. They worsen with smiling and lessen when you lie flat. Three weeks after surgery, you can resume all your activities, including sports. You will experience quite a lot of swelling for the first 2 days post treatment, this swelling normally will get worse over the first 24 hours and then slowly start to resolve after. Lorenc concluded by noting that there are no head-to-head comparisons between Restylane products and Juvéderm products, and that injector technique is more important than the differences between. On imaging, they are evenly sized, appear harder and whiter than granulomas, and remain stable over time. Walker, MD, Atlanta Facial Plastic Surgeon 39 Year Old Woman Treated With Botox, Treatment Areas Include Glabella, Crows Feet, Jelly Roll With Doctor Thomas J. Pain is usually minimal. Malar edema is an adverse event arising from filler injections of the central midface to correct the infraorbital hollow and tear trough. Specifically, chronic, long-lasting lower eyelid edema accompanied by Tyndall effect from HA filler injection seems to occur exclusively in the eyelids. Fill in hollows of the lower cheek. Other less common side effects can consist of discomfort and pain after the injections have taken place. Scar maturation is complete about 12 months after the surgery. You may have a shower the following day. ” Although the new generation of dermal fillers is far less likely to prompt an allergic reaction, there is still a risk of that and other side effects. Schedule Your Soft Tissue Fillers Consultation. Cheek augmentation with a dermal filler can last 6 months to a few years, depending on the product chosen. Note the correction of shadows visible in A and the orifice made for inserting the cannula ( blue arrow ). Loss of cheek volume causes an aged, tired appearance and implants can restore this volume. Unlike puffy eyelids, malar bags are puffy due to the eyelid fat that is stored under the eyelid and is permanent. When recovering after cheek implant procedures, patients may have numbness or bleeding around the treated areas and the site of the incisions, and difficulty talking and smiling for some weeks after surgery. The primary cause of swelling after dermal filler treatment in the tear troughs is simply post-procedural. Swelling can happen after filler treatments and everyone who has an injection (or a cannula treatment) looks at least temporarily puffy. In order to reduce swelling after receiving dermal fillers, Dr. Eyelid surgery, or blepharoplasty, is an operation that corrects drooping eyelids as well as the bags and bulges. After the anterior maxilla is dissected, the periosteal elevator is angled and the remainder of the dissection is primarily in an oblique vector over the malar region and extends over the anterior portion of the zygomatic arch. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 2 In the article a 38-year-old female. Over time, skeletal changes, fat loss and collagen depletetion will flatten the malar area of the cheeks. It is a hyaluronic acid based filler similar to Restylane. Finally, the sun will damage the skin on a long term basis, creating deeper lines and a more leathery appearance to the skin. Expected results after cheek filler injections. According to Dr. In some others, even a little amount of dermal filler can lead to constant peri-orbital or malar edema which may last longer than effects of the filler, itself. Hyaluronidase (Hylase Dessau®) is a hyaluronic acid-metabolizing enzyme, which has been shown to loosen the extracellular matrix, thereby improving the diffusion of local anesthetics. On imaging, they are evenly sized, appear harder and whiter than granulomas, and remain stable over time. 7 For malar oedema secondary to hyaluronic acid fillers, hyaluronidase should be used to dissolve it. Occasionally filler, especially those with higher water-binding capacity, may prompt or worsen malar edema in some, such as those who have had previous periorbital surgery or trauma and may have disrupted lymphatics. Juvederm™ is the one of the latest dermal fillers introduced to the U. Unfortunately, in 11% of the treatments, this so‐called “tear trough” with hyaluronic acid gel filler malar edema occurs. If you have any questions regarding the cases presented below, Dr. What to expect during your cheek implant at Marotta Plastic Surgery Specialists. Lower eyelid swelling may be one of the late complications associated with the permanent fillers into the malar area. 1 cc needle bolus at 2-4 points on periosteum at malar prominence –Massage & shape to desired form •Cheeks –Moderate to high G’ blunt cannula injection –Subcutaneous fanning or cross-hatching •Treat before nasolabial folds. In some people the mid face area is not as fully developed as desirable. We teach the latest research-led filler techniques and allow you to practise injectables in a safe environment using fresh cadavers. Lorenc, could explain why patients often report improvements in their appearance up to 12 months after receiving HA fillers. The patient was diagnosed with a probable bacterial infection and the dermatologist recommended the patient receive antibiotics before any more fillers. Hyaluronic Acid Fillers—an Algorithm-based Approach Snozzi & van Loghem (2018) 10. View our upcoming courses here: https://faciala. persistent, recurrent swelling two months after HA filler injection [9]. 1,3 In this report, lower eyelid swelling occurred in patients following migration of the filler from the malar area. Loss of cheek volume causes an aged, tired appearance and implants can restore this volume. Long lasting fillers, like Sculptra or Bellafill, actually stimulate your own collagen to "grow" in as the filler. By injecting fillers into the mid-face we are in turn attempting to restore lost volume, and lift the facial tissue that has started to drop. Algeness® LD 1% provides a safe, effective, and immediate solution. Patients may experience some numbness and mild swelling and/or discomfort at the incision site, but this is normal and will subside with time. Anterior view of a patient with indication for a filler injection of the malar region. 2 In the article a 38-year-old female. A cheek lift elevates the fat pad in the cheek (called the malar fat pad), providing fullness to the eyes and cheeks – leading to a refreshed, rejuvenated look. Cheek augmentation with a dermal filler can last 6 months to a few years, depending on the product chosen. Jan Balczun offers an insightful overview of the fillers available on the market, guidance on the things that can go. After the procedure, slight hyperemia and edema are possible, which do not pose a danger and wear off in 1-3 days. One reason that it has become so popular is that it does not contain any animal-based fillers. Dermal fillers are an effective skin care treatment for targeting visible signs of aging, providing instant volume to the temples. If you have any questions regarding the cases presented below, Dr. However, Versa is praised for causing considerably less swelling when compared to other dermal fillers. A common side effect that happens after receiving Restylane injections is swelling, which may be accompanied by redness and bruising. Most fillers contain hyaluronic acid (HA) or polymethylmethacrylate (PMMA) to plump the face. Unfortunately, in 11% of the treatments, this so‐called “tear trough” with hyaluronic acid gel filler malar edema occurs. In the present clinical case, we used two different types of filler: one with a higher G ′ to restore the projection of the malaria area; the second one with a G ′ lower than the first one but with a higher G ″, so with an higher G ∗, to recontour the subcutaneous malar layer. It is suitable for men and women and offers a unique dual effect – the immediate lift and the long-term collagen regeneration. Lower eyelid swelling may be one of the late complications associated with the permanent fillers into the malar area. [answer-faq] As with any injection of a hyaluronic acid based filler such as Juvederm, swelling is a potential side effect. Much like Juvederm and other HA fillers, post injection you may experience slight swelling, tenderness, bruising, firmness, lumps/bumps, redness, pain, discoloration, and itching to the injection site. If angioedema occurs after a substantial period of time from the treatment (eg, months after lip augmentation), it may be due to an acquired angioedema rather than a reaction to the filler itself. The results of these treatments have been reported to last as long as 3 to 5 years. Problem: Some patients can experience swelling in the mid cheek or under the eye after tear trough filler. Juvederm™ Facial Filler Injections. Management of persistent, defined as greater than one-month duration, malar persistent, recurrent swelling two months after HA filler injection [9]. There may be some mild swelling or bruising after the dermal filler injections and we advise patients to apply ice packs to the treated area immediately after treatment. Cold compresses may be used immediately after treatment to reduce swelling. A 25-yr old woman who had a filler (Artecoll; Artes Medical, San Diego, California) injected into her forehead and nose. Unlike puffy eyelids, malar bags are puffy due to the eyelid fat that is stored under the eyelid and is permanent. Some minor discomfort, swelling, bruising, or redness may result, but these side effects fade quickly. Walker, MD, Atlanta Facial Plastic Surgeon 39 Year Old Woman Treated With Botox, Treatment Areas Include Glabella, Crows Feet, Jelly Roll With Doctor Thomas J. Facebook: https://www. Formulated for the under-eye area and reduce bags under the eyes. Malar bags are caused by the accumulation of edema fluid at the junction of the ligaments that suspend the cheek and the junction of the lid and the cheek. Patient after filler injection in the malar region with volumizing hyaluronic acid (HA). The reason for this is twofold. Recent studies suggest that this product can last up to two years. Chronic inflammation and perhaps lymphatic obstruction caused by the filler materials can lead to scar formation. It should disappear quickly (few minutes). What they can do very well, using not a lot of filler, is make you look like the best version of the age you’re at now — more rejuvenated, rested, etc. If you have any questions regarding the cases presented below, Dr. Peri-ocular swelling and diplopia have also been reported following hyaluronic acid-based dermal fillers. Results are more permanent than those offered by injectables, and recovery from a mid-face lift is quicker than a traditional facelift. So, people having festoons would also call them "graceful". Firmer gels have a higher elastic modulus (G') and may be more likely to cause malar edema, such as Perlane, Restylane, and Juvederm Voluma. Botox starts working after a few days, and has its maximal effect after a couple of weeks. Soft tissue fillers and hyaluronic acid fillers like Juvéderm, Restylane, and Radiesse are probably the most common options for treating hollowed cheeks. Peri-orbital swelling has been reported to be associated with a variety of fillers. More IF Analysis, Trend, Ranking & Prediction. Malar & Cheeks •Malar –High G’ (Radiesse or Lyft, Bellafill for long-term) –0. Under eye fillers can often look lumpy after the procedure. She suffered pain that was accompanied by pus discharge and skin necrosis after 5 days. A cheek lift elevates the fat pad in the cheek (called the malar fat pad), providing fullness to the eyes and cheeks – leading to a refreshed, rejuvenated look. If you are experiencing a fever of >100. 0000000000002061 www. Swelling and Redness are common side effects at the site of injection. Patients are generally able to return to work the very same day and resume exercise and other strenuous activities the following day. Malar hypoplasia (small cheek bones) Accent the upper cheeks, making them appear higher and fuller. Thicker HA fillers, like Voluma, last 2 years and are used for more areas where static long-term filling is desired like the cheek malar eminences. Make sure you are receiving FDA approved cosmetic fillers which are make according to authorized guidelines to avoid. Therefore, I will take a marker and just delineate the injection point. Fortunately, post-treatment swelling and bruising will usually resolve on its own, however you can help the process along and may even be able to avoid any swelling or bruising if certain steps are taken before, during, and after receiving a dermal filler treatment. Botox starts working after a few days, and has its maximal effect after a couple of weeks. The results from RADIESSE® are visible almost immediately after treatment and can last up to a year or more for many patients. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Because the malar edema is still quite obvious, I am interested in giving her a little bit of support underneath this region with a little drop of filler. If that swelling is subsequent to the injectable filler, then that’s a different story. Malar Implants. Long lasting fillers, like Sculptra or Bellafill, actually stimulate your own collagen to "grow" in as the filler. With the many injectable fillers available now, patients can “try on for size” a filler before committing to a permanent implant. More often than not, our first treatment for festoons that are caused by fillers is to remove the lower lid filler. 2006;17(5):471–479. Unfortunately, in 11% of the treatments, this so‐called “tear trough” with hyaluronic acid gel filler malar edema occurs. Physical strain and sports on the first day after the treatment Further cosmetic therapies for the first 2 days after treatment. Side effects of dermal fillers are minimal but may include swelling, redness, and bruising. Minor complications. 20 minutes on and 20 minutes off – five times a day. Walker, MD, Atlanta Facial Plastic Surgeon. The swelling is really really severe, more severe than Restylane Sub-Q and much more than Juvederm Voluma. 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. Know more about its cost/ price, doctor's profile, clinic/ center address, review, before after photos, video, risk & recovery time, patient testimonials etc. The longevity of your Juvederm treatment will also greatly depend on which areas of the face are injected. They explain that NINs are single lumps, which usually appear within 4-8 weeks after filler injection but can subsequently be seen for years. Recognition and management of filler-related issues are critical prior to subsequent procedures. This effect dissipates over days and weeks but some HA fillers hold on to water more than others. Facebook: https://www. Check out the results from Dr. Complication from excessive dermal filler injections in infraorbital. The details of your malar mound (both the limitations and the benefits in your particular situation) will be explained to you. At this time, it is not recommended to use decorative cosmetics, to visit the bath, sauna and swimming pool. Scar maturation is complete about 12 months after the surgery. Temple fillers cost between $682–$1000 per treatment. Patients are generally able to return to work the very same day and resume exercise and other strenuous activities the following day. Malar edema has been reported with all fillers when injected into the infraorbital hollow and tear troughs; it is defined as a clinically significant degree of swelling that lasts >1 month after injection. It should peak on the morning after surgery and mostly resolves over the next 7 to 10 days. It is a medical device CE class III for injections into the tear trough area, palpebral malar groove and upper eyelid. By injecting fillers into the mid-face we are in turn attempting to restore lost volume, and lift the facial tissue that has started to drop. 27 Particularly severe fibrotic reactions have been reported with liquid silicone. 20 minutes on and 20 minutes off – five times a day. Patients are advised to stay away from direct sunlight, saunas, and stream rooms for 48 hours after the procedure. Soft tissue fillers. Bruising varies from person to person: most people experience moderate bruising that begins to fade several days after surgery and is gone by 7 to 10. Malar augmentation or cheek augmentation provides volume and contour to the cheek that lacks of definition. Face swelling that occurs alongside other symptoms, such as breathing. Orbital rim and Malar are two totally different places, thus can be different widths. The filler is injected into the middle and deep dermis layers. A 41-year-old woman with lid edema following HA-filler injection (G) before and (H) one week after the. Facial sculpting and tissue augmentation. [answer-faq] As with any injection of a hyaluronic acid based filler such as Juvederm, swelling is a potential side effect. 90% of swelling is gone by 6 weeks with the final result evident 3-6 months after the surgery. Bruising and Swelling – ice as much as you can for the first several days. com Before After HA Complications of HA filler treatment are rare, but do occur These guidelines may help guide clinicians to recognize and treat potential complications. Although they have an excellent safety profile, filler-related issues such as visibility/palpability, contour abnormalities, malar edema, and blue-gray dyschromia can occur. Some of the newer dermal fillers last longer than traditional fillers, as such application of these fillers demands appropriate placement of the fillers. Patients may experience some numbness and mild swelling and/or discomfort at the incision site, but this is normal and will subside with time. Cheek Augmentation & Malar Implants Procedures Toronto IT IS ALL ABOUT FACIAL VOLUME AS WE AGE. Lower eyelid swelling may be one of the late complications associated with the permanent fillers into the malar area. It is a very common problem and many people develop malar edema simply as a feature of facial aging. 5 ml (75 IU) of hyaluronidase into each lower eyelid. Malar edema represents lymphatic fluid that has migrated into the subcutaneous space. This effect dissipates over days and weeks but some HA fillers hold on to water more than others. This, suggested Dr. Recognition and management of filler-related issues are critical prior to subsequent procedures. Non-Surgical Festoon Treatments. After your Surgery It is very common for patients to have an exaggerated appearance after the procedure and have the appearance of a chipmunk due to significant swelling. Facial Fat Transfer Mexico - Board certified plastic surgeons in Mexico offering world class services at affordable prices. Carruthers JD, Carruthers A. Typically, results will be visible after swelling has decreased two to three weeks after your injections. Welcome to the before & after photo gallery of William F. 2 mL in the medial area, and 0. Eppley BL, Dadvand B. Festoons and malar mounds are terms used to describe skin folds and. After the procedure you may experience mild to moderate soreness. The complete resolution of nasal swelling will take approximately one year. See full list on zwivel. Even surgery cannot provide a permanent solution for malar bags; that’s. Malar bags, also known as festoon bags, are characterized by puffiness on the cheeks, just below the eyelids. 20 minutes on and 20 minutes off – five times a day. After 5 months of getting 3 injections on the chin and cheeks the results are zero. In some others, even a little amount of dermal filler can lead to constant peri-orbital or malar edema which may last longer than effects of the filler, itself. market by Allergan, the company which manufactures Botox. Learn vocabulary, terms, and more with flashcards, games, and other study tools. A few years later, in the area of the orbital bones a second line appears. Remember, we cannot inject the edema itself so I will inject the product just below the area. What is the after care? Dermal fillers can take 2 weeks to fully settle. They can work subtle wonders. Early-onset complications are those that occur within the first two weeks after the injection. I would definitely have the filler dissolved and consult an expert in cosmetic facial injections. Complication from excessive dermal filler injections in infraorbital. They worsen with smiling and lessen when you lie flat. Most fillers contain hyaluronic acid (HA) or polymethylmethacrylate (PMMA) to plump the face. It is a hyaluronic acid based filler similar to Restylane. How to Reduce Swelling After Lip Injections. She had never been treated with any dermal fillers in the deep malar region but had been injected in the nasolabial folds 1 month previously with 1 mL of Volift ® 0. Malar bags, also known as festoon bags, are characterized by puffiness on the cheeks, just below the eyelids. However, it must be noted that a hyaluronidase injection may also dissolve injected hyaluronic acid fillers and may therefore negatively affect tear-trough augmentations. These treatments are injected directly into the mid-face or hollowed section to volumize the cheek (malar) area. Although most minor early complications can be avoided with proper injection technique and filler selection, even the most seasoned injector can induce bruising and swelling, which a patient may consider socially embarrassing. The patient was treated with 25 units of hyaluronidase prepared by dilution of 50 units/mL hyaluronidase in bacteriostatic 0. -Volume of injected material: excessive volumes. Malar edema can result from lymphatic compression 19 caused by the filler and can occur both superficially and deeply in the malar septum: a. Edema can occur anywhere treatment is performed; however, the areas of the face that specifically appear to be prone to swelling are the lips, periorbital region, and malar region. Dermal fillers are an effective skin care treatment for targeting visible signs of aging, providing instant volume to the temples. 1,3 In this report, lower eyelid swelling occurred in patients following migration of the filler from the malar area. Three weeks after surgery, you can resume all your activities, including sports. In addition, knowledge of the latest fillers allows for the right filler for the right patient. Malar & Cheeks •Malar –High G’ (Radiesse or Lyft, Bellafill for long-term) –0. Fillers set around this region keep last for a long time. Malar augmentation or cheek augmentation provides volume and contour to the cheek that lacks of definition. The first is that fillers placed in the face can generally cause swelling to occur in the face, and some of this swelling can find its way into the area of the festoon. Typically, results will be visible after swelling has decreased two to three weeks after your injections. 25 Jul 2018. Three Figure 1 (A) A 45-year-old female presented with spontaneous, nonpainful left lower eyelid swelling 4 years following injection of polyalkylimide (Bio-Alcamid) into malar area of both sides. Malar augmentation, or cheek implant, can give women the high cheekbones they desire. It is not limited to older patients, as many individuals inherit a predisposition toward development of fat pouches […]. The ideal candidate is old enough that the head and skull are no longer growing (maturation is usually reached by late adolescence), is in good overall health, …. However, it must be noted that a hyaluronidase injection may also dissolve injected hyaluronic acid fillers and may therefore negatively affect tear-trough augmentations. Nine times out of ten, if the swelling happens quickly, then this is caused by the natural body reaction to a needle or cannula entering the skin, in what is a sensitive area. The doctor may then massage the area briefly to ensure a smooth result. Few people may notice swelling of tongue and throat and they may even faint. The JAMA Dermatology Journal Impact IF 2020-2021 is 7. Malar Rash & Red Eye Symptom Checker: Possible causes include Rosacea. If the palpebromalar groove is pronounced or the nasolabial fold is deep, the patient must be considered for malar filling. Soft tissue fillers and hyaluronic acid fillers like Juvéderm, Restylane, and Radiesse are probably the most common options for treating hollowed cheeks. Use a coolpack to reduce the swelling. No difference before or after. You may experience some redness, tenderness, firmness, swelling, or bruising at the injection site. In order to reduce swelling after receiving dermal fillers, Dr. This means that there is less of a chance of an allergic reaction than there is for other fillers. Eppley, awhile ago you helped answer my questions about cheek lifts, as I was getting one to correct sagging from malar implant removal. -Volume of injected material: excessive volumes. Management of persistent, defined as greater than one-month duration, malar persistent, recurrent swelling two months after HA filler injection [9]. They worsen with smiling and lessen when you lie flat. Algeness® LD 1% provides a safe, effective, and immediate solution. ” Although the new generation of dermal fillers is far less likely to prompt an allergic reaction, there is still a risk of that and other side effects. It is not limited to older patients, as many individuals inherit a predisposition toward development of fat pouches […]. VolumahasthehighestG0 intheAllerganHAprod-uct group (398 Pa) and is approved for malar augmentation. As we age, our skin loses its volume and elasticity. Festoons are generally defined as "a curtain of fabric draped and bound at intervals to form graceful curves". Longer-lasting edema was associated with a higher injection volume and malar edema was related to lymphatic compression. Aesthet Surg J. But what causes periorbital edema and how might it be treated?. The recovery after injectable filler treatment is immediate. Malar implants are specially designed prosthetics made of silastic, a firm silicone rubber that is used in a variety of medical applications. Too much filler or the wrong type can leave you with “duck lips. Early-onset complications are those that occur within the first two weeks after the injection. Occasionally filler, especially those with higher water-binding capacity, may prompt or worsen malar edema in some, such as those who have had previous periorbital surgery or trauma and may have disrupted lymphatics. • Remind the patient to stay hydrated (1. The zygomatic or malar area of the cheeks is the area of the high cheek bone below the rims of the eyes that extends out to the sides of the face. Swelling is normal and responds well to a cool compress, head elevation, and light activity. So in my case, fillers just smoothed out my depressed malar crescent, smoothed the transition between cheek and undereye, and filled in the undereye hollows a bit. Curr Opin Ophthalmol. Silhouette Soft is a minimally invasive treatment, designed to treat the signs of aging and give you a naturally refreshed appearance. Remember, we cannot inject the edema itself so I will inject the product just below the area. Though cheek implants are still an option for some people, this procedure has been replaced with fillers for most people. Festoons and malar mounds can also become much more noticeable after having fillers placed in the face. 5 mL of CH filler. The filler delivers a notable anti-aging effect when it is placed in the under eyes area. This includes sunbathing, tanning, saunas, hot tubs, or hot wax. Dermatol Surg 2005;31:1604–12. Cheek Augmentation & Malar Implants Procedures Toronto IT IS ALL ABOUT FACIAL VOLUME AS WE AGE. The cheek harbors the lymphatic that drains swelling from the undereye area. At sk:n we only use Juvederm for the following filler treatments: Cheek fillers – add volume and lift to your cheeks. How to Reduce Swelling After Lip Injections. This is “Malar edema” (the second name of which is “Suborbicularis oculi fat”). Most of the swelling is gone by 1-2 weeks. The lumpy appearance usually continues to improve over the 2-3 weeks after the procedure. According to Allergan’s clinical studies on the eye area, 59% of subjects were rated by investigators at Day 30 as having none or only mild wrinkles. Volume used and location of filler was recorded. After chin surgery, your chin will be swollen, firm and possibly bruised. Under eyes Fillers like Restylane and Juvederm for treating dark circles and under eye, wrinkles is an effective and safe way to enhance the appearance of. By elevating the muscle underneath the skin, the orbicularis muscle, we suspend it upwards and this elevates and flattens the malar bag, or the malar mound. How to Reduce Swelling After Lip Injections. This is “Malar edema” (the second name of which is “Suborbicularis oculi fat”). The filler delivers a notable anti-aging effect when it is placed in the under eyes area. According to Dr. View our upcoming courses here: https://faciala. 3 In this report, we present an unusual case of unilateral edema, which occurred 2 weeks after placement of filler in the tear trough on both sides. Secondly, excessive sunlight may create increased swelling. usual complications such as swelling by overcorrection, nodules and edema by compression of lymphatic system. Most fillers contain hyaluronic acid (HA) or polymethylmethacrylate (PMMA) to plump the face. Thicker HA fillers, like Voluma, last 2 years and are used for more areas where static long-term filling is desired like the cheek malar eminences. Anterior view of a patient with indication for a filler injection of the malar region. Unfortunately, if this is the case, only time will resolve it; Radiesse is unaffected by hyaluronidase. However, even if eye bag removal surgery was executed well, with good contour, adjacent areas may still appear hollow. Malar & Cheeks •Malar –High G’ (Radiesse or Lyft, Bellafill for long-term) –0. HA fillers are hydrophilic meaning they attract water after they are placed in the body. The most common side effects of tear trough fillers include swelling, bruising, and some soreness or discomfort following the procedure. Eyelid surgery, or blepharoplasty, is an operation that corrects drooping eyelids as well as the bags and bulges. com/drtimpearceInstagram: https://www. 5 In most cases, after volume resto- J Cosmet Laser Ther 2008;10:134–42. 2 mL of HA filler was administered to each side without any complications (Figure 2c). Normally one syringe or less of dermal filler is required for this area. VolumahasthehighestG0 intheAllerganHAprod-uct group (398 Pa) and is approved for malar augmentation. Like eye-sacks, they have similar unpleasant properties. The patient was treated with 25 units of hyaluronidase prepared by dilution of 50 units/mL hyaluronidase in bacteriostatic 0. NEW YORK — Adverse events following filler injection are typically linked to the filler’s characteristics, poor injection technique, and a lack of anatomical knowledge, according to an. Now we have the autologous fat fillers too which are non allergic, giving beautiful results. Chronic inflammation and perhaps lymphatic obstruction caused by the filler materials can lead to scar formation. Scheiner's laser resurfacing procedure. It is also important to note that most dermal fillers cannot give you sharp, angular cheekbones. Expect significant facial swelling and bruising which may last 2 to 3 weeks. Malar edema is an adverse event arising from filler injections of the central midface to correct the infraorbital hollow and tear trough. SAFE SOLUTION FOR AN INSTANT RESULT Tear trough deformity is a major concern for patients seeking a youthful, rested look. Manufacturer: Caregen. smooth gel injection reduces the risk of post-injection edema and bruises fast recovery after the procedure Bonetta Deep is ideal for correction of moderately pronounced and deep wrinkles, as well as facial contouring and lip augmentation. The reason for this is twofold. In addition, particular fillers can increase the risk of swelling. Scar maturation is complete about 12 months after the surgery. ” It refers to swelling in the area around the eyes, known as the eye orbit. 3 In this report, we present an unusual case of unilateral edema, which occurred 2 weeks after placement of filler in the tear trough on both sides. Malar edema represents lymphatic fluid that has migrated into the subcutaneous space. Fillers have no downtime, and much lower cost, and much lower risk of infection, rejection and implant movement. However, it must be noted that a hyaluronidase injection may also dissolve injected hyaluronic acid fillers and may therefore negatively affect tear-trough augmentations. This area of the face is best visualized at a 75° angle and has been used since ancient times by artists to emphasize facial beauty and, more recently, by…. Malar edema is also known by the name malar bags or festoons. [answer-faq] As with any injection of a hyaluronic acid based filler such as Juvederm, swelling is a potential side effect. For dermal fillers in general malar edema that is long-lasting responds poorly to treatment and experts recommend prevention (selecting patient and filler, limiting filler volume, placing the product deep). Malar edema is a serious and long-lasting complication that has been reported with all fillers when injected into the infraorbital hollow and tear. Results are more permanent than those offered by injectables, and recovery from a mid-face lift is quicker than a traditional facelift. The ideal candidate is old enough that the head and skull are no longer growing (maturation is usually reached by late adolescence), is in good overall health, …. next day, a slight edema was found in her tear trough, she was given antihistamine tablets and in her check a week later, the edema was seen to have been healed (Figure 2b). Format: 1 syringe of 2 ml. prolonged edema, especially in the malar region [21]. The most common side effects of tear trough fillers include swelling, bruising, and some soreness or discomfort following the procedure. By elevating the muscle underneath the skin, the orbicularis muscle, we suspend it upwards and this elevates and flattens the malar bag, or the malar mound. Hair dye allergy can cause immediately after application or within 48 hours, which causes contact dermatitis it may vary from mild to severe reactions mild reaction includes redness of the skin, itching, swelling, followed by rashes, and even blisters. -Volume of injected material: excessive volumes. Malar Implants. The zygomatic or malar area of the cheeks is the area of the high cheek bone below the rims of the eyes that extends out to the sides of the face. That being said, injection in the malar area can cause a type of obstructive lymphedema which could manifest as swelling +/- redness of the lower eyelid, where their is less resistance to pressure. Most fillers contain hyaluronic acid (HA) or polymethylmethacrylate (PMMA) to plump the face. Unfortunately, if this is the case, only time will resolve it; Radiesse is unaffected by hyaluronidase. They help highlight the midface, promote youthful appearance and aesthetically beautiful. 1055/b-0040-178128 Chapter 10 Filler Injection of the Malar and Zygomatic Regions Introduction A young and attractive face is characterized by a well-contoured and convex malar region. The cheek harbors the lymphatic that drains swelling from the undereye area. 90% of swelling is gone by 6 weeks with the final result evident 3-6 months after the surgery. By elevating the muscle underneath the skin, the orbicularis muscle, we suspend it upwards and this elevates and flattens the malar bag, or the malar mound. Make-up can be applied almost immediately, skin care can be resumed that day, and exercise can be resumed shortly after the injections, but may increase bruising and swelling. 1,3 In this report, lower eyelid swelling occurred in patients following migration of the filler from the malar area. Botulinum and Filler will cause a little red dot and a small bump for a few minutes after the injection. For many years, physicians have turned to blood eriteam to try to determine if a person has lupus or rosacea. 3 In this report, we present an unusual case of unilateral edema, which occurred 2 weeks after placement of filler in the tear trough on both sides. So, people having festoons would also call them "graceful". Her malar edema completely resolved following. In a 2017 study another popular (HA) dermal filler was shown to produce swelling 24% more often than Versa. Recently, Voluma™ XC was approved for cheek enhancement. "Malar mounds" is a term that is often used interchangeably with festoons, but is technically a lesser degree of swelling with less puffiness and skin sagging. - Swells and bruises may last for a period up to 5-10 days. The first is that fillers placed in the face can generally cause swelling to occur in the face, and some of this swelling can find its way into the area of the festoon. Occasionally filler, especially those with higher water-binding capacity, may prompt or worsen malar edema in some, such as those who have had previous periorbital surgery or trauma and may have disrupted lymphatics. Expect significant facial swelling and bruising which may last 2 to 3 weeks. Using cold compresses in the first 48 hours will significantly lessen the swelling, as will keeping your upper body elevated when resting. 2 mL of HA filler was administered to each side without any complications (Figure 2c). Malar augmentation with a polymethylmethacrylate-enhanced filler: assessment of a 12-month open-label pilot study. When recovering after cheek implant procedures, patients may have numbness or bleeding around the treated areas and the site of the incisions, and difficulty talking and smiling for some weeks after surgery. Well, I had the cheek lift, and while it made some major improvements, I still have some sagging. We usually address volume loss with dermal fillers. Malar bags are caused by the accumulation of edema fluid at the junction of the ligaments that suspend the cheek and the junction of the lid and the cheek. The most common side effects include bruising and swelling, which could take up to a week to resolve. They worsen with smiling and lessen when you lie flat. by the HA gel after injection. Longer-lasting edema was associated with a higher injection volume and malar edema was related to lymphatic compression. You may have a shower the following day. A 41-year-old woman with lid edema following HA-filler injection (G) before and (H) one week after the. If the doctor injures a little vein, you will have a small bruise in that area for a week or so. Swelling and inflammation will continue to reduce in the months after surgery; within three months, patients can expect 90 percent of swelling to subside, and all swelling is gone within one year. If you are experiencing a fever of >100. As an example, nasolabial folds (those creases from the nose down and outward) are caused by loss of fill in the malar (or suborbital) area with the descent of the overlying skin and subcutaneous tissue that stops its descent at a ligament connecting the skin from the nose downward and outward to the deep tissue or bone. Unlike puffy eyelids, malar bags are puffy due to the eyelid fat that is stored under the eyelid and is permanent. Lower eyelid edema is a common post-interventional complication of cosmetic procedures performed in the lid region, such as the injection of hyaluronic acid fillers for tear-trough augmentation. Fillers to Correct Volume After Eye Bag Surgery It is crucial to sometimes leave or reposition some of the fat that causes puffy under eye bags. After the procedure you may experience mild to moderate soreness. Facial Fat Transfer Mexico - Board certified plastic surgeons in Mexico offering world class services at affordable prices. Limited downtime is needed after injections with swelling and bruising expected to last about one week, though mild, residual swelling and bruising lasting 2 to 4 weeks. The major concern is the SWELLING. Aesthet Surg J. 3 In this report, we present an unusual case of unilateral edema, which occurred 2 weeks after placement of filler in the tear trough on both sides. ” It refers to swelling in the area around the eyes, known as the eye orbit. Vectra imaging software was used to calculate observed changes in facial volume. Fillers to the tear trough are at higher risk for malar edema than other locations due to the proximity and superior location, where gravitational pull of edema can result malar edema. Malar edema is a serious complication that has been reported with all fillers when injected into the infraorbital hollow and tear troughs (Figure 3). Dermal fillers are an effective skin care treatment for targeting visible signs of aging, providing instant volume to the temples. After cheek filler I developed Malar mounds. Volume used and location of filler was recorded. In addition, we do employ the use of fillers as well as platelet-rich plasma. Dec 8, 2020 - If you suffer from under eye bags or dark circles under your eyes, don't settle for unnatural results like fillers or other surgical procedures. This may cause more “swelling” and the appearance of overcorrection. The incidence of malar or lower lid edema is relatively high.