I have a puffy cord/bag under my eye after a Belotero under eye treatment.

Hi, I had Belotero injected under my eyes 3 weeks ago for very faint crepey under eye lines but after 2 weeks I went back to see my nurse as I thought the areas looked puffy and she massaged the area under my eyes with quite a bit of pressure. Now a week later I think it looks like I have quite a bag under one eye which I think looks like a dent the other is better but looks raised and bruised still. Is this normal as at the time of her doing the procedure it looked good apart from the little injection marks. Thank you

As many of you know, I’m not a huge fan of Belotero.  In my opinion, and other docs have noticed this too, it sometimes looks perfect on the day of treatment, but then continues to expand in an unpredictable way. 

Now……..all fillers expand somewhat after they are placed in the skin, but some more than others.  For example, Voluma …..very little.   Restylane/Perlane can be VERY puffy in 10-20% of patients in the first 3-4 days after treatment, but then generally return to the desired effect.  Juvederm expands slowly in the skin up to about 7-10 days usually,  etc.   However, for reasons that are not clear to me, Belotero sometimes continues to expand in a way that can becomes unsightly.  Massaging it at this point won’t help and may make the bag worse.

Please go back to your dermatologist or nurse injector again and have her adjust it for you.  More on filler problems and the use of hyaluronidase.

Hope this helps,  Dr. I 

Dr. Brandith Irwin, MD

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