Lumps under the eyes can be caused by bruises, which will eventually go away. Swelling around the injection sites is also common and should subside over time. The product may have been injected with a larger reservoir in an area or the product may have been moved to create a large reservoir in an area. Injectors often see patients who have had a misplaced filler in the tear canal, often with a cannula, resulting in a sausage-shaped lump under the eye.
Lumps after filling or fat transfer may be related to the technique and placement of the injected material. On the eyelids and the surrounding area, the skin is extremely thin and the injected material can be seen through the skin. To prevent visibility of injected substances, gradual injection in small quantities into deep planes is recommended. Filler or fat injected into larger collections very close to the skin may be visible.
Unfortunately, there are also people who illegally apply facial filler injections without any medical training and, unfortunately, these are typically the horror stories you can see on the evening news. Once your condition is under better control, you will be able to get a much better long-term result from any cosmetic rejuvenation procedure for the lower eyelids.
Tear fillers are more likely to go wrong when they are performed by unqualified professionals, who lack proper understanding of the patient's anatomy, can choose the wrong type of filling, or do not properly select the right patients for this type of treatment. Swelling can occur after filler treatments and everyone who receives an injection (or a cannula treatment) looks at least temporarily swollen.
The right choice of filling, placement and injection technique can reduce this risk and, in certain cases, can improve festoons. Often, HA facial fillers can still be seen in the area under the eyes for many years after the injection (in some cases, this can happen five years later or more). Since fillers tend to cause bloating, any patient with malar bags or festoons should avoid treatment with filler, as this will only aggravate the problem. For some patients, non-surgical rejuvenation of the lacrimal canal may be a reasonable procedure that gives excellent results to improve dark shading, or even to camouflage the appearance of larger fat pockets (bags) under the eyes.
Sometimes, too much facial filler product may have been placed in the recesses of the lower eyelid, creating an overfilling effect that can make the area look more puffy. Dark circles under the eyes can be treated with laser or chemical peels to reduce the appearance of darkness, but this should be done by an experienced professional. For people who have deeper sunken eyes, the appearance of hollow areas under the eyes can also affect the light reflectance patterns of the face and can make the entire area around the eyes appear darker by creating undesirable shadows. For some patients who have a very light skin color, the Tyndall effect is sometimes observed after injections of facial filler with hyaluronic acid, even if the product has been injected into the correct tissue plane. After lacrimal groove under eye filling, some patients may experience swelling under their eye area or in their mid-cheek region.
The dermal filler attracts water and this can cause intermittent swelling under their eye if it is placed too close to their skin. With all these different types of doctors and medical professionals performing facial filler injections, there can be a great deal of variability in treatments being performed.