Swelling After Tear Trough Filler

by: Linda Robison / Facial Fitness Specialist @ ABZ

Tear trough filler recovery usually includes some swelling, that's just a normal part of the side effects. What can you do to recover quickly and when should you be concerned.

Mild swelling after tear trough filler is normal. 

The swelling is a normal part of the body's response to the injection and typically subsides within a few days.

swollen eyelid after filler

However, it's essential to be able to distinguish between normal post-procedural swelling and potentially concerning signs of something worse.

Tear trough filler swelling stages

Here are some guidelines to help you determine if the swelling is normal or if you should seek medical attention:

Normal Post-Procedural Swelling Stages:

Immediate: Swelling around the eyes immediately after injections, lasting for the first few days, is typical and expected.

Gradual Improvement: Over the course of the first week it should subside, and you should notice gradual improvement.

No Pain or Redness: It's normal for the injection area might be slightly swollen, mildly discolored, and maybe a bit sore after the first 7 days. But it's not normal to experience severe pain or redness.

Symmetry: Swelling is usually symmetrical on both sides of the eyes where the filler was injected.

How to treat swelling after tear trough filler

Cold compress to treat swelling after tear trough filler.

Swelling after tear trough filler injections is common and typically subsides within a few days to a week. However, if you're experiencing significant or prolonged swelling, here are some steps you can take to help reduce it:

1. Apply Cold Compresses: Gently apply a cold compress or ice pack wrapped in a clean cloth to the treated area for 10-15 minutes at a time, several times a day. 

2. Sleep with Elevated Head: Elevating your head while sleeping can prevent fluid from pooling in the under-eye area, potentially reducing swelling. Use an extra pillow or adjust the head of your bed if possible.

3. Avoid Strenuous Activities: For the first 24-48 hours after the procedure, refrain from strenuous physical activities that can increase blood flow to the treated area and exacerbate swelling.

4. Arnica Cream or Supplements: Some people find that arnica montana cream or supplements may help reduce bruising and swelling. Consult with your healthcare provider before using any supplements.

5. Limit Sodium Intake: Reducing your sodium (salt) intake can help minimize water retention and swelling.

6. Patience: Swelling is a common side effect of filler injections and often resolves on its own within a few days. Be patient and give your body time to heal.

Signs of tear trough filler possibly gone wrong

These could possibly be signs of something gone wrong:

Severe or Increasing Swelling: If the area becomes more swollen over time or stays swollen after several days, this may indicate a problem.

Unnatural Fullness: The under-eye area may appear unnaturally puffy, giving a "sausage-like" or swollen appearance. This could be due to overfilling.

Difficulty Smiling or Restricted Movement: Excessive filler may also impede natural facial expressions, making it difficult to smile or causing restricted movement in the treated area.

Excessive Pain: Severe or persistent pain at the injection site could be a sign of complications.

Excessive Redness: If the skin becomes intensely red, warm to the touch, or shows signs of infection, seek medical attention immediately.

Bruising and Discoloration: While some bruising is normal, extensive or dark discoloration may warrant further evaluation. Also, if the area looks blueish or grayish, it could a side effect called the Tyndall Effect.

Asymmetry: If one side of your face is much more swollen than the other, it may indicate an issue that needs to be addressed.

If you notice any of the signs of something worse, or if you have any  concerns about your healing process, contact your healthcare provider who performed the procedure.

What to avoid before tear trough fillers?

under-eye filler syringe

To minimize complications and swelling before under-eye treatment injections, you can follow these guidelines:

Avoid blood-thinning medications and supplements:

According to the expert, it's best to avoid aspirin, and NSAIDs like ibuprofen. Also avoid supplements like fish oil, vitamin C & E, turmeric, and green tea at least 10 days before treatment.

Note: Many doctors often recommend taking Arnica Montana tablets a week before treatment, which might help with recovery and bruising. Check with your provider to see if this is right for you.

Avoid excessive alcohol:

Avoid excessive alcohol consumption in the days leading up to your appointment. Alcohol can also increase the risk of bruising.

Minimize caffeine:

Caffeine intake can lead to increased sensitivity and potential discomfort during the procedure.

Stop using harsh skincare products:

If you use topical retinoids (such as Retin-A), or alpha and beta hydroxy acids on your skin, stop using them a few days before the treatment, as they can make the skin more sensitive and prone to irritation.

Communicate with your provider:

Inform your healthcare provider about any allergies, medical conditions, or previous reactions to cosmetic procedures, as these factors may influence your risk of swelling.

It's essential to discuss any concerns or questions with your healthcare provider before the procedure. They can provide personalized advice and ensure you are well-prepared for the tear trough filler injections.

Final thought on swelling after tear trough filler

Swelling after tear trough fillers is a common and expected side effect.

The eye area is sensitive, and any trauma can cause a temporary inflammatory response, leading to swelling.

Here are some key points to know about:

Managing excessive swelling: To treat excessive swelling, your healthcare provider may prescribe the following:

  • oral steroids to reduce inflammation
  • non-steroidal anti-inflammatory drugs for delayed-onset inflammation
  • antibiotics if inflammation is caused by bacterial infection 
  • antihistamines
  • hyaluronidase, an enzyme that breaks down hyaluronic acid 

Timing: Swelling typically starts immediately after the procedure and can last for a few days to a week.

Gradual improvement: In most cases, you may notice a significant improvement within the first few days, but it can take up to a week for the full effect to become apparent.

Individual variability: The extent and duration can vary from person to person. Factors such as individual healing response, filler type, and injection technique can influence the degree of swelling experienced.

Final results: It's crucial to be patient and allow your body time to adjust to the filler. The final results of tear trough fillers may take a few weeks to fully settle, revealing a smoother and rejuvenated under-eye area.

Disclaimer: The information provided here is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment.



FAQ: Swelling after tear trough filler

Q: How long will I be swollen after tear trough filler?

A: Most doctors suggest it could up to 2-3 days before it starts to subside. But, some people might still be a bit swollen up to 4 weeks later. Never hesitate to contact your provider if you suspect something is wrong.

Q: What should I not do after tear trough fillers?

A: Most doctors suggest that you do not touch or put pressure on or around the treated area. Do not wear makeup and avoid strenuous exercise for at least 24-48 hours after injection.

Q: How long does bruising last after tear trough filler?

A: The length of time for bruising after tear trough filler injections will vary from person to person, but generally it can last up to 7-10 day.

In some cases, mild residual bruising may persist for up to two weeks or slightly longer. This can vary depending on factors like your individual healing process, the injection technique, and the type of filler used.



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