Book a consultation with Dr. Eftekhari at https://eyelid.pro/book

Most weeks I dissolve more under eye filler than I inject. That sounds strange coming from someone who does injectables, so in this video I explain why the under eye area is the one spot on the face where filler goes wrong most often, and how to tell if it's happened to you.

Under the lower eyelid there's no layer of fat between the skin and the muscle. That makes it the thinnest skin on the body, and anything injected there shows through. When there's too much filler or it sits too shallow, you get the Tyndall effect: a bluish, watery look that doesn't settle on its own. I walk through a three-selfie test you can do at home to tell filler apart from your own under eye fat, why filler "migration" usually isn't migration, and why more filler is almost always the wrong fix.

If you already have under eye filler you're unhappy with, I also cover what dissolving it with hyaluronidase is actually like: how many sessions it usually takes, when ultrasound-guided dissolving is worth the extra cost, which fillers are harder to dissolve (and one that can't be), and whether dissolving will cost you your natural volume. Stay to the end for the one question to ask any injector before they touch your under eyes.

Chapters
0:00 I dissolve more under eye filler than I inject
0:44 Why the under eye area is so unforgiving
1:26 The Tyndall effect: why filler looks blue
2:30 Puffy after filler: swelling or too much?
3:14 The three-selfie test for too much filler
4:44 Does filler really migrate?
6:16 Why more filler makes it worse
6:53 When filler can work (and when it can't)
7:36 How much filler the under eye actually needs
8:08 What dissolving filler is really like
8:58 Do you need ultrasound-guided dissolving?
9:36 The fillers that are hard to dissolve
10:18 Will dissolving ruin your natural volume?
11:15 Filler fatigue: a reality check
12:05 The one question to ask your injector

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Dr. Kian Eftekhari specializes in cosmetic and reconstructive eyelid surgery, serving patients throughout Utah and beyond. If you're seeking the best care for your eyes and face, trust the expertise of the Eyelid Center of Utah.

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MEDICAL DISCLAIMER

The information provided on this YouTube channel is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. Content shared by Dr. Kian Eftekhari reflects general medical principles and personal clinical experience but may not apply to your individual situation.

Viewing this content does not establish a doctor–patient relationship. Medical conditions, anatomy, healing timelines, and treatment options vary widely between individuals. You should not rely on this information as a substitute for professional medical advice from your own qualified healthcare provider.

Always consult your physician or a board-certified medical professional regarding any questions about a medical condition, procedure, medications, or recovery. Never disregard or delay seeking medical care because of something you have seen or heard on this channel.

If you believe you may be experiencing a medical emergency, seek immediate medical attention or call emergency services.