Ms. Phuong received filler injections in the undereye area at a spa to address dark circles, tear troughs, and wrinkles. Dissatisfied with the outcome, she later opted for a filler dissolver injection. Two days later, the injection site developed complications, with increasing pain. Ultrasound and blood tests conducted at Tam Anh General Hospital Hanoi revealed she had a lower eyelid infection.
Doctor of first-degree specialization Be Thu Thuy, from the Department of Aesthetics, suggested that the infection could stem from improper technique during the previous filler dissolver injection, a non-sterile environment, the use of filler and dissolver products of unknown origin, or incorrect initial management of the complication.
Dr. Thuy explained that the lower eyelid skin is very thin, with minimal cushioning tissue, and is rich in blood and lymphatic vessels. It is also close to the eye socket and directly impacts vision. Consequently, any invasive procedure in this area demands precise anatomical knowledge, appropriate technique, and strict sterility. Incorrect filler injection depth, improper technique, or using products of unknown origin can lead to swelling, bruising, filler displacement, widespread infection, and affect vision and overall systemic health.
Ms. Phuong received a prescription for antibiotics, anti-inflammatory medication, anti-edema medication, and antihistamines. Her swelling and pain significantly decreased after two days. She had a follow-up appointment after 14 days and her health was stable.
Eyelid infection following tear trough filler dissolution is an uncommon complication that can progress severely. Invading bacteria can cause eyelid cellulitis, abscesses, or even spread into the eye socket if not detected and treated promptly. Should warning signs such as progressively increasing swelling and pain, redness, warmth, discharge, or reduced vision appear, it is crucial to seek timely intervention at a hospital with a specialized dermatology and aesthetics department.
Recently, Tam Anh General Hospital Hanoi has admitted numerous cases presenting with infectious complications after both filler injections and filler dissolution injections. According to Dr. Thuy, both filler injections and filler dissolution are non-surgical aesthetic procedures. However, they must be performed by specialized doctors at licensed medical facilities following strict sterile protocols.
Hang Tran
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