Dermal filler-associated malar edema: Treatment of a persistent adverse effect

ABSTRACT

A 72-year-old Caucasian female presented for evaluation of bilateral lower eyelid “fluid filled” bags that had been present and slowly worsening for 7 years. She reported a history of lower eyelid blepharoplasty in her 40s, as well as hyaluronic acid tear trough fillers 8 years prior to presentation. Her malar edema completely resolved following injection of hyaluronidase. To our knowledge, this is the longest reported interval for presentation and treatment of hyaluronic acid associated malar edema.

KEYWORDS:

• Hyaluronic acid
• malar edema
• dermal filler
• complications

Acknowledgments

The authors thank the patient for consenting to photographs. This consent is on file in the patient’s medical record.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.