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Updated: Nov 8, 2025

Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation
Published on: May 23, 2025
Complications of Periocular Dermal Fillers
Yao Wang1, Guy Massry2, John B Holds3
1Beverly Hills Ophthalmic Plastic and Reconstructive Surgery, 150 North Robertson Boulevard #314, Beverly Hills, CA 90211, USA; Department of Plastic Surgery, Division of Oculoplastic Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Abstract:
Dermal fillers, in particular hyaluronic acid gel (HAG) fillers, are used in the treatment of aging changes in the periocular area. Filler treatment requires in-depth knowledge of specific issues relating to product performance and administration, safety protocols, and recognition and treatment of complications. There are different approaches to treatment of the tear trough. Prior filler treatment must be suspected in patients presenting for aesthetic evaluation, and the possibility of migration with a dysmorphic appearance and/or Tyndall effect appearance always is kept in mind. Treatment with hyaluronidase injection generally is effective in reducing overcorrection or migration of HAG in this area.
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