Table 5.

Strategies to Prevent and Treat Bumps and Lumps From Injection of HA Filler in the Infraorbital Area

Prevention of bumps and lumps
Inject lower volumes
Treatment of bumps and lumps
Watchful waiting and reassurance
Silicate compression cream to reduce swelling
Cheek filler to camouflage
Laser treatment (Nd:YAG) for veins outside the orbital rim
Injection of 7.5-15 U of micro-dose hyaluronidase to reduce the volume of HA filler ± 0.1 mL of 2.5 mg/cc triamcinolone if there is swelling

HA, hyaluronic acid.