I am seeking an oculoplastic surgeon (preferably board-certified in both ophthalmology and oculoplastics) with extensive experience managing complex filler complications, particularly those involving:
- Filler migration or retention behind the orbital septum or potentially deeper within the orbital area.
- Ability to perform deep orbital or retro-septal hyaluronidase (Hyaluronidase/Hylenex) injections to target filler that may not be visible on ultrasound, even if imaging cannot clearly detect it.
- Experience handling cases where ultrasound has failed to detect residual filler, but symptoms such as persistent puffiness, elevation, and a firm, gel-like sensation remain.
I am specifically looking for a specialist who is:
- Preferably skilled in using advanced imaging (MRI or ultrasound if necessary) to guide dissolving treatments.
- Comfortable with deep orbital injection techniques (via retro-septal or retrobulbar approach) or targeted dissolving from the fat pad area if appropriate, even if imaging cannot show it clearly.
- Experienced with addressing filler complications involving the orbital fat pad, tear trough, and adjacent areas.
If anyone knows of a reputable specialist in NYC who meets these criteria, please let me know. Your recommendations are greatly appreciated.