SUMMARY
In this Educational Series session from The Aesthetics Meeting 2024, board-certified plastic surgeon Dr. Erez Dayan explores the challenging condition of Post-Hyaluronic Acid Recurrent Eyelid Edema (PHAREE), which often manifests as persistent swelling in the tear trough and periorbital regions following dermal filler injections. Recognizing the limitations of traditional treatments like hyaluronidase, Dr. Dayan introduces a compelling solution: the use of fractional bipolar radiofrequency, specifically Morpheus8, to promote lymphatic drainage, tissue remodeling, and aesthetic restoration.
TOPICS COVERED
- Overview of Post-Hyaluronic Acid Recurrent Eyelid Edema (PHAREE) and its underdiagnosed prevalence
- How hyaluronic acid fillers migrate and impact periorbital lymphatics
- Anatomical and immunologic mechanisms behind chronic eyelid edema
- Evidence of HA migration to lymph nodes and long-term filler persistence
- The advantages of using Morpheus8: adjustable depth, bipolar energy, temperature control
- Mechanisms of action: lymphangiogenesis, collagenesis, and soft tissue contraction
- Use of AccuTite in conjunction with Morpheus8 for precision treatment
- Review of published multicenter studies validating the technique
- Case examples demonstrating clinical resolution of PHAREE
