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hi guys so and after the little chat about cannulas and needles on tear trough have triggered a really good question which is relevant no matter which instrument you use which is what do you do about a dima that occurs underneath the eye after having a tear trough procedure so firstly I would say about this is that we should kind of and think about the context which is that sometimes it can happen immediately and sometimes it can happen literally two years after the procedure and your management is different in those two cases so think about how long its been since the procedure happened in terms of diagnosing what to do because its really common if youve just had the procedure done that even up to a week afterwards you might have puffiness thats about to settle and it just doesnt and as quickly as in most cases so for many people theres nothing you do the procedure they get exactly what they want and everyones happy and off they go but some people that get it gets puffy after t