Juvederm is used off-label in this area. If I am...

Steven Wallach, M.D. answers: How is Juvederm injected best for under the eyes?

Is Juvederm best injected deeply or just under the surface of the skin for the hollows under the eyes/tear trough area? Is one less likely to created a baggy look? Is a numbing cream sufficient for painless injections or are numbing injections necessary too? I'm trying to locate a doctor in Orange County who won't create under eye bags but with a minimal amount of pain.


Steven Wallach, MD
16 months ago
By Steven Wallach, MD - Manhattan Plastic Surgeon

Juvederm is used off-label in this area.

If I am treating fine lines, then I will very gently and in small amounts inject it underneath the skin and then massage it in so it does not create lumps. If it is for tear trough areas then I will inject it deeper and massage it in as well.

I find topical creams work very well if you allow them to work (30-40 minutes). I inform my patients that if they notice lumps after the swelling goes down, then they can massage it for a day or two to flatten it out.

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