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Bulging Under Eye After Juvederm Injection in Cheeks /Botox in Brows

asked 9 months ago by ELiSSa74
Latest answer by Ronald Shelton, MD
Question viewed 588 times
Tags: cheeks, tear trough, 1 week post-op, reaction

I had an immediate reaction of swelling in the left tear trough area after Juvederm injection to my cheek and Botox to eye brows. There was a small bruise/swelling where she injected and swelling under the eye occurred on that side. Practitioner states it was likely caused by vessel irritation. One week later bruise is gone but swelling under eye remains, albeit slightly less. Looks like lymphatic fluid collection...any thoughts, suggestions? Going back in a few days for recheck. Thanks.

7 answers to Bulging Under Eye After Juvederm Injection in Cheeks /Botox in Brows

+4

Immediate swelling after Juvederm

The fact that it occurred immediately after the injection with bruising would indicate that that this was blood. As you indicated the bruising has resolved which is going to resolve quicker than any fluid accumulation. Fluid accumulation under the eye tends to persist longer than other areas because the tissue is loose in this area. I would wait a period of time before injecting any hyaluronidase because I don't believe this is a matter of overcorrection. more
Ted Brezel, MD

Long Island Dermatologist
+2

Bulging lower lid after filler

The area that you described can be from several things. If it feels lumpy then it is possibly filler or hematoma resolving. If hematoma, it should go away within a few weeks. If not lumpy it couls jsut be swelling which also should resolve. If it is filler, hyaluronidase can dissolve it.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Give it some time

I agree with those that said to give it a few weeks before making any decision. This can be the filler but it can also be inflammation or resolving hematoma.
Jo Herzog, MD

Birmingham Dermatologist
+2

Swelling

You either have a resolving hematoma from the injection or too much fill in the wrong place. You will need to wait a little longer before acting.
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+2

Juvederm

You probably had a small hematoma, it will take 3 weeks to resolve. Wait about 6 weeks and if the swelling is still there may consider disolving the Juvederm with Hyalurinadase.
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Juvederm filler to the cheek and swelling

The swelling could be a hematoma from the vein trauma, but usually this is slighlty tender and turns dark quickly. It might be displaced filler that occurred not after but during the procedure. Rarely the subcutaneous anatomy allows filler to move to an adjacent area as it is injected under pressure. That is why slow injection is helpful to minimize excessive product being displaced. If it doesn't appear to the doctor to be a hematoma, it can be injected with an enzyme, hyaluronidase, to... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

This ain't "lymphatic fluid collection."

This is over fill. It can be from too much actual filler or too much water held in association with the injected filler product. Generally this lower eyelid area is not optimal for Juvederm. The beauty of Juvederm for inexperienced injectors is that the product is smooth-meaning that if you create a lump or bump, the product tends to smooth out. This is not an ideal characteristic for the tear trough because for some individuals, this means that after treatment the... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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