Double bags after attempt to dissolve Juvederm

I had juvederm injected under my eyes three weeks ago. The results were poor and it looked like I had big bags under my eyes. I went back to the doctor (who I found out is actually a physician's assistant), and she injected Vitrase/Hyaluronidase for dissolving the Juvederm about 24 hours ago. Now, the results are even worse! I look like I have double bags now.

She advised me to come back today, but she said she will not issue even a partial refund. She also told me to be "patient" since the Vitrase/Hyaluronidase may need days to work. Is this true? Can Vitrase/Hyaluronidase make the bags worse before they get better, or is it possible that she didn't inject it in the right spot which caused further damage? What should I do now?

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6 answers to “Double bags after attempt to...”

A: Don't worry about further damage with Juvederm under eyes

Edward D. Buckingham, MD

The great thing about hyaluronic acid fillers such as Juvederm is that they are reversible.  It is not something that needs to be done often, but it is nice when needed.  You do not need to be concerned about the vitrase causing further damage.  It will take some time for the filler to resolve... more

A: Dissolving juvederm/restylane

Steven Wallach, MD

Yes, the eyes can appear worse as the product is being broken down. Remember, the hyaluronic acids, breakdown by absorbing water, so they may appear more swollen until this process resolves.

A: Give it a little more time

Marc Cohen, MD

.Some people swell a lot with Juvederm under their eyes.  This is less likely to happen with Restylane, but that can cause swelling as well.  The type of swelling that you describe happens most commonly in patients with eye allergies (do your eyes itch often?) or patients who have eyelid that... more

A: Relax and let it happen

Kenneth R. Francis, MD

Patience remains a virtue in plastic surgery.  You probably have swelling from the Vitrase injections.  Let things settle down and the Vitrase go to work.  If all else fails, the Juvederm will dissolve over the next few months and will look better each week.  Good luck.

A: Time is your friend

Steven H. Williams, MD

You need to take a bit of time to allow the swelling to resolve.  Close follow-up with your treating physician (or physician's assistant) is important.  Consider asking to speak with the physician that the PA practices under - hopefully a board certified plastic surgeon or dermatologist. If it seems... more

A: Slow down, you move too fast!

Robert M. Freund, MD

The Juvederm injections into the lower eyelids are becoming an obvious problem for many doctors who perform this procedure. Because the skin is so thin, and the structures are very fine, the filler can cause more harm than good. Hyaluronidase will dissolve both the filler as well as your own Hyaluronic acid.... more

Comments

ANAN
21 posts
27 Jun 2009

dear really frustrated in virginia, i'm anxious to hear how your eyes are doing. did the swelling go down from the hyaluronidase injections? are your eyes back to normal? how long has this entire process taken so far? i ask because i am in the same predicament but am just starting with the hyal injections to dissolve and i'm more swollen!! would love to hear good news from you. thanks

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