Juvederm in both cheeks about a week ago and I had these fluid like bags above my lateral cheeks from the day after. (Photo)
Doctor Answers 4
Fluid bags in cheeks from Juvederm?
The photo you provided is a good example of what can happen when Juvederm is placed incorrectly. In your case It appears too high on the bony malar rim. If the swelling continues I would recommend having it removed with Vitrase. If you have it redone it would look better to be placed in the nasal Jugal groove and mid face.
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It could be both
As mentioned, Juvederm can have hydrophilic [water attracting] properties. However, depending on where the product was placed, the lymphatics may also be compromised. I would wait a couple more weeks to see if the edema resolves. If not, it would be best to remove product with hyaluronidase.
Lower eyelid filler requires expertise and correct choice of filler
The space between the bottom of the lower eyelid and the top of the cheek can look like a trough, hence we call it the "tear trough" area. It's a great place for filler and it can be significantly improved. The choice of filler and the technique of placement does matter.
Hyaluronic acid fillers--Juvéderm, Restylane and Belotero--work in part by holding onto water, and the one that does this the most is Juvéderm. I don't like Juvéderm in the lower lid area because of its water-attracting property. It can create a boggy "bag" that descends and is trapped in the upper outer cheek.
The other problem is obstruction of the lymph fluid that can occur depending on where the product is placed. Careful placement is essential and experience with placing filler is important in this area.
Better options for the lower lid area are Restylane and the newest product, Belotero, which I'm very please with. The good news is that poor results with a hyaluronic acid filler are fixable by dissolving it with hyaluronic acid and starting over with an experienced physician injector who understands all the nuances of filler selection and placement.
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