Fluid Like Bags from Juvederm Injection? (photo)

I had a juviderm injection about a week ago and now there is one fluid like bage above each of my cheek bone. I am adding my pre and post photos so you can tell me what to do because I am so upset.

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cheekbones fluid 1 week post-op

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7 Doctor Answers | Asked by mity

Doctor Answers (7)
Community Comments (3)

Fluid Like Bags from Juvederm Injection?

This is a complication of HA fillers as stated they can attract water so edematous malar areas occur. First do not do anymore HA fillers. Try external ultrasound therapy, cold compression, micro injection of steroids. But I'm not sure exactly what to advise because I have never examined you. So best to be seen in person by a expert doc in your city.

Fluids bags under eyes after Juvederm

Juvederm is a humectant and it does hold water, so placement is very important. It appears from your photo that it was injected high on the malar rim. This may be the problem. Decrease sodium in your diet because it can cause fluid retention and drink a lot of water to flush your system. If the swelling persists you can have the Juvederm dissolved with Hyaluronidase.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Fluid like bags from Juvederm

All HA fillers attract water right after injection so that can look a little odd at times, but it should have resolved by now. So, this means you just have too much Juvederm, or incorrect placement or depth, and you'll need to have it removed. In your pre-photos I can see there are pockets of skin in the upper malar area, and with those having been injected too superficially, it's now making them more pronounced and look like fluid bags, quite simply because that's what they are. There was a... more

Juvederm and swelling

Thank you for posting this question. this is a very common problem I see among patients who wish to have the filler material removed. my advice to you and all other readers is that if youre not satisfied with the results of the Juvederm its best to have it dissolved sooner than later. u should seek immediate medical attention from your doctor who placed in the filler.

Misbah Khan, MD

5 reviews

New York Dermatologic Surgeon

Juvederm under the eyes

Dear Mity, I agree with the other docs, you should probably have this dissolved sooner than later If it sticks around, the swelling can be very difficult to get rid of This ends up being more than just swelling after injection, it is probably the Juvederm absorbing and retaining water Best regards Nima Shemirani

Under eye swelling from Juvederm

Juvederm is a great product but it does cause under eye swelling in some patients. Restylane (a close relative of Juvederm) is less likely to swell under the eyes. I generally ask my patients to wait 2 weeks after a treatment to see if any swelling subsides. However, you have a lot of swelling and I suspect that you will need to have the Juvederm dissolved with hyaluronidase. My experience is that if under eye swelling does not resolve in a few weeks, it can last a very... more

Swelling and Puffiness from Juvederm Injections

It appears that you have swelling and puffiness from the Juvederm injections, which can sometimes happen when Juvederm is injected into the lower eyelid area improperly or in too great a quantity. I recommend you consult immediately with the physician who did your injections. There is something (hyaluronidase) that can be injected to try and melt away the Juvederm and bring down the puffiness. Regardless, the good news it that the Juvederm goes away after 6 months anyway. Good luck! more

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Comments (3)

Netty 14 Aug 2012

I am sorry to see this happen to you because it happened to me. You can certainly get rid of that nasty stuff. The plastic surgeon injected my under eye hollows with Juvederm Plus! Horrible results..water bags and what looked like"gummy worms"..under both eyes. I cried a lot. He told me wait 2 wks and massage the area. Well, I did as he told me. It didn't work.I could have massaged 'til the cows came home and that stuff wasn't moving out! That stuff holds a lot of water (worse when you cry believe me) so if you have salty foods and decide to have a cocktail...think twice...I was so so upset with him and these terrible results. I read and researched on RealSelf and saw that the enzyme hylauronadaise ( I'm sure I spelled that incorrectly) will dissolve that...I asked him to please remove this juvederm with the enzyme. He had to order it but he did inject me twice, two different times within a couple of weeks..It made a huge difference, definite improvement. If you haven't done so yet,,do it. It will dissolve it ,if not right away, within a day or few, My left eye dissolved right after the injection but my right eye took a few days for improvement but I saw the difference with each passing day. Restylane is a much better under eye filler. It's injected deeper and, I was told by my dermatologist, it has a different molecular structure..bigger I believe..I've had that done and I loved it's result. Please know you can dissolve it. Don't worry...it will dissolve. Good luck my friend...you will be ok really soon..do it! Netty

mity 15 Aug 2012

Hi Dear Netty
Thanks for your comment and your sympathy. I had this injection into my cheeks and not under eyes and these bags are on my cheeks where no juviderm was injected. My doctor says these could be hematoma which will be absorbed within couple of weeks. I read all the answers by the experts in this site but I honestly must say that I'm not yet convinced and aso I have some doubt about using hyaloronidase. I am confused. Thanks again Mity

Netty 15 Aug 2012

Hi Mity, I just googled hematoma to be sure I had the correct meaning. I am certainly no doctor but I find it a little strange that both your upper cheeks look so alike with matching hematoma's? How likeIy is that? That would be question of mine. I still think it's the juvederm. The plastic surgeon who injected my mess told me this stuff will move or fall. He said it happened to him. Of course, he tells me this afterwards. You need to do what is comfortable for you of course. I understand. Mity if this isn't better in a couple of weeks make some phone calls to some dermatologists or Plastic Surgeons and ask the question. Tell them what you had injected, what happened and you're not totally convinced they a hematoma's. Say I need some help and ask if they could see you and how much is the visit going to cost should they say yes make an appt (that was always a question of mine...i don't have a lot of money) I am not someone that likes to give advise but i remember when I had my under eye problem.I read all the posts (like you are doing) and used the info that made the most sense to me so again, do what you think but don't take your doctors word totally. In my experience, when there are problems they don't admit they might have made the error.. I totally understand your confusion. You wanted to look better not worse (that's what made me so upset) if this stuff doesn't dissolve itself quick, make some phone calls.Take good care and I'll be thinking of you and hoping you get the results you were hoping for soon. Netty

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