Juvederm is best injected very carefully and conservatively when used under the eyes. It is best not to inject too superficial and inject minimal volume.
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 undereye bags but with a minimal amount of pain.
4 answers to “How is Juvederm injected best for...”
A: Juvederm around the eyes
If you inject the eyes just under the skin around the eyes, it is much more likely to be lumpy than if you inject right on top of the bone. It also hurts much more superficially. My PAs are not allowed to inject there, only me. This is because I feel that it is really good to have done the surgery, and to... more
A: Juvederm for eye hollowness
Juvederm and Restylane both work great to improve the appearance of hollow tear trough area. These injections are extremely technique dependent. I usually inject small amounts at different levels, some deep, some more superficial. We don't do a lot of massaging. The product has to be injected well to avoid... more
A: Juvederm is used off-label in this area. If I am...
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... more
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4 posts
30 Nov 2008
I'd like to find some referrals for a good plastic surgeon or dermatologist with lots of experience with injecting in the tear trough area. Can someone direct me to a good doctor for this
156 posts
7 Jul 2008
Hi Juliet, I recently responded to your first question directed to Dr. Allen. We believe that the best technique for tear troughs is to inject under the muscle to create a smoother, more natural appearance and to avoid the dreaded bags that may develop with injections that are too superficial. We also prefer to use only Restylane to this area because it allows for half a syringe when one doesn't require a full syringe for this area. More importantly, we believe that Restylane does not pose the higher risk of the product migrating as with Juvederm. A gentle, skilled touch is a must... especially for this technique, as there is little room for error.
141 posts
7 Jul 2008
Juvederm is good choice for treating the tear trough area. Although this use is off label, it can be very successful. The hard part is the fact that the skin is very thin in this area. Even small lumps of Juvederm can be seen in this area. To get the best job, I like to use a 30 gauge or smaller needle and leave very small threads of Juvederm almost directly on top of the bone. I then carefully massage the area to blend in the Juvederm. Going slowly and doing a little at a time seems to work the best. I have seen patients where the doctor tried to put a lot of Juvederm into the tear trough and then tried to massage it into place. This generally leaves a lumpy appearance. I would not want to inject the Juvederm superficially in this area. I think the chances of seeing the Juvederm would be too great.