IPL and Juverderm Treatment? Doctor Answers, Tips
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IPL and Juverderm Treatment?

5 weeks ago I had Juverderm injected under my eyes followed by a IPL treatment. I now have swelling under my eyes on my cheekbone that look like half moons filled with fluid. I went back to my PA and she Gave me the enzyme Vitrase I believe it was called to dissolve the Juvederm and it is still there. Do I maybe need more than one injection to dissolve the Juvederm? Will this go away? I am very sad and worried that its going to be there for good. Is this permanent or temporary? Please help!!!

4 Doctor Answers | Asked by brendac
+2

Swelling after juvederm

Some patients get more swelling than others after filler injections. This can happen if they have a propensity for malar edema. Vitrase will dissole the product.
+2

Swelling after IPL and Juvederm, will this go away?

I agree with Dr Rueckl, IPL should not have been done right after Juvederm. The heat from IPL can cause swelling anyway and may have caused your Juvederm to spread out. My advice would be more Vitrase spread out in the the affected areas and massaged. The good news is that Juvederm can be reversed. Hang in there. This too will pass!
+1

Use of Juvederm and IPL

I think the tear trough deformity can be one of the most challenging to correct. You mentioned that you saw a PA. Did the PA administer it? Correction of facial irregularities with Juvederm, though very safe and reliable, still takes aesthetic judgement and experience. There is a technical element involved for sure, but reliable judgement only comes from training and experience. I am sorry you had a unfavorable experience.

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+1

IPL and Juvederm

Did you have the IPL immediately after the Juvederm, as in the same day? If so, firstly, this isn't recommended. It's best to have IPL done, then fillers, because technically, the heat from the IPL can move the fillers around a bit. Second, Juvederm into the upper cheekbones and lower eye area isn't recommended unless you are doing it very deeply, which it sounds like it wasn't. Juvederm has a tendency to draw fluid to it, and when injected too shallow, can result in puffiness and fluidity... more
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