Ask a doctor

Had juvaderm injected into cheeks two months ago. Swelling under the eyes What other steps can I take? (Photo)

Had juvaderm injected into cheecks two months ago. Experienced extreme swelling under the eyes. Dr has been injecting small doses of cortisone under the eyes. The swelling has gone done but I still have enough swelling under the eyes that it's still uncomfortable. Dr says Its an allergic reaction because she didn't inject under eyes. She says that if they try to remove it it may still stay swollen. What other steps can I take?

Doctor Answers (6)

Swelling under eyes

+2
The swelling under your eyes could be from migration of the Juvederm.  Although not that common for filler to migrate higher than it is placed (usually it will fall with gravity), it is possible.  I would try hyaluronidase as my next step if the swelling is still present. Hyaluronidase is an enzyme that dissolves the hyaluronic acid fillers, which Juvederm is. Be aware that a small percentage of people are allergic to the enzyme and you should probably do a test spot on your arm or another location first considering your history.  If the swelling is from the filler, it will improve very quickly with the hyaluronidase.  


Reno Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Had juvaderm injected into cheeks two months ago. Swelling under the eyes What other steps can I take?

+1

Since you are already 2+ months in to the treatment time I would allow your body to dissolve the HA product..

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 62 reviews

Had juvaderm injected into cheeks two months ago. Swelling under the eyes What other steps can I take?

+1
Sometimes Juvederm migrates so it would be worth a trial of dissolving the material with hyaluronidase.  If it is an allergic reaction, why not remove the material anyway?  In either case, dissolving the Juvederm sounds like a good idea.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.5 out of 5 stars 13 reviews

Reversing Juvederm filler

+1

If it was Juvederm injected, it can be removed by injecting its reversing enzyme (hyaluronidaze).

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Juvederm leaving swelling around the eyes is seen often

+1
When injecting around the eyes, blunt cannula technique and RESTYLANE should be used. Juvederm is too hydrophilic and moves too much for this area. Your only choice now is hyaluronidase but that doesn't always work well with Juvederm and might need repeated treatments. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Dissolve the Juvederm with Hyaluronidase.

+1
I would suggest having your surgeon dissolve the Juvederm with an enzyme called hyaluronidase. If it is an allergic reaction then it is best advised to remove the product. I personally being a Platinum Injector which means I use a lot of Juvederm  have never had a patient have an allergic reaction to Juvederm. Was this immediate after injection? Wishing you a quick recovery. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 130 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.