Bruising and Swelling After Juvederm Under Eyes

Kimber, I believe that injections of Juvederm into the tear trough requires special skills to avoid complications. It is possible that the Juvederm was injected into the peri-septal space of your right eye, creating the swelling under your eye. I would start with a 6 day course of methylprednisolone to treat the swelling. If there is still significant swelling one week after your Juvederm injection, I would recommend a dilute injection of hyaluronidase into the right side bag.... more

The timing of your injections is somewhat unfortunate. Sounds like you may have had too much filler to the right eye area - you will have a better idea of this 1 week after the initial injection. Excess filler can be extruded from that area, or hyaluronidase can be used. Please discuss this issue in person with your physician/injector, the sooner the better. Good luck.

Thanks for your question. It is normal to have swelling and bruising after Juvederm for the tear troughs, and that swelling plus the volume effect of the Juvederm itself can be quite dramatic appearing. For the swelling, I recommend taking Ibuprofen 400mg 3x/daily (if you have no contraindications), plus icing the area. It will still take time, however. Ibuprofen can also cause slight bleeding immediately after a procedure, but you are far enough removed from the procedure that that... more

Typically, swelling caused by Juvederm should resolve in seven days. In rare instances especially when bruising has occurred the swelling could take 4-6 weeks to completely resolve. A small amount of puffiness or mild swelling for a day or two is normal. If the patient experience swelling at the injection site, an ice pack may be applied for a brief period. The patient should see an immediate improvement in the treatment areas. However, the filler can be dissolved with the hyaluronidase... more

We agree with Dr. Reichner that this is a very technique dependent procedure. There is more than one technique used for tear troughs and it sounds like you may have been injected "over the muscle". When tear trough injections are performed "over the muscle" they can lead to much trauma, including bruising and swelling. We inject under the muscle and rarely have bruising in our patients (less than 5% of the time). It sounds like Hyaluronidase may be an option for you at... more