Is Juvederm Contra-indicated for Undereye Use?

I have an appointment for a Juvederm touch-up in my nasio-labial folds, and i wanted the Dr. to place the leftovers around my tear trough area. I don't want the trough resolved completely, I just want the line where the eye hollow meets the cheek to be a bit softer. Many have had terrible experiences with Juvederm under the eyes, but most of the "horror stories" are when too much is injected. Is conservative use viable?

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under eyes touch up

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11 Doctor Answers | Asked by esme229 in Chicago, IL

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Nonsurgical treatment for bags under the eyes

The appearance of bags, dark circles, and "tear troughs" under the eyes is a troublesome consequence of the loss of the cheek fat pads and the downward displacement of the shriveled remnants of these pads with aging and gravity. These problems commonly appear in the late thirties and become more pronounced with the passage of the decades. Where once the lower lids were full and rounded with little evidence of crinkling and puffiness, they now become darkened,... more

Juvederm around lower lids

Juvaderm ultra is a nice product to fill out the nasojugal groove. I have been using alot of restylane there as well They both can produce a nice result.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Juvederm

Juvederm is good for the tear trough. The result is dependant on the surgeon's experience and expertise. Discuss your concerns and needs with your plastic surgeon and he/she will be able to advise you

Conservative use is fine

I see a beautiful softening of the tear trough with both Juvederm and Restylane. The key is that the filler should only be injected medial to the mid-pupillary line (the inner half of the eye), deep enough (right on the bone), and in very small amounts. Of course, no aspirin or ibuprofen for 1 week prior to the procedure to decrease the chance of bruising.

Juvederm contra-indicated for undereye use

Easy answer is NO! But find an expert injector to inject this delicate area. I recommend a series of visits every 2 to 3 weeks to slowly build up the area. Be careful of bruising. From MIAMI Dr. B

Juvederm for tear troughs

Both Juvederm and Restylane are used by doctors for the tear troughs. When placed underneath the muscle there is less concern of lumpiness or exagerated swelling. The placement in this area is an off-label use for both the Juvederm and Restylane. Neither are contraindicated for this area but it takes a gentle hand to deliver the correct amount.

Juvederm and Restylane work well under the eyes

Juvederm works very well in this area but must be injected very deeply, under the muscle, otherwise it can look blue in color. It must also be injected in small amounts as too much can look like a blue bulge. If you go to an expert Juvederm injector who has done many patients in this area, your risks of side effects will be much lower. Experience is very important in this area to avoid problems, but even with an experienced injector, side effects can sometimes happen.... more

Lorrie Klein, MD

145 reviews

Laguna Niguel Dermatologic Surgeon

www.ocdermatology.com

How to avoid tear trough deformity problem

It's very common to want to use any extra juvederm/ restylane from your visit applied alsewhere including under the eyes. As you probably have heard already this can create a whole host of problems including swelling, baggy puffiness, as well as the occasional blue hint from the filler. Juvederm is slightly more crosslinked than restylane and as such appears to both last a little longer as well as draw in more water. That is why many doctors prefers juvederm for the... more

Conservative is the ONLY way to go.

I prefer Restylane to Juvederm in this area, but Juvederm is not contraindicated even though it is "off-label", meaning its use in this area has not been evaluated and approved by the FDA. Doctors do "off-label" all the time (like Botox in the crow's feet, and fillers into the cheeks). I tell my patients, I am going for a base hit (improvement), not a home run. If you are aggressive, you can see more swelling and lumping. Injections always need to be under... more

Use Restylane for Lower Eye Lid Hollows

Hi, Many of us have stopped using Juvederm to fill under eye hollows because of excessive swelling in this delicate and unforgiving area. Many times it works fine, but in those cases where it swells too much, it can be very difficult to correct. I would suggest that you only have Restylane placed in this area to avoid becoming one of the complication "stories" here on the web. Have the extra Juvederm injected anywhere else on your face other than the... more