Is Juvederm Heavy Enough to Make Skin Sag More?

If a dermal filler is injected correctly; deep under the muscle in that area it should not happen. However if Juvederm is placed superficially or too much, it can look worse instead of better. Because Juvederm is thick and binds water it can look puffy or make fluid bags appear worse under the eyes. It is a great product but not the best one for the thin skin under the eyes. Restylane or Belotero is a better choice in that area.

Thanks for the question. I have a couple of thoughts about the issue which I'd like to share. First off, I have never had a patient of mine experience pulling down of the lower eyelid due to Juvederm for a couple of reasons. When filler is injected in the tear troughs, the skin is so thin here that the product must be injected deep. I place it right along the orbital rim, the top of the cheek bone you can feel with your finger ~1 cm below the lower eyelid. When filler is placed deep like... more