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Juvederm Injection Left Pillows and Indents - What Should I Do?

asked 1 year ago by Twinkle1 in Uk
Latest answer by Eugene Mandrea, MD
Question viewed 1,620 times
Tags: eyes, female, eye bags, indentation, lumps, options

Juvaderm injected under orbital rim three weeks ago. I have pillow like lumps under the orbital rim with very evident indents ( not shadows) under the pillows when I smile. Indents run from side of nose under the pillows. I look like I have very large bags. I also have a few lumpy nodules running along orbital rim. I have a review this week what should I do? Indents filled? Juvenile dissolved? Or wait it out and suffer the bags?

15 answers to Juvederm Injection Left Pillows and Indents - What Should I Do?

Irregular Contour after Juvederm Injection in Lower Orbital Rim

You have three choices which you and your physician will discuss. Juvederm tends to absorb water which is temporary but obvious under the thin eyelid skin. Patience with or without steroids will help. You can inject hyaluronidase to dissolve the Juvederm, or you can have more injected to improve the contour.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Don't wait out less than perfect Juvederm results

One of the great things about Juvederm is that it is easily reversible. There is no need to be unhappy with the results. Simply have some hyaluronidase injected by an experienced injector. Sometimes it will require more than one injection. Usually that will bring you back to where you where before the Juvederm.

Richard Weiss, MD
Newport Beach Oculoplastic Surgeon

Swelling under eyelids after Juvederm injection

Swelling after filler injections in tear troughs normally lasts 3-7 days. The eyelids have very loose skin and tissue fluid tends to persist there longer than in other places. But three weeks should be sufficient. Restylane, in my hands, tends to do better in tear troughs than Juvederm. Juvederm is a great filler, but Restylane's qualities make it more suitable for the under eye area. Also, if the filler is injected too superficially, the swelling is... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Your indents are dynamic therefore something seems wrong with where the Juvederm is located or ???

It sounds to me like you have the juvederm plus perhaps some swelling in a location that blocks the even smooth contraction of your orbicularis oculi muscle (muscle that goes all the way around your eye, within the eyelids, that causes you to be able to close your eyes shut when you want to) when you smile. The lower segment of the muscle tightens flatter when you smile causing the indent but the muscle is not similarily tightening higher up because the filler/swelling is pushing it... more

Harlow Hollis, MD
Victoria Plastic Surgeon

Juvederm and pouches

If you see lumps of juvederm at three weels post-treatment, then you probably shoudl see a doctor to be evaluated. You may want to consider having it dissolved with hyaluronidase.

Steven Wallach, MD
Manhattan Plastic Surgeon

Juvederm can swell under the eyes.

If you have "pillows" under your eyes, it is likely that you are getting swelling from the Juvederm. This occurs most frequently in patients who have ocular allergies. Do your eye frequently itch or tear? If so you may want to try an allergy eye drop, that may help. Juvederm always dissolves on its own eventually. At that point your eyes will return to normal. The problem is that Juvederm lasts a long time under the eyes (often more... more

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

Juvederm Injection Left Pillows and Indents - What Should I Do?

Very hard over the internet to advise without an in person examination. I recommend returning to your chosen injecting doctor or find a new one to advise and treat after a full examination. I would do a combination of therapies from massage, ultrasound, minute injections. From MIAMI

Darryl J. Blinski, MD
Miami Plastic Surgeon

Lumps under the eyes

I would recommend gentle massage and follow up with the surgeon who performed the procedure. He will need to discuss options with you after evaluating the area.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Juvederm - pillow under eyes

The good thing about Juvederm is that your body with absorb it over time - so the lumps you have should go away. It's difficult to give any treatment advice without seeing you or examining you in person. If you really hate the lumps - there is medicine to quickly dissolve the Juvederm. I'd recommend you go back to your surgeon and discuss your concerns. I'm sure he/she would be happy to see you and address your concerns. If there's... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Pillows and indents after Juvederm

It appears that you have had too much Juvederm injected in the tear troughs Or, perhaps the material was not massaged immediately following the injections. After 3 weeks, the only thing that may help would be Hyaluronidase injections to remove the excess. You may want to consider Laser Resurfacing (Fractionated or Traditional) to tighten the injected areas after the Hyaluronidase injection.

Eugene Mandrea, MD
Chicago Dermatologist

Swelling after Juvederm of the eyelid

There can be considerable swelling in lower eyelids especially in those people who have preexisting swelling, fluid bags, when Juvederm or Restylane is injected in the skin above the muscle of the lower eyelid. If you need to look better quickly, you may need to have the filler dissolved by injecting it with hyaluronidase. Over time, this should improve without the hyaluronidase but it could take weeks or months. Sometimes, swelling is accentuated if Botox had been injected weakening the... more

Ronald Shelton, MD
Manhattan Dermatologist

Should I have lumps after my juvederm injection to the eyelids?

Because the eyelid skin is so thin, slight irregularities can be very obvious. Juvederm in this position can last a very long time, band the inflammation and subtle bruising can last for even 6-8 weeks. It is likely that the inflammation around the injection sites will quiet down within a few more weeks. If there is also some visible product closer to the skin, the bumps may resolve with gentle massage. I would recommend giving it another month... more

Neal Goldberg, MD
Westchester Plastic Surgeon

Lumps, Bumps, and Lines after Cosmetic Filler Injection

Hi Twinkle1, Lumps and bumps after dermal fillers injections can happen with any cosmetic injection material (fat, hyaluronic acid, collagen, etc). Most lumps are temporary and due to swelling. Small bumps or lumps after cosmetic injection or augmentation typically resolve in a few days, but possibly a couple weeks. The lip bumps may be the product material, bruising / swelling, scar tissue, or combination. Your plastic surgeon or dermatologist may massage to help smooth the... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Best Treatment For Excessive Swelling and "Pillows" Under Eyes After Juvederm Injections

Hi Twinkle, It is difficult to answer your question without an exam or at least a photo. From your description, I would likely consider dissolving the Juvederm with Hyaluronidase. In the future I would recommend using only Restylane conservatively in this most delicate and unforgiving area. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Juvederm elimination

Fortunately, Juvederm is completely reversible by injecting hyaluronidase (Vitrase) into the eyelids and the Juvederm will completely disappear. The lumps and the appearance of bags under the eyes that are caused by the Juvederm will resolve within 24hrs or less. If you had pre-existing bags under your eyes, they will look like they did before the Juvederm injection.