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Juvederm in Malar Area

asked 1 year ago by Pish23 in North
Latest answer by Ronald Shelton, MD
Question viewed 396 times
Tags: malar bags

I had my first Juvederm-treatment nine weeks ago trying to camouflage genetic malar bags. Now I have much more worse malar bags and blue lines in that area. Three weeks after that treatment, another PS tried to correct that. It helped a little bit but he put that filler deeper (right level) and lower. My question is, how long I have to suffer these worse malar bags and how long Juvederm typically lasts in that area? Does it metabolize slower when its too close to skin? Thanks!

12 answers to Juvederm in Malar Area

+2

Juvederm, Restylane, Perlane, Beverly Hills Juvederm, Beverly Hills Radiesse, Beverly Hills Perlane.

Juvederm should last between 4-8 months in that area.  You could call the Plastic and Cosmetic Surgeon or Dermatologist that did the Juvederm Injection to see if he/she has suggestions on how to even out the injected material through massage or hyaluronidase injections.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+2

Restylane or Juvederm can help or worsen under eyelid bags

Bags underneath the eyelids can worsen if they are fluid/swelling-related when Restylane or Juvederm are injected. Juvederm seems to contribute to more swelling in this area sometimes. This swelling has lasted more than a year in some patients. Hyaluronidase may be used to try to dissolve some of the product. Bags underneath the eyelids from fat herniation forward, are more readily treated by injecting the deep adjoining folds with fillers. The tear trough can be... more
Ronald Shelton, MD

Manhattan Dermatologist
+2

Juvederm should work for months

The rate of filler degradation is related to where the filler is places. When places into lips where there is a lot of muscular activity, they do not last very long. In the quiet malar area, I would anticipate that the filler may be present for months.
Robert E. Zaworski, MD

Atlanta Plastic Surgeon
+2

Juvederm lasts 4-6 months

Juvederm (and Restylane) last about 4-6 months. If you are very unhappy with the results, you can have hyaluronidase injected into the area.
Gary Goldenberg, MD

New York Dermatologist
+2

Juvederm under the eye

Juvederm and other similar hyaluronic acid fillers may last 8-9 months or longer in this area. By 9 weeks after injection,  consideration should be given to dissolving some of the product with hyaluronidase enzyme.  This would likely help the blue hue that you mention.   Mark Lucarelli, MD, FACS Madison, WI
Mark J. Lucarelli, MD

Madison Oculoplastic Surgeon

www.UWHealth.org

+2

Juvederm in Malar Area

Juvederm has a tendency to retain water, but this should not be a problem 9 weeks after injections. The Juvederm will last about a year, but injections of hyaluronidase will help to dissolve that material.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+2

Malar bags

Malar bags are caused by edema.  The fillers like juvederm abosrb water and can cause more swelling. The lines you see may be filler injected too superifically.    
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Juvderm in malar Area

Juvederm typically lasts 8 to 12 months. I would definitely give it a wee or two to let the swelling fo down. I would also ice it 5 minutes at a time few times a day over the next one week. If not at all better, I would use hyalurinidase to dissolve it. The rtend is becoming not to use Juvederm in the tear trough area, as it could cause the blue tint. I have switched competely to Restylane in the eye area because of this reason.
Ben Behnam, MD

Santa Monica Dermatologic Surgeon
+2

Juviderm and filler absorption.

Juviderm lasts up to 1 year but you can dissolve it with an injection of Hyaluronidase. You should wait a few weeks to see if the swelling will go down.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+2

Juvederm under the eyes must be placed deeply and conservatively

Although "bags" under the eyes can be improved by injection of Hyaluronic Acid fillers (such as Juvederm), this treatment must be done carefully and conservatively by a trained injector.  The indentation under the bag ("tear trough") is the area that is elevated by the injection, causing the bag itself to be less distinctly defined. The material, when injected, must be placed directly on the bone in a linear fashion, in order to lift the tissues underlying the... more
Sheldon Pollack, MD

Toronto Dermatologic Surgeon
+2

Juvederm under the eye

Juvederm under the eye or on the cheek can really last a long time (often as long as a year....or more).  If you have swelling and see a blue tint to the skin the best treatment is probably having the Juvederm dissolved with Hyaluronidase.  That involves a simple injection. After about a week you could consider another treatment.  However, for this area I would consider Restylane.  It is very similar, but tends to swell less in that area.
Marc Cohen, MD

Philadelphia Oculoplastic Surgeon
+1

Malar edema from filler injections

I have seen a handful of patients that present with prolongued malar edema after having fillers injected to their midface.  I have seen with hyaluronic acids such as Juvederm or Restylane, and other filler agents including Radiesse.  I have seen this least with Restylane though.  In people with your condition (already with baseline malar edema), there is always the chance of having this worsen with filler injections.  It is always difficult to tell without a picture to... more
Christopher Zoumalan, MD

Beverly Hills Oculoplastic Surgeon

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