Juvederm Migrated to my Eyelids and Caused Intense Swelling and Wrinkling. Can Hyaluronidase Be Used to Dissolve? (photo)

Juvederm was injected in an area under both of my eyes that shouldn't have been. I'm thin and the skin in this area was very tight to the bone. The Juvederm migrated and caused wrinkles up to all over my cheeks and under my eyes and in my eyelids. My eyelids have been covered with deep, wavy, crisscrossing wrinkles for a month. None of which I ever had before Juvederm. I want to know if Hyaluronidase can be used safely in the eyelids, and corners of the eye, to dissolve the Juvederm?

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8 Doctor Answers | Asked by reparata

Doctor Answers (8)
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Treating inappropriate placement of facial fillers

The answer is yes! Juvederm should not be injected in the lower eyelid region since it retains water and causes sever swelling in that area. seek a board certified plastic surgeon that has significant experience with injecting the fillers as well as dissolving the HA. Good luck!!

Vitrace can help

I agree. We do not use Juvederm under the eyes as results are not as predicable as other options. The good news is YES, you can use Vitrace to help dissolve the product. Be patience though. You may have to return for a couple treatments to achieve desires results but less is more. Make sure you are being treated by a board certified facial plastic surgeon/facility. After this resolves, we have since nice results with Restylane and Prevelle Silk under the... more

Problems after Juvederm injection to lower eyelids

Hyaluronidase can be used to dissolve inadvertent injection of hyaluronic acid such as Juvederm. In general, I avoid injecting Juvederm to the lower eyelid area for exactly the same reason that you currently face. The good news is Juvederm will dissipate over time and Hyaluronidase can be used to make it go away faster. Find an experienced plastic surgeon to help you. Best Wishes, Stewart Wang, MD FACS, Wang Plastic Surgery

Hyaluronidase to Remove Eyelid Filler

Hyaluronidase can be used to remove HA filler that has migrated. Restylane could be injected into the tear trough area in the future.

Will more Hyaluronidase help?

It is my understanding from your previous posts, is that you have had hyaluronidase already. So now your skin may just need time to heal. It would be helpful to have updsated photos but you appear to have delicate, dry skin. It may have been stretched and irritated by the whole process. A good eye cream or emollient face cream may help for now. At some point you could consider a surgical proedure such as fat grafting or CO2 laser or even a blepharoplasty (an eyelid surgery to... more

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Juvederm under eyes

We prefer fat Grafting under the eyes to avoid the many complications described on this site. Having said that, be patient and our concerns will likely improve. A number of 'soft tissue fillers' are available for temporarily improving facial areas that have lost volume, are naturally thin or hollow, or have developed noticeable and bothersome lines and creases. The most popular fillers currently are hyaluronic acid products like Juvederm® and Restylane® which can be used to, among other... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Hyaluronidase can remove the Juvederm

Injecting fillers under the eyes is a very delicate procedure and challenging in people with thin skin and little tissues. Hyaluronidase can remove it immediately. Best of luck.

Fillers around the eyes require expertise

Doing fillers around the eyes requires expertise in facial anatomy and an understanding of the filler material. You want to seek out a physician that has had formal training in this which could include a dermatologist, an ENT facial plastic surgeon, an oculoplastic surgeon, or plastic surgeon (in alphabetical order) that can help you with this. In this scenario you are indeed correct that the Juvederm can be dissolved as it is a hyaluronic acid type of filler. It should be able to address... more