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Lumpy Ridges and Bruises After Juvederm

I had Juvederm injected under my eyes for hollows. This was done almost 2 weeks ago. I have bruises under both eyes and small pillow-like ridges under both eyes. Is this normal? How long do the bruises last? What are these puffs of pillows?

Asked 36 months ago by amy on Juve in fayetteville,ga USA

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Puffiness after Juvederm Injection Under Eyes

I'm sorry to hear you have bruising and puffiness two weeks after Juvederm injection under your eyes. Bruising will pass on its own. The puffiness may need treatment, depending on how bad it is. While I prefer Juvederm to all other fillers in the lower 2/3 of the face, I have stopped using it under they eyes, as I have occasionally seen patients look great at 2 weeks, but "puffy" under the eyes at 2 months, with Juvederm. I have never seen that occur with Restylane. ... more

Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon

Lumpiness after Juvederm

Correct hollowness in the lower eyelids with the use of fillers like Juvederm requires a skilled plastic surgeon with a understanding of the anatomy to prevent such problems such as lumpiness and palpability. Injection in the under eye hollows can be tricky and you should consult with an experienced board certified plastic surgeon. The three possible solutions for lumpiness are: 1. Massaging the areas where the Juvederm maybe clumped together 2. Wait - Like all hyaluronic... more

Ankit Desai, MD

Jacksonville Plastic Surgeon

ASPS

Juvederm puffiness can be treated...very easily!

Treatment of the area under the eyes ("tear trough hollows") can be fraught with problems. If injected incorrectly, patients can develop excessive puffiness and lumpiness; and even when injected correctly, there can be bruising. The good news is that there is a relatively easy way to treat the puffiness. I inject an enzyme called hyaluronadase which effectively dissolves the product. If initial localized massage of this area does not smooth the... more

Gregory A. Buford, MD

Denver Plastic Surgeon

ASPS

Juvederm under the eyes

Typically, treatment under the eyes are more difficult so bruises are more commonplace and can last longer than other injection sights due to the lightness of the skin and sensitivity. If you are still having lumps two weeks after your Juvederm injection, you should have a follow-up with your doctor. The lumps may be a result of accumulations of Juvederm and can sometimes be removed or lessen by massaging those areas. But if the lumps persist, your doctor can inject Hyaluronidase to dissolve... more

Sanusi Umar, MD

Redondo Beach Dermatologic Surgeon

Swelling caused by Juvederm material

The pillow like swellings are actually Hyaluronic acid (Juvederm) material . The best way to resolve this is through injection of Hyaluronidase. The procedure is safe and works very well. The injection can be repeated without any problems until the swelling is entirely gone.

Nissan Pilest, MD

Irvine Dermatologic Surgeon

Juvederm

Juvederm or Restylane may be injected with good results by experienced injectors. However, you must be willing to take some risk, including swelling and bruising. Sometimes inappropriate use or overfilling these areas can cause more long-term puffiness & swelling.

Doctor's Website

Sonia Badreshia-Bansal, MD

San Francisco Dermatologic Surgeon

Juvederm "swells" under the eyes...

Bruising under the eyes after a hyaluronic acid filler such as Juvederm is injected is not unusual, and usually resolves in a couple of weeks. Lumpiness of juvederm in this location is likely due to this filler "swelling" in size as it absorbs water, (which is usually a "good" thing with this filler). Unfortunately, this can lead to lumpiness and generalized swelling under the eyes. Hyaluronidase can be injected into the filler to help dissolve it and relieve... more

Debra Irizarry, MD

Crestone Plastic Surgeon

ASPS

Juvederm lumpiness and juvederm bruising

As with all injectable materials, bruising can result with an njection that hits a blodd vessel. This is something that we all try hard to avoid, but unfortunately, a small percentage of patients will bruise. We do try to minimize these problems by injecting sensitive regions with a small needle (one that has a higher guage ie 30 guage is commonly used.) This minimizes the risk of bruising. In terms of the lumpiness, this can result if a bruise occurs, and it... more

Jon E. Mendelsohn, MD

Cincinnati Facial Plastic Surgeon

Juvederm under your eyes should be done very very carefully

Dear Amy on Juve, Certainly many specialists are injecting fillers these days, but unfortunately not all are as familar with the anatomy of the eyelid and orbital region as others. As an oculoplastic surgeon and eyelid specialist, I am very aware of what a challenging location this is for treatment. While Juvederm is an excellent option, and really the only injectible I ever consider in this area, it must be used very... more

Jasmine Mohadjer, MD

Largo Oculoplastic Surgeon

Juvederm lumps after injection

I typically prefer not to inject Juvederm around the eyes. If you have lumps, these may be due to swelling or edema. In some cases, hyaluronidase may work. Try to massage twice daily and see a plastic surgeon for correction.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Juvederm

Patient satisfaction after injectables is very technique dependent. The area under the eyes is one of the more difficult locations to inject. I would recommend that you do your homework, and make sure that the injections are done by a plastic surgeon with significant experience. I will sometimes use prevelle or one of the other injectables beneath the eyes, as it tends to swell less and is easier to see the results as I'm doing the procedure.

David A. Lickstein, MD

Miami Plastic Surgeon

ASAPS

Juvederm for the eyes?

Juvederm for tear troughs (hollowness beneath the eyes) is a reasonable option when performed conservatively. In my experience, less is more in this area. Bruising and swelling lead to days away from work and anxiety. Bruises will subside, but lumps are more difficult to treat. Massage of these regions in the early post-treatment period occasionally helps to resolve lumps. In the worst case scenario, juvederm can be removed. A substance called... more

Jason R. Hess, MD

San Diego Plastic Surgeon

ASPS

Juvederm or Restylane for tear trough injection

The key is to inject hyaluronic acid fillers such as Juvederm or Restylane underneath the orbicularis oculi muscle and not underneath the skin to minimize lumpy bumpy. Any nodularity should be able to be reversed by hyaluronidase. Arnica, bromelain, fresh pineapple (to eaten) can be helpful to speed up resolution of bruising.

William Ting, MD

Bay Area Dermatologic Surgeon

Filler, Juvederm injections, lower lid hollows

I use a great deal of Juvederm in my practice, but one area of the face I do not inject it is in the lower eyelids. Many plastic surgeons do, and there is nothing wrong with it, but the skin in the lower lids is extremely thin, and consequently, even the most minute excess of filler is usually visible. It is very true that these contour problems generally resolve with massage and time, however, occasionally they don't, and improvement can be difficult to come by. Lower lid... more

Patti A. Flint, MD

Scottsdale Plastic Surgeon

ASAPS ASPS

Juvederm under the eyes

Juvederm injected in the hollows under the skin can yield nice results. However, on occasion, results may be associated with uneven lumps and bumps. If you have this result you should discuss with your surgeon to see the options to remove these bumps if they persist and are unsightly.

Doctor's Website

Steven Hacker, MD

West Palm Beach Dermatologic Surgeon

Lumpiness and bruising after Juviderm

It is common to have some bruising and lumpiness following Juviderm injections, especially under the eyes. Tiny blood vessels may bleed a little and it takes time for the Juviderm to be integrated by the body. It can take 3 weeks or more for these conditions to resolve. Be patient! Some patients feel that gentle massage and topical Arnica cream is helpful. Discuss your concerns with your doctor who can recommend what is best for you.

Randy J. Buckspan, MD

Austin Plastic Surgeon

ASPS

Bruising after Juvderm in the tear trough will resolve. For lumps, massage or treatment with Vitrase are effective....

Your bruising around the eyes should resolve within 2-3 weeks. Lumps can often be smoothed by your facial plastic surgeon or by yourself with massage. I typically advise against massage as this can distribute and decrease the effect of the filler material. As a last resort, Vitrase (hyaluronidase) can "dissolve" the filler porduct and eliminate lumps.

Stephen Weber, MD

Lone Tree Facial Plastic Surgeon

Filler for eye hollow: Bruises will disappear, Lumps may need treatment

Bruises under the eye sometimes take up to 3 weeks to disappear. We have seen a quicker disappearance with an IPL therapy. Lumps may be due to swelling or due to too much product. This can be removed with hylase (hyaluronidase)

Robert Kasten, MD

Mainz Dermatologic Surgeon

Juvederm Under the Eyes

There are several factors to help create a more youthful look around the eyes: Knowledge of aging. The injector should be able to delicately inject the area so that the face looks younger not more swollen Facial anatomy- Knowing the complex structure of both cheek and eye allows for better filler placement Keen aesthetic- The ability to create beauty Technique- Experience in creating atraumatic filling to the delicate eye area using appropriate... more

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Juvederm lumps can be treated

The bruises from Juvederm will go away as any bruise will. Do you remember any black and blue mark you had a child? Is it there now? Of course not. The lumps from Juvederm may or may not. Under the eyes Juvederm requires a skilled injector and even with a skilled injector, lumps may occur. Hyuronidase or Wydase can be used to dissolve the Juvederm which can be done in the office and takes a few minutes to do. After 1-2 weeks, things should return to normal.

Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon

Juvederm for under the eyes

It requires a skilled and experienced injector to treat under the eyes with a dermal filler as the area is very sensitive and the skin is thin. Bruising for up to 2 weeks is quite normal and can go away on its own. The lumpy ridges suggests an accumulation of juvederm. Gentle massaging of the lumps may break down the accumulation. If this is not done, then you may need to have Hyaluronidase to break down the juvederm. Fortunately, juvederm is one of the few dermal fillers... more

Kris M. Reddy, MD

West Palm Beach Plastic Surgeon

ASAPS

Bruising after filler under eyes

Bruising & swelling is normal under the eyes after juvederm. The bruising and swelling can last up to two weeks in the tear toughs. This area requires an expert who has been properly trained.

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Under Eye Fillers Are Tricky

If two weeks after your injection, lumps persist and are visible, you should visit your doctor. It may be that some massage or possible an injection of hyaluronidase is necessary to smooth things out. If bumps can be felt, but it looks good, try to ignore the issue. As hard as it may be, keep your fingers off of the area, the point is to look good, not feel good to your fingers :-) Juvederm, in my opinion, is not the best filler for the lower eyelids becuase... more

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Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

Undereye puffiness after Juvederm injection

Injection of filler to correct the undereye hollow, or "tear trough", requires very precise technique. I prefer Restylane in this region, but regardless of which filler is used, the technique is key. The "pillows" or ridges you describe are likely Juvederm that is injected too superficially. In this area, it is important to inject right along the bone. The skin of the lower lid is thin and any superficial injections results in lumps or ridges like you... more

Anita Patel, MD

Beverly Hills Plastic Surgeon

Juvederm into eye hollows

The lumpy ridges you are referring to are most likely accmuluations of juvederm. Sometimes this can persist in those areas for some time. Try massaging those areas to improve it. If it still persists, your surgeon can inject hyaluronidase to dissolve them away. The bruising may also be the result of lumps of juvederm to close to the undersurface of the skin and can be treated in a similar fashion or manually expressed with a small needle. I hope this information helps.