Juvederm: Q&A

Ask a Question

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?

Tags:

Comment on this

35 Doctor Answers | Asked by amy on Juve in fayetteville,ga USA

Doctor Answers (35)
Community Comments (0)

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

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

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

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

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

4 reviews

Irvine Dermatologic Surgeon

Lumpy Ridges and Bruises After Juvederm

There are lots of small vessels within the lower eyelid skin and to avoid these the Juvederm is best injected deep in the area just above the lower eyelid socket. This would also decrease the appearance of "pillows" which are the accumulations of the injected Juvederm.

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.

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

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

10 reviews

Cincinnati Facial Plastic Surgeon

www.351face.com

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

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.

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.

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

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.

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

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.

Steven Hacker, MD

3 reviews

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.

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.

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)

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

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.

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

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.

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

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

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.

Scott Trimas, MD

3 reviews

Jacksonville Facial Plastic Surgeon

www.facesonly.com

This may be slightly more common with Juvederm than Restylane

Both Juvederm and Restylane have good longevity. However, the Juvederm might be more likely to settle an form the type of ridge you are describing. You injector should be able to adjust this treatment with enzyme to make the results look smoother and less ridgy. I would not recommend waiting for this to resolve on its own. The ridge could be there for a very long time.

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

When bruises fade from Juvederm

Under the eyes is some very light skin which bruises for longer than other injection sights. The bruises should fade after 3 weeks, if they are still there I would use Hyaluronidase to treat the area.

Technnique vs. Product - Lumps with Juvederm under the eyes

Although we prefer Restylane when performing injections in the tear trough area, it sounds like the issue isn't so much which product was used but, more importantly, the technique. Because it has been two weeks since your procedure, most people have very little swelling/bruising remaining or are at least seeing good resolution. What you are describing as "puffs of pillows" seems to indicate that the product was placed too superficially. I would encourage you to... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

The ridges are most likely lumps of Juvederm

Juvederm is an excellent and smooth dermal filler that can be used throughout the face. The area under the eyes, however, is difficult to treat. The bruising is due to the high density of blood vessels in this area. The skin in this area is also very thin, making it easy to see any accumulations or clump of filler. You should expect the bruising to resolve in approximately 2-3 weeks. If you continue to have clumps by that time, you may consider treatment with hyaluronidase to... more

Juvederm for tear trough correction

Thanks for your question - Unlike Dr. Beraka, in our San Francisco area practice, we prefer Juvederm compared to Restylane for tear trough deformity correction. This area of the body requires expert injection technique. The reason is the extremely thin skin, the potential for palpating lumps of HA (the main component of restylane and juvederm) and the ease at which this area can be bruised. To answer your question the bruising can last for over a month. Try... more

Puffiness under eyes after Juvederm Injection

The under-eye hollow is a challenging area to fill, and should be performed only be a physician with experience in advanced techniques. Bruising is common around the eyes because of the prominence of small blood blood vessels in this area. Bruising should last around 2 weeks, but in some cases can last longer. There are ways to speed the healing of bruises with the use of a pulsed-dye laser that can help break up the bruise. Patients may actually look worse after... more

Juvederm under eyes requires meticulous technique.

Hi. 1) We think in Manhattan that Restylane is safer than Juvederm under the eyes. 2) The technique of injection and the good eye of the doctor are much more important than which filler is used. 3) If the lumpy ridges are still there in another month, You may want to try Hyaluronidase, which melts the Juvederm.

Juvederm and puffiness

Juvederm injected in the lower eyelid region can cause swelling and what you describe as puffiness. This may be due to the initial injection or due to the water absorption of the product as it breaks down. Bruising varies for each individual and can last 2-3 weeks.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Pillow-like ridges are Juvederm accumulations

The pillow-like swellings under your eyes are accumulations of the Juvederm material. Since it has already been 2 weeks, they are unlikely to resolve any time soon, though they eventually would resolve spontaneously after several months. If the material is superficial, a small nick can be made in the skin and the material milked out. A series of hyaluronidase (hyaluronic acid degrading solution) injections can also help. Please see the Editor's note above, directing you to additional... more