Juvederm: Q&A
Ask a QuestionPuffy Eyes After Juvederm Injections in Under Eye Hollows
I had Juvederm injected below my eyes to fill in hollows, and now I have pillows instead. It looks horrible. My doctor said that only surgery would fix this and he stated I should have had eyelid surgery all along. He suggested I initially try the injection because I cannot afford surgery right now.
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20 Doctor Answers |
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anon
+7
Juvederm injection for hollow eyes can make puffy eyes and hollow eyes worse
I agree that the skill of the doctor who injects Juvederm usually is most important for a good outcome.However, I do not inject Juvederm, Radiesse, Restylane, Perlane Evolence, Sculptra or any filler to correct eye hollows for several reasons;Eyelid skin is so thin and delicate that fillers often show through as grey lumpsTrue hollow eyes require composite fat grafting for adequate correction-filler volume is not enoughFillers are hard unlike fat and are unnatural consistency for...
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+5
Swelling versus too much filler
When did you have the injections? You may be swollen for several days after the injections, and bruising may also cause some swelling. If there was too much filler injected causing the "pillows" the best treatment is hyaluronidase. Hyaluronidase is injected into an area with too much filler and it dissolves the filler away completely.
Also, the fat pad that is under the eye can itself puff out with time and look like a little pillow. If you then have filler placed in the groove below the...
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+5
Under-eye filler can be puffy for a few days
Juvederm is a hyaluronic acid-based filler that is quite soft and well-tolerated in many clinical situations. One consideration in the setting of puffiness after injection is that this type of filler is hydrophillic, meaning it attracts water. For a few days, this can be seen as swelling or puffiness, which generally resolves. Some patients see some benefit by using warm compresses to help the fluid subside. If your swelling is within the first few days after having a filler injection, this...
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+4
Good news: Excess Juvederm can be removed
It sounds like you now have 2 problems: your original hollows and a new deformity caused either by too much Juvederm or by incorrectly injected Juvederm.
I think you need to deal with the Juvederm first. There is a medication called Hyaluronidase injections and these can dissolve the Juvederm. This excess Juvederm cannot be removed with surgery.
Once you are back to your original hollows, you can save your money for corrective surgery. I should also tell you that surgery to correct lower...
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+3
Tear Trough Treatments
Performing "tear trough" treatments to the hollow areas under the eyes requires meticulous technique and can be a very satisfying treatment when done correctly. What you are describing sounds as if the injector placed the product above the muscle rather than below it. This will usually result in the look that you are describing. When done correctly, tear trough treatments should provide improvement rather than rendering a worse outcome.
When we determine someone is not a good...
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+2
Juvederm swelling under the eyes
One of 3 things will cause this effect: 1. The product was injected in the wrong plane or level of the skin 2. Juvederm can cause this type of swelling under the eyes even when placed deeper in the correct plane of the tissue by experienced injectors or 3 too much volume was used for the correction. Either way it is amazingly simple to resolve with hyaluronidase injection ("the antidote" as some call it). If your doctor doesnt offer it, go get it...
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Boulder Dermatologist
+2
Juviderm for Eyelid Hollows
Hi Anon,
Sorry for your bad experience and puffy eyelids after Juviderm. What we usually say is that it's not the "filler", it's the person putting the filler in. You may have had too much lower lid fullness from fat for the Juviderm to be effective, but in that case it should not be used. The use of fillers and even Botox are medical procedures that should be performed by cosmetically trained board certified physicians in a cosmetic field (plastic surgery, facial plastic surgery, ENT,...
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+2
Hyaluronidase is the best way to reduce juvederm ridges
Injections under the eyes can and often do result in bumps or ridges. Hyaluronidase is the solution we inject to dissolve juvederm. it often takes a few sessions of injections given at 1 week apart ($150/session).
+1
Fillers for Tear Troughs
Thank you for posting your question. This is the reason that I only use Restylane for the tear troughs. It is thinner than Juvederm and is less likely to cause the fullness or "pillows" that you describe. There is good news, however: hyaluronic acid-based fillers can be discolved by careful injections of an enzyme called hyaluronidase (marketed as Vitrase). Please inquire about this with your doctor and consider seeking a second opinion.
+1
Puffy Eyes After Juvederm Injections in Under Eye Hollows
I do not know when you had the injections but the timeline would be good to know. If the injections are a few days old then I would expect that you would have swelling for that time period. If the initial week has passed and your lower eye hollows are still full it could be from one of two reasons. First, it may be too much filler which can be treated with a hyaluronidase injection to dissolve the Juvederm. Secondly, the filler may be pushing your fat pads upward and this...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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