Puffy 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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7 answers to “Puffy eyes after Juvederm injections...”

A: Puffy under eyes after Juvederm

Steven Wallach, MD

First, Juvederm absorbs water during its resorption. This may h ave translated to lower eyelid swelling.  If you truly have eye bags, then I suggest you wait to have those treated until after the Juvederm dissolves.

A: Good news: Excess Juvederm can be removed

George J. Beraka, MD

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... more

A: Juviderm for Eyelid Hollows

Michael A. Persky, MD

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... more

A: Swelling versus too much filler

Jordana S. Gilman, MD

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... more

A: Under-eye filler can be puffy for a few days

Brett S. Kotlus MD, MS

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... more

A: Hyaluronidase is the best way to reduce juvederm ridges

David Hansen, MD

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).

A: Hyaluronidase is usually the best antidote for poor Juvederm results

Robert Singer, MD

Surgery cannot reverse the outcomes that resulted from the injection of Juvederm you were given. A hyaluronic acid dermal filler, like Juvederm, does have an “antidote” called hyaluronidase to help your results diminish in days, rather than the 6 to 12 months that these fillers typically last... more

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