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Puffy Eyes After Juvederm Injections in Under Eye Hollows

asked 3 years ago by anon
Latest answer by Yael Halaas, MD
Question viewed 61,534 times
Tags: eye hollows, tear trough, under eyes, hollow, side effects

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.

17 answers to Puffy Eyes After Juvederm Injections in Under Eye Hollows

Pillows in lower eyelids after Juvederm injectios for hollow eyelids.

If it's a few days after having the Juvederm injected, the "pillows" could be isolated swelling however, after that it might be pockets of the Juvederm itself that did not spread out within the lower eyelid hollow. If these "pillows" are new after the Juvederm, these are not fatty deposits and as such would not require a lower eyelid surgery to remove.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

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... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

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... more

Jordana Gilman, MD
New York Dermatologic Surgeon

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... more

Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon

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... more

George J. Beraka, MD
Manhattan Plastic Surgeon

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... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

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,... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Puffy eyes

Firstly, the important fact you left out is when you had it done. If it was under a week I would not immediately panic since this is expected. Around week two is when the bruising and swelling should be gone and the beauty of the item should be seen. I prefer to use Restylane, which can give a smooth result for the eye area, and Juvederm for the lips. Juvederm tends to absorb more water, therefore giving off a plumper effect resulting in a beautiful soft lip. This may be the reason you feel... more

Yael Halaas, MD
Manhattan Facial Plastic Surgeon

Juvederm - puffy eyes

It's hard to say what the correct treatment is for you without a photo. In general, Juvederm is great for the tear trough area. It's possible the product was injected too superficially so you are now feeling filler in that area as pillows. I would consult with a plastic surgeon you trust in your area to see if you need a blepharoplasty. Usually people really love the effects of Juvederm in this area - I'm sorry you had a bad experience! Dr. Cat... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

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... more

Shawn Allen, MD
Boulder Dermatologist

Hyaluronidase dissolves Juvederm, cost-effective

If your doctor doesn't have the wydase/hyaluronidase injections, find one that does. Because this puffiness issue needs to be resolved before you consider surgery, these injections are your only way to look better in the meantime.

Daniel J. Ladd Jr., DO
Austin Dermatologist

Immediately do this

To get rid of the juvederm, I would have the doctor inject wydase (an antidote) that should dissolve it quite well. That is the simplest solution.

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon

Juvederm more apt to cause puffy lower eyelids compared to others

Juvederm is very hydrophillic. This means that it absorbs water and swells in the days after

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

Puffy eyelids from juvederm injections

Sometimes juvederm injected into the under eye hollows can cause a puffiness or tyndal type of an effect where it appears bluish and raised. I prefer restylane for that reason in the eyelid hollows when I inject it. Also, it can make puffy eyelids appear worse on occasion. There is a simple remedy for getting rid of the juvederm and injections of hyaluronidase with make the juvederm go away. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Puffy under eyes after Juvederm

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.

Steven Wallach, MD
Manhattan Plastic Surgeon

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).

David Hansen, MD
Beverly Hills Dermatologic Surgeon

Hyaluronidase is usually the best antidote for poor Juvederm results

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. However, surgery may be the most appropriate answer to correct the conditions in your lower eye region that you describe. While in many cases injections can mimic, enhance, or complement... more