Under eyes still baggy after two hyaluronidase injections

I had undereye Juvederm injections, with each under eye area injected with nearly one full syringe. It created very large bags under the eye area. Since then I already went twice for hyaluronidase injections that were given one week apart. The doctor combined the hyaluronidase with a little bit of a steroid to prevent further swelling of the skin. It has helped a little, bit but the area is still overfilled. Should I go for more hyaluronidase injections or is there anything else that could help? And how many sessions of hyaluronidase injections can be given?

3 answers to “Under eyes still baggy after two...”

A: Be Careful!

David Shafer, MD

Bambi, Please be very careful with injections around the eye. One full syringe under each eye seems excessive. The skin around the eye is very thin and you really should minimize injections in this area. You say that you have already had hyaluronidase with steroid injected twice with little improvement. At... more

A: Bambi, Sounds Like You Wandered Into the Wrong Forest

Michael A. Persky, MD

Hi Bambi, Sorry to hear about your misfortune with your Juviderm injections.  Unfortunately we are hearing more of these side effects.  I was amazed and appalled at what I was hearing at recent "cosmetic" meetings as uninformed and poorly trained injectors were raving about how great... more

A: Be reassured that the "bagginess" will resolve with time and repeated hyaluronidase injections

Bryan K. Chen, MD

Resolution takes time (a few weeks) and often several (3-5 or more) injections of hyaluronidase (would advise 1 week apart).  If the material is located superficially, a tiny stab incision can be made with a blade and the material extruded.  I appreciate how difficult it must be for you to go... more

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