Saggy Loose Lower Eyelids from Juvederm then Hyaluronidase
I had too much Juvederm injected into the wrong...
I had too much Juvederm injected into the wrong place. It led to chronic bags, poor contour and a very tired, old look.
A few years ago I had Restylane in the same place with no issues. It looked great and lasted a long time.
Hyaluronidase was recommend to dissolve the Juvederm overfill after waiting several months for the filler to go away on its own (note: it hangs around for up to several years in this area). I had 6 rounds of Hyaluronidase over several months. During that time I witnessed my skin degrade right before my eyes. This was worsened by having my lower lids stretched by too much poorly placed Juvederm for nearly 10 months. The Hyaluronidase immediately made my skin crepey, saggy, loose, with a purple pigmentation line in my tear trough. You literally wake up the next day looking like Charlie Sheen!
It appeared to dissolve my native hyaluronic acid - my plastic surgeon at the time acknowledged he could see the skin losing its elasticity and becoming really thin/wrinkled, so it was recommended I get botox, then look at doing a chemical peel, laser or start using Retin A after treatment with Hyaluronidase was complete. I agreed to the botox, but that did nothing to help with skin quality or the folds/wrinkles below the eye.
For the record, I always used Retin A on my eyelids before all this. My skin was in good condition before Hyaluronidase.
Now I am facing laser or a chemical peel to help address the state of my skin. I plan on travelling to have this sort of treatment done by a top revision eyelid surgeon. It's going to cost a fortune.
Always be careful with any fillers. Even if they can be dissolved, there can be bad results. Many of us on this forum have ended up with terrible complications from Hyaluronidase. Not only has it ruined my eyelids cosmetically, but it also dried out my eyes and left them with a constant tired feel.
It's important to realize that poor results with ANY cosmetic intervention can lead to unexpected expenses, depression, trauma and a prolonged recovery. My life has been a nightmare for the last 12 months. I used to have confidence, but I've become a hermit that hates to go out and no longer likes talking to people. I am sad that I look older than my well-preserved 40 year old sister (I just turned 30). I am sick of being told I look tired, worn out and unwell (I'm super healthy). I am scared that this damage is permanent. I was so much more attractive before. I even want to quit my career because I no longer enjoy interacting with people. It has destroyed my life as I knew it. I now have counselling to assist with the depressed feeling and anxiety caused by this situation.
Do your research. Make sure you are getting the most conservative approach with the best filler for that area. Be careful about having hyaluronidase around the eyes. If you can live with your results, then don't risk it. Dissolving it isn't as simple as it sounds!
I forgot to say please ignore the marks on my nose...
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Added a whole bunch of photos to show the...
Hopefully forum visitors will see my pics and be more cautious about their choices.
These pictures help demonstrate the much talked about potential side effects of Hyaluronidase.
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Hi Raleigh,
I'm so glad you wrote a review, this will help out the community so much. And so many pictures, awesome! Oh my I can't believe the Juvederm and Hyaluronidase did that to you. It's probably a good idea to see an expert for the laser. Please keep us updated.
Thanks so much for the review,
-Britt

My case is just unlucky I think. I actually went to the most respected Oculoplastic guy in my area and this still happended.
Although I have since realized that only a few doctors out there truly understand the power of hyaluronidase around eye tissue.
I have been recommended to see a revision eyelid surgeon (very experienced with filler revision/ hyaluronidase) thanks to communicating with another Real Self forum member who went thought the exact same thing.
Thanks for looking after a great online community.
Regards,
Raleigh
Hi Raleigh,
Although not great for you I'm glad the forum was so helpful for you to find a doctor who hopefully will fix this for you. Please keep us updated when you see the other doctor.
Thanks,
-Britt

Is there any way an additional photo can be added to a recently posted question? Just noticed some responses to my question that pretty much point out the obvious - I should have included a non-flash pre-treatment photo (which is featured in my review group of pics). no worries if can't do...
Thanks,
Raleigh
Hi Raleigh,
Sorry I didn't get back to you sooner I was out of town. Yes if you just want to PM me your picture or tell me which picture you want I can add it to your question no problem.
-Britt

I am terribly sorry. Your story is so awful and I can completely understand why you have anxiety and depression.
I did some Hyperbaric Oxygen therapy for several months to help calm the inflammation, but I don't think I did enough sessions. I could only afford weekly. I think when things are really inflammaed (or infected) you need a few sessions per week.
It did help me sleep better. However it didn't help the tissue damage.
Some of the purple discoloration clears up after 4 months. sometimes 5FU injections cause the same kind of purple pigmentation, but also tend to clear.
The thin, damaged, saggy, stretched gray skin has not improved though. I am doing all sorts of vitamin therapy, hyaluronic acid serums.....not helping.
The dermatologists I have seen said only fractional CO2 laser can help, plus surgery in the form a small skin pinch will help my lower lids.
Some people see improvements after 9 to 12 months. I am waiting but it has been well over a year of trauma for me.
Also battle ongoing nightmares, social anxiety, etc. I don't have my picture taken anymore (haven't had my photo taken in 18 months thanks to this).
If you are in Toronto, it might be worth seeing an eyelid & midface specialist in Los Angeles at some point. Oculoplastic & reconstructive doctors are the sort that specialises in this region.
I am saving to see a good one over there. Live miles away from LA but several people who have experienced Hyaluronidase and filler issues end up going there for help.
I hope things improve for you.
Thanks for the response..It sounds like we are both trying to exhaust every possible treatment to help us and like you I avoid social situations and as well haven't had my picture taken since this happened. I have bumps or what looks like herniated fat pads underneath my eyes. The doctor keeps telling me its my own fat pads and it well may be however they were not noticeable before I had these injections and I believe have protruded due to damage to tissue which is making them more noticeable. I see from your pictures that you had similar bumps or "fat pads" undereath your eyes. Was that the filler and are they now gone or do you still have them?

But now, after so much Hyaluronidase, I have excess skin which has been properly diagnosed by an eyelid surgeon and dermatologist. This is combined with poor quality skin from losing all my natural hyaluronic acid.
like you, my before photos show no herniated fat pad.
Maybe it is a weak orbital septum from all the stretching of JUvederm?..........With me, everything seems thin, saggy and weak, like it can't hold the contents of the socket back anymore.
THis is why i am going to LA to get it properly diagnosed. i can't afford to muck around with treatments that won't address this.
Your doc may be right, however he sounds like he is trying to put the onus back on you and make your current appearance seem like your own body generated it.
If it wasn't like that before Juvederm, then the filler and/or dissolving enzyme caused it for sure.
I have also had my original doctor tell me if must be my own body's fluid retention. he acknowledged the thin skin and stretched skin and new wrinkles but doesn't want to help fix it (even though i have been so nice about the whole mess - too nice really considering the damage and expense - I was even paying for the Hylauronidase to dissolve this crap). hence i have been forced to go elsewhere for treatment.

be careful with any injections to dissolve juvederm.
go to someone who knows what they are doing.
my eyelid tissue is damaged big time. confirmed by a dermtologist. need laser and skin pinch now. still young but my eyelids are like that of a smoker or sun lover post-menopause age.
good luck :)

I hope you have some luck with laser and that is gets much better for you.
Take care & feel free to contact me anytime!
Hi Raleigh4718, Just following up to see how you are doing? Do you still have the purple //blue colour that showed up after the hyaluronidase treatments or just the saggy skin left? Its now been 10 months and I still have the purple/blue colour...
Thanks
Speak soon!
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