I’m only 32 and have noticed these shadows and puffiness under my eyes ever since getting juvederm filler a couple years ago. I have since had it removed but the puffiness persists. These shadows make me look so tired all the time- what could be done to correct this? I have Done a round of Morpheus 8 in hopes to tighten the area but didn’t see a difference. Thanks in advance for your professional advice!
Answer: Two issues Thank you for reaching out with your concerns. From your description and the photo, it seems that you are dealing with both pseudoherniated fat pads and malar edema, which can contribute to the puffiness and shadows under your eyes. To address these issues comprehensively, a combination of treatments may be considered.
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Answer: Two issues Thank you for reaching out with your concerns. From your description and the photo, it seems that you are dealing with both pseudoherniated fat pads and malar edema, which can contribute to the puffiness and shadows under your eyes. To address these issues comprehensively, a combination of treatments may be considered.
Helpful 2 people found this helpful
Answer: Surgery for Under-Eye Hollowing and Puffiness. You're concerned about the hollowing under your eyes
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Answer: Surgery for Under-Eye Hollowing and Puffiness. You're concerned about the hollowing under your eyes
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May 30, 2025
Answer: Eye puffiness after filler injections Hello. Thank you for your question. Your situation is unfortunately one that is very common and I frequently see. HA fillers such as Juvederm, even though they are supposed to be temporary, they never fully go away. There is an inflammatory reaction/fibrosis resulting from chronic lymphatic obstruction to the area that was injected. Just dissolving this often does not do the trick. I usually recommend a combination of lower eyelid bag removal plus nanofat injection to the area and +/- CO2 laser.
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May 30, 2025
Answer: Eye puffiness after filler injections Hello. Thank you for your question. Your situation is unfortunately one that is very common and I frequently see. HA fillers such as Juvederm, even though they are supposed to be temporary, they never fully go away. There is an inflammatory reaction/fibrosis resulting from chronic lymphatic obstruction to the area that was injected. Just dissolving this often does not do the trick. I usually recommend a combination of lower eyelid bag removal plus nanofat injection to the area and +/- CO2 laser.
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March 27, 2025
Answer: Juvederm may last longer than expected in the under eye area. Additionally, sometimes the dissolving enzyme is not helpful for undoing the effects of temporary gel fillers. Please consider Consulting with another reputable specialist so you can get a second opinion. I hope this helps. Sincerely, Dr Joseph
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March 27, 2025
Answer: Juvederm may last longer than expected in the under eye area. Additionally, sometimes the dissolving enzyme is not helpful for undoing the effects of temporary gel fillers. Please consider Consulting with another reputable specialist so you can get a second opinion. I hope this helps. Sincerely, Dr Joseph
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February 10, 2025
Answer: Best Solution for Persistent Under-Eye Puffiness Thank you for reaching out and sharing your concerns. Based on your description, it sounds like this is primarily a genetic issue, rather than one caused by fillers or skin laxity. Even at a young age, the three fat pockets in the lower eyelid can protrude through the orbicularis muscle, creating persistent puffiness and shadows under the eyes.
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February 10, 2025
Answer: Best Solution for Persistent Under-Eye Puffiness Thank you for reaching out and sharing your concerns. Based on your description, it sounds like this is primarily a genetic issue, rather than one caused by fillers or skin laxity. Even at a young age, the three fat pockets in the lower eyelid can protrude through the orbicularis muscle, creating persistent puffiness and shadows under the eyes.
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December 3, 2024
Answer: Under eyes puffiness in your 30's Although most women do not begin to see signs of lower eyelid "puffiness" until their mid-40s, oftentimes it can begin in the late 20s. Several factors come into play. The first are genetics. It is not unusual that either mom or dad went through similar issues early on. The second would be the appearance of darker skin of the lower lid. The photo submitted does not have even lighting and therefore it does not accurately reflect the condition. I would encourage you to explore eyelid surgery that can often be done through a tranconjunctival approach. Good luck.
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December 3, 2024
Answer: Under eyes puffiness in your 30's Although most women do not begin to see signs of lower eyelid "puffiness" until their mid-40s, oftentimes it can begin in the late 20s. Several factors come into play. The first are genetics. It is not unusual that either mom or dad went through similar issues early on. The second would be the appearance of darker skin of the lower lid. The photo submitted does not have even lighting and therefore it does not accurately reflect the condition. I would encourage you to explore eyelid surgery that can often be done through a tranconjunctival approach. Good luck.
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