Possible that Juvederm under the eyes can cause prolonged and excessive watering/tearing afterwards?

Question

I had Juvederm injections under my eyes in February. About a week afterwards, my eyes started pouring out water, and hasn't stopped since. I've seen an eye doctor, and my regular doctor . The first thought was allergies, so I started about $200 worth of allergy drops - and nothing. I've tried a steroid pack, antibiotics, even had blood work ran. I cannot think of ANYTHING I've done differently to my eyes besides the Juvederm, that would cause such. Is it possible the Juvederm caused this?

Jason Emer, MD · Answer

It is unlikely that your Juvederm treatment is causing your prolonged eye watering. If it persists, I recommend following up with your Doctor. If necessary, Juvederm can be reversed with hyaluronidase. It may take a series of treatments. See an expert. Best, Dr. Emer

J. Kevin Duplechain, MD, FACS · Answer

There is a small possibility you could be having an allergic reaction to a Hyaluronic Acid product.  Although rare, patients may sometimes react to the product or rather one of the side chains which hold the  product together.  I would suggest dissolving the product.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your excessive eye watering/tearing.  Though Juvederm can cause prolonged swelling in the lower eye region I do not know of it causing difficulties with tear production, especially at a week after treatment.  If the watering continues you can return to your injector and have the Juvederm dissolved to see if this improves your symptoms.  Best wishes.

Cheryl Perlis, MD, FACOG · Answer

It is possible that the tearing is occurring from the pressure from the juvederm product. Most of the time, this goes away, as the product settles. Since it is may, I would suggest that if is continues to bother you, that you can have a small amount of  the product dissolved, just enough to relieve the pressure on the tear duct area.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question holliebelle23. I am sorry to hear about your
situation. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. Juvederm is not known to be associated with tearing. I prefer to use a softer filler such as Volbella or Restylane in the tear trough. Juvederm may be dissolved if necessary. Please consult with a doctor for specific recommendations. Good luck!

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