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Juvederm volift traveled under eye area, advice needed?

Hello, I had juvederm voluma injected in my mid cheek and NL fold region 3 months ago, doc said the juvederm would last up to 12-18 months.. 3 months in the filler seems to have condiderably worn off, but now i can feel a moving filler lump right under my under eye area.. Could it have migrated? What should i do.. Ever since the procedure ive been feeling pressure on this side of my eye area when i lie flat, intially felt nerve pain throbbing to which settled in 2 weeks, My UK doc abroad based.

Doctor Answers 6

Migrated filler

May 31st, 2017
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Thank you for your question NatashaZ. I understand your concern. Vollure is a hyaluronic acid filler designed to enhance the appearance of wrinkles and folds on the face. Your concern would be best addressed with a formal exam. If filler has migrated it can be dissolved with hyaluronidase.

Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
May 31st, 2017

Migrated filler

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Thank you for your question NatashaZ. I understand your concern. Vollure is a hyaluronic acid filler designed to enhance the appearance of wrinkles and folds on the face. Your concern would be best addressed with a formal exam. If filler has migrated it can be dissolved with hyaluronidase.

Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD

Reversing filler with Hyaluronidase in Los Angeles

January 1st, 2017
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I would suggest Hidef Hyaluronidase injections to eliminate the residual filler in the area of concern. Results with HA fillers is excellent. 

Best, 

Dr. Karamanoukian

Los Angeles

Web reference: http://surgery90210.com/cosmetic-dermatology/93/hyaluronidase.aspx

Raffy Karamanoukian, MD, FACS
January 1st, 2017

Reversing filler with Hyaluronidase in Los Angeles

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I would suggest Hidef Hyaluronidase injections to eliminate the residual filler in the area of concern. Results with HA fillers is excellent. 

Best, 

Dr. Karamanoukian

Los Angeles

Learn more: http://surgery90210.com/cosmetic-dermatology/93/hyaluronidase.aspx

Raffy Karamanoukian, MD, FACS

Filler Migration Months Later

February 17th, 2016
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Filler cannot migrate months after injection unless it is silicone.  Please see your physician or consider a formal consultation with an expert.  Best, Dr. Emer.
Jason Emer, MD

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 201 reviews

February 17th, 2016

Filler Migration Months Later

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Filler cannot migrate months after injection unless it is silicone.  Please see your physician or consider a formal consultation with an expert.  Best, Dr. Emer.
Jason Emer, MD

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 201 reviews

Voluma treatments can be adjusted at a later date.

February 17th, 2016
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Hi Natasha.  Sometimes people have some swelling after a filler treatment.  This can cause discomfort, and it can hide little irregularities in the fillers.  Once the swelling goes down, it looks like some of the filler wore off, and the irregularites become more apparent.  

One of the wonderful things about Voluma and the other hyaluronic acid fillers is that they can be adjusted at any time.  Your doctor can smooth the lump in the office.  If necessary, the lump can be easily dissolved with a tiny injection.  There is no need to wait for the filler to wear off.  Your doctor will want to make these small adjustments for you, so that both of you are happy with the results.    
Nancy Swartz, MS, MD, FACS

Nancy Swartz, MS, MD, FACS
Philadelphia Ophthalmologist
5.0 out of 5 stars 11 reviews

February 17th, 2016

Voluma treatments can be adjusted at a later date.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hi Natasha.  Sometimes people have some swelling after a filler treatment.  This can cause discomfort, and it can hide little irregularities in the fillers.  Once the swelling goes down, it looks like some of the filler wore off, and the irregularites become more apparent.  

One of the wonderful things about Voluma and the other hyaluronic acid fillers is that they can be adjusted at any time.  Your doctor can smooth the lump in the office.  If necessary, the lump can be easily dissolved with a tiny injection.  There is no need to wait for the filler to wear off.  Your doctor will want to make these small adjustments for you, so that both of you are happy with the results.    

Nancy Swartz, MS, MD, FACS
Philadelphia Ophthalmologist

Did my filler migrate?

February 16th, 2016
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I have never seen a case where I was convinced that the filler migrated. It generally stays where you place it. For your concerns, you need to go back to the person who did the injections and ask them.
Elyse Rafal, MD
February 16th, 2016

Did my filler migrate?

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I have never seen a case where I was convinced that the filler migrated. It generally stays where you place it. For your concerns, you need to go back to the person who did the injections and ask them.
Elyse Rafal, MD

Juvederm Voluma traveled under eye area.

February 15th, 2016
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Thank you for your question.  Based on the change of your under eye area, I would recommend you see your injector for an evaluation and determination of what this eye lump may be, as once injected Voluma does not readily migrate.  

Web reference: Http://www.nelson-center.com/dermal-fillers.html

Nelson Castillo, MD
February 15th, 2016

Juvederm Voluma traveled under eye area.

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Thank you for your question.  Based on the change of your under eye area, I would recommend you see your injector for an evaluation and determination of what this eye lump may be, as once injected Voluma does not readily migrate.  

Learn more: Http://www.nelson-center.com/dermal-fillers.html

Nelson Castillo, MD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.