Juvederm volift traveled under eye area, advice needed?

Question

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.

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

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.

Elyse Rafal, MD · Answer

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.

Nelson Castillo, MD · Answer

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.

Dmitriy Schwarzburg, MD · Answer

If filler does migrate, it usually happens within days of the injection. Nevertheless, migration could be solved by dissolving it with hyaluronidase. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Alex Eshaghian, MD, PhD · Answer

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!

Nancy Swartz, MS, MD, FACS (retired) · Answer

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.

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