Juvederm voluma under the eyes - safe?

Question

I've had juvurderm Voluma put under my eyes and through the tear area. I didn't have any hollow areas. The doctor thought I could use it. It was one full syringe and was put all the way up my eye my my lower lashes. Is this safe? And on the left side I can fell it under my eye, even when I'm not touching it. Can some of this be removed?

Laurie A. Casas, MD, FACS · Answer

Hello,
Voluma is a hyaluronic acid filler that is indicated for volume loss in the mid face. Its larger particle size provides a great lift along the cheeks and zygomatic arch. In our practice, I do not recommend it for areas like the tear trough that have thinner tissue. I prefer to use Belotero which is a finer filler in the tear trough area. It is important to discuss your results with your physician. Voluma and other hyaluronic acid fillers can be dissolved and reversed with hyaluronidase. Good luck!

Shanthala Shivananjappa, MD · Answer

Voluma is not routinely used in the tear trough area, although it is safely used by many physicians. Yes it can be reversed if needed. Speak with your physician regarding your concerns and let him help you.
Best of luck
Dr. Shanthala

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Voluma is a safe filler as it is the first facial filler to be approved by the FDA for the non-surgical treatment of the cheeks. It is important that you always work with a board certified facial plastic surgeon with extensive experience with advanced injection techniques.
Best wishes,

Jason Emer, MD · Answer

Yes, Voluma can be used under the eyes. I'm not sure when you had your procedure, but you can have swelling for 1-2 weeks. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. Belotero is a good filler for this area and I recommend injections with cannulas to limit complications. See an expert. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Voluma placed underneath the eyes in the lid cheek junction can be safely performed but is rarely done.  Are you sure that Volbella was not injected instead?  This is a much a thinner filler that can lead to nice improvement in eyelid hollowing and can be placed into the superficial tissues of the face.  If after 2-4 weeks from your current treatment you continue to see or feel your injected filler discuss dissolving it with your injector to return to your previous appearance.  Hope this helps.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question mayah. Voluma is a filler used to enhance the appearance of the face. It is a thicker filler and designed for the cheeks. For the tear troughs I prefer Restylane or even Volbella. The hyaluronic acid fillers have a high safety profile because they can be dissolved if the desired effects are not provided. Please consult with a doctor for specific recommendations. Good luck!

Kouros Azar, MD · Answer

Voluma was designed to treat volume loss in the mid-face which is why it is thick in texture. What makes it great for this area is what makes it not so great for the tear trough. I would not recommend Voluma for under the eyes. Hope this helps --

Sean Doherty, MD, FACS · Answer

Voluma was designed to treat a loss of volume in the mid-face/cheek and is, therefore, thick. It is not something that I would ever use under the eyes where the skin is thin and delicate. Make sure to see an board certified plastic surgeon to be assessed in person and discuss your options.

Sameer Bashey, MD · Answer

Voluma is designed to rejuvenate the face at a deeper level. It is a thicker HA based filler. I don't use it near the tear trough/eye area because the skin there is thin. You can get a bluish hue (Tyndall effect) or create lumps and nodules for a bumpy look if a filler is not injected well or the wrong filler is chosen for this area. I prefer to use thinner fillers in this area and inject them deeper to avoid the aforementioned issues. Sometimes you can use cannulas to get less bruising but this is not necessary. I would loop back in with your doctor- at your follow-up appointment with him.

Reza Tirgari, MD · Answer

The answer is NO.  Voluma is meant for cheeks and other areas where it was designed to "stay put" and not migrate.
Under the eyes, it will give you considerable risk for lumpiness.  There are other fillers that are more appropriate for the eyes.  Make sure you are seeking the advice of an experienced injector.

Juvederm voluma under the eyes - safe?

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