What should I do when my under eye filler (Juvederm) retains water?

Question

This winter, I had filler injected to lessen the appearance of my under eye bags. (I believe the filler was Juvederm.) I was very pleased with how it looked. However, now that the humid weather is here, it appears that the filler is expanding and retaining water, making the area below the filler appear to be lumpy. What can I do about this problem? Is the only solution having it removed with Hyaluronidase? I greatly appreciate your response to this question!!

Martin Jugenburg, MD · Answer

Under eye fillers can hold water easily. You can attempt to sleep with your head slightly elevated so your under eye does not retain fluid over night. If you are completely dissatisfied with the results, you can schedule an appointment with your injector to be assessed for hyaluronidase to remove the product.

Brian S. Biesman, MD · Answer

While there can be a number of reasons for swelling under the eyes after soft tissue filler injection, Juvederm is well known to cause a greater amount of swelling (due to its affinity for water) than some other products.  If the issue is related to the Juvederm and there is no evidence of other problems, simply massaging the product or treatment with hyaluronidase result in resolution of this condition.  Best of luck.

Mitesh Kapadia, MD, PhD · Answer

In the under eye area, Juvederm can cause fluid retention as it start to break down. This only happens in a small subset of patients, but this may be what is going on. I would recommend having the filler dissolved with hyaluronidase. The fluid retention issue is much less common with Restylane, so this may be a better option for you in the future.

Sean R. Weiss, MD, FACS · Answer

There are a number of regions that fillers can retain fluid or become swollen. One of the late concerns would be infection with a bacteria thT can form a biofilm.  I would suggest that you be evaluated by your injector and get a second opinion if your injector is not board certified.  Good luck

What should I do when my under eye filler (Juvederm) retains water?

Answers (4)

Answer: Late swelling after Juvederm

Answer: Late swelling after Juvederm

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Everything you need to know about Juvederm

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What should I do when my under eye filler (Juvederm) retains water?

Answers (4)

Answer: Late swelling after Juvederm

Answer: Late swelling after Juvederm

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.