Complications After Juvederm to Tear Troughs? (photo)

One week following treatment is way too early in my experience to rush to treat possible problems. There is still too much tissue swelling (edema) from the pin pricks and trauma of the treatment to be sure exactly what you are treating at this stage.

I typically advise patients to be patient and wait about a month before evaluating whether anything needs to be done in the event of a swelling such as in this case. At that point, if the swelling persists, a tiny amount of hyaluronidase, an enzyme that dissolves hyalruonic acid, can be injected in microdroplets directly into the bump to flatten it. The normal surrounding tissue is NOT affected by this. 

Juvederm UltraXC is my preference for treating tear troughs (that are not too deep )in my Upper East practice in NY. In my Israeli practice, I prefer Princess Filler for this purpose. For deeper tear troughs that require more lift, I use Restylane L. When dark circles are present, I add a bit of Radiesse, which is whitish in color, to help lighten the area.

Your photo reveals you have a thin mid face, so I can understand your desire for fillers in the first place. It appears that the product is a little superficial in the left tear trough area.  You may want to have that bit dissolved but in general you could use "More" volume  in your cheeks to fill them out.  This can be with dermal fillers, sculptra or  fat grafting which is natural looking and longer lasting

Tear Troughs are not easy!  A little goes a long way!  I didn't exactly understand when you were injected, however I would massage any irregularities as Juvederm is easily molded.  If it has been a few months, Hyaluronidase will dissolve the Juvederm.  I have never seen it dissolve the patients own tissue enough to notice. 

Thank you for your question. Juvederm is not the correct filler to be used in the tear trough area as it attracts a lot water and causes edema. The best filler for this area is Restylane as it is a thinner filler and attracts less water. Typically, I use cannulas for this area for safety and less bruising. I recommend following up with your injector as he/she may want to dissolve the filler with hyaluronidase. Best of Luck!
 

I certainly understand how you feel!  I have had filler there in the past, and had to have it dissolved.  Frustrating!  The skin is very thin in the eyelid area, and filler here is quite difficult to do well.  You need to wait another week to let the swelling resolve- maybe try some Bromaline (in pineapples) or Arnica to speed the swelling. I use Restylane in the tear trough, I do think it does better in this area.