How Can I Correct Bad Juvederm Results Under my Eyes? (photo)

Hi Curious.  The good news is that the injections can be fixed.  We are in Los Angeles and use a product called Vitrase (hyaluronidase) which is an enzyme that can break down hyaluronic acid based dermal fillers such as Restylane, Juvederm and Perlane.  Once injected, the Vitrase will cause the Juvederm to dissolve and you should be back to looking the way you were previously.

The bad news is it sounds like you found an injector that was not very experienced with this procedure.  It looks like he injected "over the muscle" which is a recipe for pouches and bags of product under the eye.  

To learn more about proper injections techniques for the under eye area, check out our link below.  We also offer a free consultation.  

I recommend that it is worth having
your doctor try to break down the product with hyaluronidase. If it is still
present, then this will help to break it down.

Hi Curious in LA,

It would be best to be evaluated in person to determine the best course to achieve your desired results.  To begin with, I would recommend an evaluation by a core trained aesthetic physician, not a PA.  Secondly, Juvederm attracts too much water when injected under the eyelids, we prefer to use Restylane only in this most delicate and unforgiving area.  Feel free to contact us if you wish to have an evaluation.  Good luck and be well.

Dr. P

Encino, CA

If conservative massage did not help, you may want to dissolve it with Hyaluronidase and either leave the area alone or start over.  You might want to consider surgical options to treat your lower lid cheek junction once things settle down.

The good news is that Juvederm is usually easily reversible with hyaluronidase.  You should see an Oculoplastic surgeon who can perform this and also evaluate your eyelids to see if you have any predisposing conditions that led to this result.  Good luck.