I had Juvederm injected on my tear troughs, with bad results 3 weeks out. Is this Tyndall or a hematoma? (Photos)

I would tend to agree with the other experts in that Juvederm alone is generally not my first line choice for the tear trough area.  Instead I would either use it in a diluted form (by adding Lidocaine) or by choosing another filler such as Belotero or Restylane.  However, that being said I actually would NOT have started with an injection to your tear trough area given how flattened your midface/cheeks are.  You would be a perfect candidate for Voluma to this area to help build up the mid face.  By starting with this area, we often see improvement in the tear trough area and don't have to actually inject it.  Start with dissolving this product and then move on from there.  I hope this helps and wish you the very best!Gregory A. Buford, MD FACSBoard Certified Plastic Surgeon/AuthorAllergan Facial Injectables Master Trainer

If you are unhappy, please have this reversed and see an expert for alternative injection technique and product.  Best, Dr. Emer.

Juvederm is not a recommended filler for the tear trough for exactly this reason.  It can create long term edema in the lids.  While you might have a little bruise still left,  after 3 weeks any residual bruise would not be causing this amount of swelling.  Get it dissolved and no more Juvederm in your tear troughs.   

This will not get better. Juvederm is not the right product for this area. It leads to a chronic swelling frequently. Also it has been filled incorrectly. I question the experience of this provider. I always use cannulas here and it is rare to get bruising with them and never hematoma. Seek out an experienced injector to correct the issue and fill the tear troughs appropriately.

I love Juvéderm, but not in the tear trough area. It can lead to a problem with excessive swelling, which is probably what your photos are showing. The only way to tell would be an in-person examination. If you're unsure about the physician (I hope it was a physician who injected you), then get another opinion from an experienced physician who regularly uses fillers, a "core" physician in one of the aesthetic specialties (dermatology, plastic or oculoplastic surgery) in your area. Juvéderm can be dissolved and after it settles down, Restylane or Restylane Silk are preferred options for that area of the face.