Why Did One Eye Swell After It Was Placed Only in Cheeks?

Please advise. I had juvederm injected in my cheek bone area (1/2 syringe/ side). 4 months later, I had additional juvederm (1/2 syringe/side) injected into the front of my cheeks to add more volume in the apple of the cheek. The 1st go with juvederm was flawless. The day following the 2nd round of juvederm, I noticed a small bump developing under my left eye. Dr. said it was likely vein trauma & would resolve. 3 days later, I developed a bag under the eye. 7 weeks later, still have bag. HELP!

Doctor Answers 3

Juvederm and swelling

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It is very difficult to answer your question without first viewing pre and post-treatment photo's. You should consider posting these for better assessment of the area.

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Swelling 7 weeks after procedure unlikely to be vein trauma

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Under eye swelling 7 weeks post-injection is unlikely to be from vein trauma, especially if there is no associated bruising. Juvederm has strong water attracting properties, which may be the cause of your swelling. I favor Restylane in the lower lid/upper cheek area because of Juvederm's water-attracting property. However, depending on where the product was placed, the channels that normally drain the fluid from your eyes (lymphatics) may also be compromised. This is likely a contributing factor since you had Juvederm initially without difficulty, and your current eye swelling is on one side. A deeper injection will help prevent this in the future. While the Juvederm will eventually dissolve on its own, you may be waiting many months for this to occur. For this reason, I recommend re-visiting your provider for possible hyaluronidase. This will dissolve the remaining Juvederm and hopefully improve the swelling.

Ramona Behshad, MD
Saint Louis Dermatologic Surgeon

Probably small hemorrage and swelling response

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This is probably small hemorrage and swelling response to the juvederm. At this point the best you can do is be patient and wait. If by 2 to 3 weeks you haven't seen any improvement, contact your doctor again. He/she may want to inject enzyme to dissolve the Juvederm.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 42 reviews

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