I have under eye swelling after Juvederm injections 18 months ago. Will Fraxel Laser be effective on eye bags? (photo)
Doctor Answers 6
Juvederm and under eye bags
Swelling under eye from Juvederm - do not treat with Fraxel.
Swelling from Juvederm
Juvederm is a great product but very thick which makes it last longer and typically a product that I do not use under the eyes. Hyaluronidase should dissolve the Juvderm. Fraxel laser is excellent for sun damage, fine lines, scars, and wrinkles. Fraxel will not be effective for this swelling. Please consult with a board certified dermatologist with experience with these lasers and injections for the best cosmetic results.
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If it is filler under your eye then I would start with Hyaluronidase. I have injected Hyaluronidase into filler years after it has been injected with good results. Currently I use Hylenex it is the ONLY recombinant human Hyaluronidase available, vs the other options sourced from animals. I find Hylenex to be the most effective.
It is possible that you may need multiple injections of Hyaluronidase/Hylenenx to bring down the filler/swelling.
It is important to consult with a Board Certified Dermatologist with plenty of experience injecting Hyaluronidase.
Swelling and Under Eye Bags
If the bags are just heavy fat pads, then surgery will be required. Fraxel will not help with the puffiness.
I have under eye swelling after Juvederm injections 18 months ago. Will Fraxel Laser be effective on eye bags?
No, Fraxel laser will not be effective on eyelid bags. With respect to eyelid bags, that are not the result of a filler injection, laser treatments will not be effective because the Fraxel laser does not treat the "bag" (which is fatty tissue) but instead treats the overlying skin. In short, the eyelid bag is much deeper than the depth the Fraxel laser can go safely go.
For a better understanding, think of the eyelid bag as a hernia much like a hernia in the abdomen or groin area. Hernias in these areas can not be improved with lasers or creams, they require surgery to correct; this is similar to eyelid bags, they require surgery and are not improved long term with lasers or eye creams.
More information about eyelid bags can be found on the link below.
I hope this helps.