I had Juvederm Ultra Plus injected in tear troughs to fill hollowness 9 days ago and the results are alarming. Need help (Photo)

Juvederm is a hydrophilic material.  This means that it attacts water.  When it is injected in an area of thin skin (like under the eyes) it attracts water over time and causes a water balloon like appearance.  You can have injections of hyaluronidase to help dissolve the Juvederm.  I would recommend getting a second opinion to make sure that this is exactly what you need.  Good luck!

I suggest hyaluronidase injections to reverse the filler but if you want to wait and try conservative measures -- oral diuretics, finger tip massages and venus legacy treatments.  Best, Dr. Emer.

From the photographs, it appears that you have filler injected too superficially.   Luckily this can be dissolved easily with hyaluronidase.  If your doctor couldn't correctly identify the problem, it is probably a good idea to get a second opinion with an expert in facial injectables.  It is always a good idea to see an expert the first time, it will save you money and problems.

Thank you for your question and series of photographs.  I would recommend allowing your results to mature for at least two weeks. The under-eye area is prone to swelling and palpability of filler material as a result of its thin tissues. If your results show no improvement, best to see your injector about possible dissolution of product material to restore your prior appearance.

First, let me say how sorry I am that you are feeling this. Next, let me tell you that you can calm down.Juvederm Ultra, and even more so, the more robust, Juvederm Ultra Plus would not be a first choice of experienced injectors for use in the tear trough regions under the eyes. The under eye area is the thinnest skin area of the entire body and the relatively superficial placement of hyaluronic acid that is required in this thin tissue can give rise to the unwanted, bluish Tyndall Effect and/or the swelling effect that you are likely experiencing (from the particular water-attracting properties of the Juvederm injectable). The latter two problems are far less likely with Belotero Balance and Restylane Silk. If there is no diminution of the swelling over the next two weeks or so, it would probably be advisable to have hyaluronidase injected to dissolve the Juvederm Ultra Plus, after which it can be properly retreated.The under eye area is not a region for novice injectors accustomed to injecting simple smile lines with ordinary fillers. You would do well to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in advanced injection techniques, and make sure to ask to see his/her before and after photos.