How is Juvederm Injected Best for Under the Eyes?

Any hyaluronic acid dermal filler injected in the "tear trough" area under the eyes should be injected under the muscle (deeply) to avoid lumpiness at the surface of the skin. As mentioned, good results in this area is very technique dependent. Numbing cream is sufficient for this treatment.
Our office is located in the city of Orange, right behind Children's Hospital and we would be happy to see you for a free consultation regarding the procedure. Visit our website link below for before and after pictures of this procedure. As an aside, we use Restylane in this area and not Juvederm.

Juvederm is a hyaluronic acid dermal filler that’s
associated with excellent clinical results and high patient satisfaction
rates. It’s easily injected and has a
smooth soft presentation. Juvederm is very
versatile and can be used in multiple anatomic locations. When the eyelids are treated it’s important
to be cautious for several reasons. In
this area the anatomy is very complex and the skin is very thin.Superficial
injections can be associated with several problems. These include lumps and bumps which are
accompanied by a bluish discoloration of the skin. In some cases, there may be a diffuse bulge
in the area of the lower eyelids from expansion of loose lower eyelid skin. Superficial injections in this area are often
painful despite topical anesthesia which is usually effective. For these reasons, deeper injections are
often more effective then superficial injections. These injections should be placed beneath the
muscles and small volumes should be utilized. It’s
important that these issues be discussed with your physician before proceeding
with Juvederm eyelid injections. Your
physician should be able to explain his or her approach and alleviate your
anxiety.

I prefer to use an infraorbital block so that my patients feel nothing and that way I am  able to inject in multiple planes depending on patient needs.  I dont think a great result can be achieved without doing this.

 

All the best,

 

Rian A. Maercks M.D.