Can Juvederm migrate from brow to eyelid?

Question

I had juvederm ultra plus injected directly below my eye brows for a flattening brow. It is four months later and I notice the product wearing off as my brow is flattening, however my eyelids now have a swollen appearance at the inner corners of my eye. I can see lumps under the skin when I pull my eyelid skin taut. I realize that often the answer is you "probably had this hooding/ puffiness before" but it truly wasn't there prior to injection. Any thoughts?

Jerome Edelstein, MD · Answer

I suggest you return to your injector to discuss your results. It sounds like it may be possible that migration occurred, particularly since you see lumps. Hyaluronidase can be injected to remove these lumps.

Brian S. Biesman, MD · Answer

I have seen late effects of Juvederm injected in the brow area.  This can be due to initial product placement, migration, or swelling that ends up in the eyelid due to the effects of gravity.  You probably need to have the Juvederm removed with hyaluronidase.

Michael A. Zadeh, MD, FACS · Answer

Hi Gina. Juvederm usually settles in to wherever it was injected within 24 hours, so the likelihood of its migration is rare. Although it can pull in fluid and cause some swelling, it usually does not start doing this after 4 months. To see if this hooding and puffiness was present prior to your injections you should follow up with your provider to have your before and after pictures compared. On a side note, Juvederm Ultra Plus is a bulkier filler and I don't recommend using it in the brow area because it can cause excessive swelling and lumpiness. Hope this answers your question and best of luck!

John J. Martin, Jr., MD · Answer

Juvederm is probably not going to move from the outer brow to the inner area of the eyelid - if that is where you  had it injected.  However Juvederm is very hydrophilic - it absorbs water - so the surrounding areas may get edematous.  At 4 months  you would still have juvederm in there.  Go back to your injector - if it is edema you should try getting the Juvederm out with some hyaluronidase injections.

Joseph A. Eviatar, MD, FACS · Answer

Fillers injected into the right place generally don't move
over time, however, eyebrow and eyelid regions have very delicate tissues and
muscles. Juvéderm can be an excellent
product to lift and shape the brow but sometimes it can cause lumps under the
skin. If your doctor is unable to give
you a satisfactory answer I would get a second opinion ideally from an
oculoplastic surgeon who specializes in using fillers around the eyes. The good news is Juvéderm can be dissolved
with hyaluronidase. Sometimes adding a
little bit of neurotoxin to the brow depressor muscles can help change the
shape as well and you may not need to dissolve the Juvéderm. If Juvéderm has not been helpful, there are
other options for brow lifting such as Ultherapy and ThermiSmooth.

Can Juvederm migrate from brow to eyelid?

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Answer: Juvederm to brow

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Can Juvederm migrate from brow to eyelid?

Answers (10)

Answer: Juvederm to brow

Answer: Juvederm to brow

Answer: Juvederm migration

Answer: Juvederm migration

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.