Can Juvederm migrate from brow to eyelid?

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.

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.

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!

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.     

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.

Maybe the filler has migrated
down into that area – hopefully they took before pictures so you can compare
what it looks like now to before you had the filler placed.

Juvederm has a very high affinity for water and there are several cases in Realself of prolonged edema around the eye with this product.  I suspect that this is what is happening with you.  The edema doesn't always start immediately.  It won't go away on its own very quickly.  You need to dissolve it with hyaluronidase. Restylane is a much better product to use in the brow area.  It has a much higher G prime and will give much better support than Juvederm.

Juvederm is not likely to migrate unless manipulated early one, i.e. within several days.Late swelling below the eyebrow can occur as the filler can absorb water. See your injecting physician for more guidance. 

The filler does not migrate to any great extent after is has been injected and manipulated by the surgeon.  It may be swelling that you are feeling or normal aging in the other region.  If concerned, it is best to see your doctor.

Hi Gina, Thank you very much for your interesting question. In general, it would be a stretch to think that the Juvederm migrated from the outer corner of the eyebrows down into the inner corner of the eyelid. That being said, there is no way to tell. One possible scenario though, is that the Juvederm is causing edema (or swelling of the eyelids). Even the Juvederm reps will tell you not to ever inject it around the eyes. For some reason, Juvederm tends to cause swelling in some people when it is injected around the eyes. This happens much less frequently with other fillers, such as Restylane or Belotero. The good news, is that if this is the case, it can easily be treated with Hylenex, which dissolves the Juvederm. Seeing bumps and lumps is concerning, and you should see either the doctor who injected you or an oculo-plastic surgeon to examine your eyelids. Also, the upper inner corner of the eyelids is where swelling usually accumulates, because there is a fat compartment up there. The attached link might be a little too technical, but it talks about fillers around the eyes. Good luck!