Had Juvederm in Mid Cheek, Now Have Horrific Circle Under Eyes from the Difference in Volume. Help?

Wanted juvederm in upper cheek to help lift my deflated cheeks. Doc said I needed more mid-face so it wouldnt be so flat with defined cheekbones. Now, especially on one side, you can see a pronounced eye circle from the bone of the eye socket up to the lower eye where it now creates a big back and looks very obvious in daylight that something has been done. There is not a smooth transition from the eye to the cheek.

Doctor Answers 10


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Time may reduce the "puffiness and swelling" - if after 3-6 weeks you are still unhappy, all hyaluronic fillers such as Juvederm can be dissolved with injection of hyaluronidase - an enzyme that breaks down hyaluronic acid filler without damaging other structures in your skin

Charlotte Dermatologist

Experienced Injectors Make Effort To Avoid Creating "Shelves" Under The Eyes When Performing Nonsurgical Cheek Augmentation

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A photo would have been helpful. However, from the description it sounds as though there may have been overzealous use of filler in the cheek region immediately below the eyes--a condition that may result in the appearance of a "shelf."  Like a shelf, the injected area may project outward at the cheek undereye junction, instead of providing a smooth transition between the two regions.

It is of course possible that some of what is seen is due to the edema of the injection and molding. This can take a couple of weeks to dissipate.

If this is not the case, and it is due to too much filler inappropriately placed, hyaluronidase, to dissolve the projection would be helpful, followed by appropriate re-treatment by an experienced, expert board certified physician injector.  Make sure to ask to see his/her before and after photos.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews

Unhappy with Uneven Juvederm

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You can reverse this with hyaluronidase. I suggest speaking to your physician and considering cannula injections in the future to limit complications.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Juvederm for the cheek

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How long ago did you have your treatment? If it is very soon after your injections were performed, swelling will be a factor and will interfere with the result you are seeing. I would recommend giving it a little bit of time. If necessary, the filler can be dissolved with the enzyme hyaluronidase. I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Juvederm in cheeks

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It would have been nice to include a picture of what you are describing - but nevertheless, if you don't like the effect of the injected filler, in this case Juvederm, after a period of 2 weeks, you can have hyaluronidase injected to dissolve the Juvederm product. One or two injuctions are usually all that is necessary to dissolve the Juvederm.

Options after treatment with Juvederm

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If it has been less than a week since your treatment, give it some time as there may be residual edema (swelling) that is contributing to the appearance you describe.  If it has been quite a while since your treatment, then the Juvederm can always be dissolved with an injection of hyaluronidase (Vitrase).   

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Juvedrem to cheeks

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We do not have all the information. When the Juvederm was injected, how much??

This could be swelling, then you need to wait till all the swelling or bruises are gone, then make a judgement. If the problem persists then need to disolve the juvederm and treat the original problem appropriately

Samir Shureih, MD
Baltimore Plastic Surgeon

Juvederm Fullness

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After injections of Juvederm, you should not judge your results for at least 10 days after injection.  At that time, if you have concerns, I would discuss with your injector and review your before and after pictures.  The review of pictures is the only way you can objectively judge the results.

Juvederm is temporary.  It will eventually dissolve overtime.  If you ultimatly want to remove it, it can be dissolved with hyaluranidase.  

I hope this helps. 

Usually cheek juvederm actually improves the eye cheek junction!

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Uaually cheek juvederm actually improves the eye cheek junction.  I recommend Tincture of time.  I think you should go back to see your physician and  be evaluated for what is the root cause of this appearance.

Ritu Malhotra, MD
Cleveland Facial Plastic Surgeon
4.6 out of 5 stars 10 reviews

Might need a hint of Juvederm!

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I agree with colleagues here that this may be the result of persistent swelling if you've been treated within the last 3-5 days. Beyond that you may need to go back for re-evaluation. Oftentimes a small touch up with extra material will do the trick. Occasionally, we also need to dissolve a bit of juvederm in certain locations to achieve optimal results.

Bobby Buka, MD
New York Dermatologist
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.