How long should a firm lump resolve after getting Juvaderm injections under the eyes?

I had injections two weeks ago with still a firm lump under my eye, it's raised and I can see it when I read or look down. My eye is a little squinted and looks smaller because of the lump. I went in for a check up 4 days ago he told me that it will go down and to massage it really hard, and to come back in a month! Is this normal?

Doctor Answers 5

Usually all dense areas of filler are massaged day of treatment.

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Usually all dense areas of filler are massaged day of treatment. As we heal and swelling comes down lumps become more apparent. You can mold the product with massage. I would recommend to massage the product before injecting with hyaluronidase to dissolve. 

All the Best.  

Toronto Plastic Surgeon
4.9 out of 5 stars 518 reviews

Lumps after fillers

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I agree with your MD who said to massage it out and wait.  I have been injecting hyaluronic acid fillers daily in my patients since the first filler of this kind was FDA approved in 2004 ( Restylane).  I have witnessed lots of patients panic over lumps though they are quite commonplace after filler injections (even in the tear trough).  It is true that these fillers absorb water and cause lots of swelling too.  Lumps (if massaged) and swelling usually go away within 3 weeks of the injection.  A hard lump that persists beyond 4 weeks may require Hylase and/or steroid.  Granulomas don't form in less than a month.

Karen Stolman, MD
Sandy Dermatologic Surgeon

Lumps after fillers near eyes

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Lumps from fillers if still present after a month will not go down until they dissolve unless you inject them with hyaluronidase.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

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Lumpiness from any filler in the tear trough needs to be assessed, and one needs to know where the filler is. Is it under the skin, un the muscle , under the muscle, or in the fat compartments???? Dealing with the lumpiness is based on these diagnosis , which may not be achievable. and the treatment is based on proper diagnosis, granuloma? infection? combination/ too much filler?
Samir Shureih MD. FACS

Samir Shureih, MD
Baltimore Plastic Surgeon

Juvederm is the wrong filler to inject around the eyes

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I would dissolve the Juvederm with hyaluronidase. It absorbs too much water and causes prolonged edema around the eyes. Having a lump there is even more reason to do this. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 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.