Lumps in Tear Trough ~ 60 Hours Post-juvederm Treatment.

How can I determine if the lumps are improperly injected Juvederm product or swelling? Does swelling generally appear lumpy? I was expecting swelling to look puffy - and more uniform.

Doctor Answers 11

Lumps in tear troughs following Juvederm Injection

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Hello and thank you for the question.

In regards to your question, at 60 hours, you are probably still experiencing some swelling in this area. I recommend massaging the area with the ball of your finger. If it is indeed Juvederm, you will see some smoothening with massage. If the lumps are still persistent at a week out from your injection, I would suggest returning to your clinician for an evaluation and possible correction with a hyaluronidase injection.


Glenn Vallecillos, M.D., F.A.C.S.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Juvederm lumps

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Unfortunately if you feel HARD lumps 3 days after your treatment, it's likely to be the Juvederm.  Is it noticeable when you look at it or do you just feel it.  If it looks ok - I'd just leave it unless it really bothers you.  There is an injectable that dissolves the Juvederm you can have your doctor inject.  If that seems scary to you, you can just wait since the product will resorb over time.

Dr. Cat Begovic M.D.

Fillers-bad result

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More than likely, it is the juvederm. Fortunately, there is an antidote to disslove this product. I always suggest conservatism in that area.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

You can massage away some Juvederm lumps

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Massage, massage, massage!  That will help to smooth any Juvederm irregularities.  If any remain after a few weeks, then see your plastic surgeon or dermatologist, who should be able to remove any lumps with Vitrase (hyaluronidase) or give you other appropriate recommendations.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 46 reviews

Juvederm, botox, fillers, aesthetic medicine

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Sure fillers will give you sweeling and can appear uneven.  I usually have patients gently massage these areas because the product will remain moldable.  You should return for a follow up with your provider and le them know your concerns.

Lumpiness after injections to tear trough

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I think your assessment is correct. In general swelling should be more diffuse. The great thing about the HA fillers is you can massage them for up to a month. I would make an appt. to see your MD who can tell you exactly how best to perform this on yourself.

Jeffrey Kenkel, MD
Dallas Plastic Surgeon

Lumps from juvederm

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At 60 hours after treatment with juvederm, you can probaly palpate the lumps. If you can, then you can probably massage them to flatten them.

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

Juvederm under eyes can cause swelling or lumps.

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Without seeing you, I would tend to agree that this sound like it may indeed be unevenly distributed Juvederm, rather than just swelling, but don't panic. It's ok to gently massage the area, keeping in mind that you don't want to cause injury. Don't wait too long to go back to see the doctor to ask about it, because it's easier to manipulate and move the Juvederm around in the early days, before scar tissue may form around any lumps or unevenness.

The under eye tear trough area is definitely the most difficult area to do well, so I recommend you ensure you are seeing a board-certified dermatologist or plastic surgeon with significant experience for this procedure.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Juvederm and lumpiness in the tear trough

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Whether Juvederm or Restylane is used for the tear trough of the lower eyelid area, it is often injected underneath the muscle to avoid lumpiness felt and seen underneath the thin skin in this area.  Massaging may help but bruising may occur. The doctor can inject hyaluroinidase, if you're not allergic, into the bumps to make them flatten.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Lumps in tear trough area after Juvederm

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Swelling can be unevenly distributed in the eyelids as the tissue is very thin and easily accumulates water.  Water in the tissue feels much softer and less defined than filler.  If the areas are firm, most likely it's filler.

Wait about a week for the swelling to subside, then if the area is still lumpy, talk to your doctor about hyaluronidase to dissolve the nodules.

Emily Altman, MD
Short Hills Dermatologic Surgeon

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.