I have a lump in my tear trough one year after Juvederm. Is it a filler deposit? What about granuloma? (photo)

Question

Good evening, I had Juverderm tear through injections 15 months ago. Recently I’ve noticed a lump under my right eye. During the last year I had a couple of flu infections during which my tear through area got swollen and painful for a few days, I don’t know if this can be connected. I’m a bit worried for the lump, is it a filler deposit? What about granuloma? I’ve already planned to see my doctor, however I would still like some opinions. Thank you very much (photo included).

Joelle Rogal, MD · Answer

Filler under the eyes tends to last longer than in other areas.  As the filler is dissolving it can sometimes absorb more water, leading to swelling.  If that is the case, then hyaluronidase can be used to dissolve the filler and bring down the swelling.  I would recommend seeing your doctor to determine whether or not anything else such as a granuloma or infection could be causing the swelling.

Camille Cash, MD · Answer

This may be filler that is still present in the tear trough.  Your plastic surgeon can help determine if that seems to be the situation.  If it is, the remaining filler can be dissolved with hyaluronidase.

John J. Martin, Jr., MD · Answer

HA filler in the tear trough can last for at least 1-2 years.  In some patients a viral illness may trigger an immune response in the filler, causing it to swell.  You should see your doctor and have the residual filler dissolved with hyaluronidase.

Mitesh Kapadia, MD, PhD · Answer

Juvederm can sometimes expand and draw in fluid as it disintegrates. I would recommend dissolving the filler and possibly refilling with a product that is less hydrophilic.

Leonard Grossman, MD · Answer

What you have is a small amount of Juvederm that has migrated towards the nose from the action of the orbicularis oculi muscle. You may want to see your treating physician and have a small amount of hyaluronidase administered. Good luck from New York City

I have a lump in my tear trough one year after Juvederm. Is it a filler deposit? What about granuloma? (photo)

Answers (5)

Answer: Lump after tear trough filler

Answer: Lump after tear trough filler

Answer: Lump in the tear trough

Answer: Lump in the tear trough

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I have a lump in my tear trough one year after Juvederm. Is it a filler deposit? What about granuloma? (photo)

Answers (5)

Answer: Lump after tear trough filler

Answer: Lump after tear trough filler

Answer: Lump in the tear trough

Answer: Lump in the tear trough

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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.