Juvederm filler in tear trough has disappeared the day after injection?

Question

I had a tear trough filler treatment done yesterday that looked amazing after the doctor did it initially. Today there is no bruising and very little swelling but it looks significantly less improved. Will it plump back up? Is there anything I can do to move migrated filler? I don't see any lumps so I'm not sure where it's gone!

Jason Emer, MD · Answer

This is tough to answer without before and after pictures. It usually takes 1-2 weeks for final results with fillers. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer

Nelson Lee Novick, MD · Answer

In general, I am not much of a fan of plain Juvederm for use directly under the eyes, since its molecules possess a heightened tendency to draw surrounding tissue fluid towards them, which can result in swellings and bag and sac formation, or the Tyndall Effect that might need to be dissolved with hyaluronidase.  Restylane Silk, as well as my personal preferences, Belotero Balance (which I use in my NY practice) and Teosyal Redensity II (which I prefer in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available) make preferable choices for the under eye regions, since they go in smoothly and evenly and have little propensity to engender the unwanted, bluish Tyndall Effect when injected superficially in the delicate tissues under the eyes. In your case, however, you are seeing loss of response in the 24 hours since treatment, indicating possibly that not enough material was injected or possibly was diluted too much. In this case, I would suggest waiting between two and four weeks before considering any further treatments. You would do well to discuss the various agents mentioned above with your treating physician. Make sure you are consulting with a board certified aesthetic physician with experience and expertise in treating the technically much-more-difficult under eye region, and it would also be wise to ask to see his/her personal before and after photos before proceeding. Best of luck to you.

Svetlana M. Danovich, MD, PhD, FACS · Answer

Thank you for your question. Today you are supposed to have even more pronounced effect than yesterday due to swelling. I think that you should get one more filler if you are looking for more improvement but please wait for a week before you do so.

Monika Soni, MD · Answer

Thank you for your question and sharing your photographs. It is not uncommon to experience swelling after Juvederm injections. However, Juvederm is not the best filler for the tear trough area as it leads to constant swelling. The best filler for this area is Restylane as it is thinner filler and leads to less swelling. If this persists, I recommend having this dissolved with an enzyme known as hyaluronidase. Good Luck!

Hardik Soni, MD · Answer

Thank you for
your question and sharing your photographs. It is not uncommon to experience
swelling after Juvederm injections. However, Juvederm is not the best filler
for the tear trough area as it leads to constant swelling. The best filler for
this area is Restylane as it is thinner filler and leads to less swelling. If
this persists, I recommend having this dissolved with an enzyme known as
hyaluronidase. Good Luck!

Juvederm filler in tear trough has disappeared the day after injection?

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Answer: It is not uncommon to experience swelling after Juvederm injections.

Answer: It is not uncommon to experience swelling after Juvederm injections.

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Everything you need to know about Juvederm

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Juvederm filler in tear trough has disappeared the day after injection?

Answers (9)

Answer: It is not uncommon to experience swelling after Juvederm injections.

Answer: It is not uncommon to experience swelling after Juvederm injections.

Answer: Swelling After Lip Filler

Answer: Swelling After Lip Filler

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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.