Why did Juvederm filler under eyes produce irregular contour and how can I fix it? (Photo)

Thank you for your question. It is best to wait for your in-person assessment with your injector to determine the best course of action for you. It is very possible, based on the amount you received, that a top-off of the filler may be what you need to create a more symmetrical look. However, it is also possible that you will need some filler dissolved if there is an area that was overfilled. 
I am glad you are going to a doctor that has extensive experience in treating the tear trough area. The delicate skin in this area requires ultimate precision and a gentle touch to create a look that is both natural and symmetrical. I wish you all the best as you continue to pursue your aesthetic goals. 

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Juvederm is a great product that we use daily in our practice.  You mentioned many areas injected with just one syringe so the chance of one of those areas being underfilled is a good possibility.  One syringe only consists of 1 cc/ml and is typically not enough to cover all those areas.  Most importantly, Juvederm is not recommended in the tear trough area as it can tyndall, which means it can have a bluish look to it.  I would find an experienced injector who has a variety of different fillers to choose from that work best in specific areas of your face.  Best of luck!

Thank you so much for your question regarding juvederm injections.  I
recommend dermal fillers, specifically hyaluronic acid based fillers. 
Hyaluronic acid occurs naturally in your body and HA based fillers are also
reversible.  Keep in mind one syringe of filler is the equivalent to 1/5 tspn.  Typically patients need one syringe per tear trough (one on each side) in addition to one for NLF.  It is possible you just need more product.  It is difficult to know for sure without an in person consultation.  
I recommend an in person consultation with a board certified provider. 
Hope this helps.
Best of luck!

It's best to first meet with the injector who will be doing your fillers to determine if it is ok to proceed with more treatment or if the remaining filler should first be dissolved.  It is important to discuss your goals from treatment including what you like and don't like from your prior treatment.

Great question and thank you for your photo. 
Your photo actually gives us a great example of why I routinely correct the volume loss in the cheeks BEFORE I treat the under eye. Often correcting the cheeks is all that is needed, avoiding treating a difficult to treat area. You have significant volume loss in the cheek area based on the photo that you provided.
Treating the under eye area is technically challenging, but even those of us who have performed a lot of these injections find that sometime the circular muscle around the eye can pull some of the product into an area it doesn't belong, so correcting the cheek first may prevent this. 
Dissolving that small pocket would not necessarily be my first choice, but I would have to see you live and take additional photos. 
Hope this helps. 

Hey there, thanks for the question! If you had 1m of fiiller injected to all those areas last time, the short answer is that you were by far not treated with enough product. It can take sometimes 4-5ml of filler in the mid face to achieve optimal but still natural looking results. You may not need the tear trough dissolving, but it should be considered if you find it's quite puffy or swollen especially in the mornings.
You'll do really well with mid face filler as a cheek lift and volume, but you might need to look at budgeting for more product than originally thought. Good luck!

You should have a consult with the doctor first before dissolving anything. The treatment plan could always change depending on the evaluation. You could also benefit from some more filler in your mid face, that's where we lose fat in the face first.