Weird under eye bag after filler?

Question

About 2 months ago I had Juvederm Ultra in my tear troughs. The next day one of my eyes was bruised. Then it started to swell. The bruises faded in a week, but swelling stayed. After 2 months I still have a very distinct 'bag' under my left eye that won't go away. It does not look or feel like product, it looks like regular fluid. So, I'm not sure if dissolving the product will help. I've tried icing, hot compresses, massage, etc and it's still there. Will it go away? What is it?

Daniel Levy, MD · Answer

Dp831,I suggest a hyaluronidase treatment to eliminate the juvederm from this area.  Juvederm ultra is very hydrophilic, which means that is draws a lot of water into the area and can create more persistent swelling.  I recommend a less hydrophilic and more cohesive filler such as Voluma for tear trough correction.Good luck!

Martin Jugenburg, MD · Answer

Juvederm ultra is not an ideal product for tear trough correction.  It retains a lot of water.  I would follow up with your provider and discuss your options.  I believe by dissolving the filler it might help correct the issue your facing.

Jason Emer, MD · Answer

I am not a fan of Juvederm to the tear trough area as it causes more swelling than other fillers and if you are unhappy you can reverse with hyaluronidase. I use Voluma and Belotero the most, many people use restylane. I avoid Juvederm as it holds a lot of water. I suggest to consult with an expert in facial contouring and for future treatments use a different filler. Best, Dr. Emer

Mehryar (Ray) Taban, MD, FACS · Answer

Best to submit photos and/or see an oculoplastic specialist for evaluation. The problem could be filler, swelling, fat, or other.

John J. Martin, Jr., MD · Answer

Juvederm is not a good filler for the under eye area.  It absorbs a lot of water, so in some patients it can produce a long term edema under the thin eye skin. You should get a hyaluronidase injection to remove the product which should then get rid or the edema

Weird under eye bag after filler?

Answers (9)