Can I get this tear trough filler dissolved, and should the doctor provide a refund for the Juvederm? (photos)

Juvederm is a great filler, but it's not the best choice for the under eye area for exactly the same reason you are experiencing. Luckily, you can have the filler dissolved with Hyaluronidase. It may take a few sessions. Whether you can get a refund is a conversation you need to have with your injecting physician. Best wishes.

Hi Kristen, I'm sorry to hear about your disappointing under eye experience. Whether you obtain a refund or not is between you and your physician. That being said, if you're unhappy with the results, you can certainly dissolve the filler with hyaluronidase and try a different technique next time.Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

Juvederm is one of the HA fillers that attracts a lot of water - so can create swelling.  This may be good if someone wants big lips, but is not good in the tear trough as it can create this sort of long term edema.  For this reason Juvederm is not a good choice for the tear trough.  Better choices are Restylane and Belotero. I would ask your doctor to dissolve this.  If you have a good relationship with them you could have some Restylane injected.  If you want to go elsewhere, you could ask for a refund. Some people may give it to you, others may not.      

Hello,I am sorry about your experience! First, I would not use Juvederm for tear troughs.  It is way too thick for the delicate undereye area.  I typically use Restylane.  Luckily, your filler is reversible and I would absolutely recommend getting it reversed.  I personally would find a different doctor - board certified - to do that.  It wouldn't hurt to ask for a refund, especially if you are having to pay someone else to reverse it.Best of luck!BH

Hi Kristen, thank you for your question. I am sorry to hear you are not happy with your results. Whether you can a refund or not is a conversation you'll have to have with your injector. But to reassure you, fillers are reversible and can be diluted if your tear troughs are over corrected. Tear troughs are a very delicate area to inject because it is the area where water retention is the highest in the face, so your immediate results are not necessarily representative of your final results. The water retention can over fill the area even if the injector under corrected the area to leave room for water retention. We can always correct this if it happens with hyaluronidase, which will dilute the excess of product. I recommend you schedule a follow up appointment to discuss this with your injector. Best of luck!

Juvederm is a hydrophilic, Hyaluronic-Acid based filler. Unfortunately, some hydrophilic fillers such as Juvederm XC, tend to attract water leaving the patient with unsatisfactory results when placed under eye. In my experience, it is best to discuss removing the product with your Dermatologist. He/she may dissolve the product with an enzyme know as, Hyaluronidase. Due to the crosslink technology in JuvedermXC several treatments may be needed.
Once the excess product has been dissolved it is recommend any remaining hollowness be injected with a Restylane-L or Belotero. Belotero and Restylane-L has less water absorption making it the premier filler to place under eye.