Is It True That Using Juvederm Stretches the Skin, Making It Look Worse off After 6 Months?

Question

I'm considering having Juvederm injected under eyes. A friend told me that once you start you can never stop because the skin stretches with the filler and when it wears off you're left with skin more sagging than the one you started with. Is that true?

Kenneth Hughes, MD · Answer

Juvederm and other fillers should not stretch the skin to any appreciable degree unless a huge volume is injected.

Paul S. Nassif, MD · Answer

Juvederm will not stretch the skin. Once the filler wears off, the area where it was injected will appear the same as it did prior to your treatment. In general, I prefer Restylane for the tear trough. When the injections are performed properly by an experienced physician, it can yield a fantastic result. I hope this helps, and good luck!

Sam Naficy, MD, FACS · Answer

I have not seen that to be the case.  Usually the amount of product used under the eyes is very little and if not overfilled to begin with, I should not stretch the skin making it worse.

Paul Carniol, MD · Answer

When performed by an experienced physician filler injections should not cause any permanent changes in your skin.  You should not be concerned about the filler stretching your skin and making it worse.  For fillers as with all procedures there is a low associated risk of complications.

Anthony Bared, MD, FACS · Answer

The stretching of the skin is not a known concern with the use of filler under the eyes if placed in the proper location. To avoid any problems with filler under the eyes the filler should be placed in a very deep location. This helps to avoid the concern of the filler causing a bluish discoloration of the overlying skin. Also, preferably a filler which absorbs less water would be recommended for treatment under the eyes.

Steven Wallach, MD · Answer

I disagree with that comment, because filler is used for deflation. So in theory the skin is loose and sagging a bit due to deflation.

John Q. Cook, MD · Answer

Patients often ask me this question.  To the best of my knowledge I have not seen a patient where an injectible filler like Juvederm stretches the skin.  I carried out several thousand injections with hyaluronic fillers and I have never seen this occur.

	Injection of fillers around the eyes requires advanced knowledge and should be done by an expert injector.

Steven Swengel, MD · Answer

Be careful with injections around the eyes. A hyaluronic can be placed carefully and preferably with a blunt canula in order to minimize bruising and virtually eliminate the possiblity of injecting into a vessel. Replacing dermal volume has nothing to do with the laxity of the skin over the area. If you are injected and like the results you will have to look at touch ups down the road as fillers finally do disappear, but at a slow rate. As they dissipate, the skin on the surface will regain its normal elasticity as well.

Stephen Weber MD, FACS · Answer

I have to disagree with the idea that Juvederm stretches the skin. As we age our skin does tend to become lax and we lose volume. This combination of effects leads to the deflation of our face that characterizes aging. Juvederm and other fillers aim to replace that youthful volume or fill lines and folds in the face creating a more youthful appearance. For some reason there is an idea that patients will be worse off if they start but don't continue to use Botox or fillers. That is simply not the case. Most patients do continue to use Botox and Juvederm because they're highly satisfied with the results. I hope this information is helpful.Stephen Weber MD, FACS

Francis R. Palmer, III, MD (retired) · Answer

No temporary fillers, like Perlane, Juvederm, Radiesse and Sculptra will not stretch the skin to any extent IMHO.

Is It True That Using Juvederm Stretches the Skin, Making It Look Worse off After 6 Months?

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