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

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

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! 

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.

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.

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