Puffy, bruised under eyes a week after juvederm. Should I be worried? (Photo)

I got Juvederm a week ago and my eyes are still puffy, bruised and have a slght blight tint. I have been taking Medrol for the last week and applying Arnica gel and my eyes are still puffy and bruised. Should i be worried? Was the procedure done wrong?

Doctor Answers 8

Juvederm to under eyes

You should not worry about the bruising or puffiness. It can take 1-2 weeks to heal.

There is the area to the right eye that I would watch. Give it another week, if that area does not go down I would follow up with your provider and have them take a look. If it is filler they can easily dissolve it with hyalaronidase.

Ladera Ranch OB/GYN
4.7 out of 5 stars 14 reviews

Juvederm under eyes

Puffiness under the eyes is common with fillers. It generally improves in 1-2 weeks. In some cases, it persists and is due to the amount of filler injected and its location. This may true in your case. If so, you need to have the Juvederm dissolved with Hyaluronidase. 
In future, I would recommend using Belotero or Restylane silk in this area to decrease the risk of swelling. The bluish reflection, called the Tyndall effect, also seems to occur less with Belotero than Juvederm.

Nicole Kafka, MD
New York General Surgeon
1.0 out of 5 stars 1 review

Juvederm Under Eyes

I would consider returning to your treating physician for Vitrase to have the product dissolved.  It appears that you may have too much product or swelling that needs to be corrected.  Please consult a board certified dermatologist for the best cosmetic results.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Under Eye Fillers -- Use Cannulas and Go Conservative; Reverse With Hyaluronidase If Swollen or Unhappy

I do not like juvederm into this area due to swelling.  I suggest reversing the filler and using restylane silk or belotero or voluma.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Filler and bruising

The lower lid region is notorious for getting bruised.  Puffiness is often related to the product and usually goes away within a week or two.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Juvederm swelling and bruising

You are still bruised so the swelling may improve still.  Juvederm is not the best filler for lower lids as it can cause more swelling for long periods of time.  Give it another week.  If still swollen may need to have it removed.   

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 28 reviews

Puffy, bruised under eyes a week after juvederm. Should I be worried?

Thank you for your question and series of photographs. I am sorry that your results have not been what you anticipated but I can see your areas of concern.  I would recommend being evaluated by your injector to see what the cause of this swelling may be.  If juvederm is placed too superficially it may lead to a puffy, swollen appearance and would need to be dissolved.  If the filler is not easily felt it may be wise to allow a week or more to pass to see if this swelling of the tissues resolves.  I would keep up with the arnica for the bruising and you may want to try warm compresses to speed clearance of the blood present.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 68 reviews

Juvederm - injected under eyes, still puffy, now blue

Thank you for asking about your Juvederm lower lid filler.

  • I believe you need to see a specialist physician -
  • A plastic, facial plastic or oculoplastic board certified surgeon.
  • The Juvederm probably needs to be dissolved
  • This is a very difficult area to inject well - and a hazardous area
  • Juvederm is an excellent filler - but not the best one for this area.
  • Arnica will not help - and you are not having an allergic reaction so Medrol may not be helpful.
  • Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.