I have swelling under the eyes after juvederm. Will my face look worse than it did before when the juvederm fades?

First of all, it's early after an injection and so things will probably continue to improve.  However Juvederm is well known for causing more swelling in the eyes than other similar products.  Other alternative hyaluronic acid products like belotero and restylane are much safer for orbital rim injections.  Less swelling, less chance for a puffy bluish discoloration called the Tyndall effect.  Part of the problem can also be that Juvederm can kick out a prolonged swelling as well, one that may last months.  Only time will tell about this matterSo be patient right now, make sure your injector if aware of your concern, and follow up with them if you are still unhappy a month or more post injection.  If you are still puffy at a month, get it reversed with hyaluronidase.  And stay away from juvederm by the eyes.

Hello, and thank you for the question. It is not uncommon to have swelling in the area following treatment with Juvederm. In general, it is best to wait two weeks before coming to any conclusions about the final result. The following side effects may be present after Juvederm treatment:1) Swelling2) Light bruising 3) Reness around the injection site4) Lumps or bumpsWhen the filler dissolves on its own, you will appear as you did prior to the treatment. If necessary, any unwanted filler can be dissolved with the enzyme hyaluronidase. I hope this information helps, and I wish you the best of luck. 

Juvederm attracts water so will almost always look swollen after injection into lower lids. After a few days it may go down.  If it doesn't you may need to remove it with hyaluronidase if you don't like the way it looks.  Once it goes away you will be back to your baseline.      

Juvéderm is fairly hydrophilic (water loving) and can bind
the water after it is injected. This accounts for some of the volumizing /
"filling" effects seen with Juvéderm (and the other hyaluronic acid
fillers as well).



When Juvéderm is injected into the tear trough area, it can
swell shortly after the treatment or in a much more delayed fashion (months
later). This is a characteristic seen much more frequently with Juvéderm, but
not its counterpart Restylane. For this reason, Restylane is more commonly used
in the tear trough area because it does not exhibit as much swelling after
injection.



Hyaluronic acid fillers, such as Restylane and Juvéderm, can
exhibit fairly long durations in the tear trough area. As a result, the
swelling may persist as well.



Your treatment was only a few days ago, so allow a bit more
time for the swelling to resolve. If the swelling under your eyes does not
resolve in a timely fashion, you may wish to consult with the person who did
your injections. If you are unhappy with it, you may need to have a
hyaluronidase (enzyme that breaks down hyaluronic acid) treatment to dissolve
some of the Juvéderm product. As the product is broken down, the swelling
will resolve.



Regardless of whether the swelling resolves spontaneously,
or requires treatment, the appearance of the tear trough and lower eyelids will
be unchanged compared to what it was before you had the injections.



Best wishes.

It is quite common to have swelling after the injection of Juvederm into the lower eyelids. It can often take a couple months to completely resolve. In fact, in my opinion, Juvederm absorbs a small amount of water after injection allowing the lids to look "puffy". Because of this, I tend to use a different HA product in the lower lids to prevent this. Considering it's only been a couple days, just be patient, the swelling should resolve.Andrew Campbell, M.D.Facial Plastic Surgeon

As the Juvederm fades your eyes will go back to the way they previously were. The only difference you may notice after the product dissolves, is the natural aging process.

It is not unusual to have swelling post juvederm treatment especially underneath the eyes. Allow for 2 to 2 1/2 weeks post treatment before you request to be seen by your injector. There is no reason to suspect that your face will look worse than prior to the juvederm treatment if you chose an experienced and expert physician injector.

A little swelling after any injection is common. Some fillers may attract more water and therefore give a more "puffy" appearance. Give it a few more days. 

The bagginess under the eyes from Juvederm can last years.  I routinely dissolve Juvederm from other docs in this area.  Discuss with you doc to dissolve it if it doesn't improve in about 10 days.  Juvederm pulls in and retains too much water that leaves this area edematous for a prolonged time period.