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

Question

I had Juvederm injected under both eyes a couple of days ago. I have to squishy pillows under each eye.. I had no visibl I had no visible bruising and very minimal swell Als, when does Juvederm fades will my face look worse than what it did before?

Kevin M. Robertson, MD, FACS · Answer

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.

Paul S. Nassif, MD · Answer

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.

John J. Martin, Jr., MD · Answer

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.

Kenneth Dembny, II, MD · Answer

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.

Andrew Campbell, MD · Answer

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

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

Answers (9)

Answer: Swelling After Juvéderm Injections Under The Eye

Answer: Swelling After Juvéderm Injections Under The Eye

Answer: Some swelling after Juvederm is normal

Answer: Some swelling after Juvederm is normal

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

Answers (9)

Answer: Swelling After Juvéderm Injections Under The Eye

Answer: Swelling After Juvéderm Injections Under The Eye

Answer: Some swelling after Juvederm is normal

Answer: Some swelling after Juvederm is normal

Browse related questions

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.