Puffiness (looks like welts) under the eyes with Juvederm.

I had Juvederm injections done about 2 months ago. The injections were to help diminish the dark circles under my eyes. The problem I had afterwards was the bruising under my eyes that took a month and a half to go away; the other problem I have now is that under my eyes I look like I have welts. Is there a way to diminish them?

Please, please go back to your board certified dermatologist (I know you saw one!) and have him/her correct this for you.   The dark circles are tricky and some fillers can show sort of bluish through the skin if the skin is too thin or the placement of the filler was too superficial.  It’s possible this is part of the problem.

The other issue is the puffy “welts.”  Between Juvederm and Restylane, Juvederm is more hydrophilic which just means it attracts water from your own tissue stores of water.   The net effect around the eyes is that it tends to be puffy, in my opinion.  Restylane can do that as well, but has less tendency to cause puffiness.  There are now other filler options also.  Please see your board certified dermatologist who may need to reduce the size of the filler “implant” slightly by using a few drops of hyaluronidase (an enzyme that reduces the hyaluronic acid fillers.  Only she/he knows exactly where it was positioned and how much was used.    More blog questions on the eye area. 

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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