Under eye filler migration
Is there any way to avoid under eye filler to migrate down on the cheeks? Unfortunately, it’s always happening to me! I had to dissolve it after a few weeks every time!
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Under Eye
I received Volbella by Juvederm under my eyes. After 4 months or so I got a winter head/sinus cold (which I'm still not sure if it's related), however I woke up with 2 swollen eyes. I ended up getting hyaluronidase acid injected in both under eyes. Both eyes went down. I noticed a hard lump and swelling on my left eye. The swelling is not too bad but the bump concerns me. I plan to get another HA injection next week. Could it be possible that my body rejected this filler? If so, did my cold trigger it (the fillers were fine for 4 months prior). Just trying to find out if this is common and if I decide to get fillers in the future is this filler not a good one for me. From what I can read and what I've been told the filler I got is one of the best. Do you think it's worth giving it another shot in the future?
Answered 2018-02-26
Fillers can be unpredictable on the area under the eyes; rejection is not typical and I have certainly not seen this in my experience. Consider getting a different type of filler for future injection if you decide to proceed ;even though fillers are convenient consider ac onsult with a plastic surgeon to see if either fat grafting or eyelid surgery is a better option for you.
Good luck
Dr Sarraga
Answered 2018-02-24
It is unlikely that that that you either rejected the filler. It is, however, possible that the cold triggered the problem by causing swelling in the area that then did not resolve quickly because the filler was placed above the connection between the skin and the orbital rim and this interfered with the normal lymphatic drainage. This is very likely since the product was Volbella. a lighter product that many people place superficial above the facial band to try and elevate the depression under the eyes. I suggest you see another injector who treats this area with Vlouma, pushing the band up to erase the bags. Although this also has the potential to interfere with lymphatic flow, placing it low is considerably safer and less likely to cause problems
Juvederm for feet?
I have been told that Juvederm injected into the balls of the feet can take away the pain of wearing heels. Is this a viable option?
Answered 2017-03-26
Juvederm is not FDA approved for this purpose, and it's not commonly used for this problem, but you would have to ask podiatrists about off-label use. We plastic surgeons do not treat foot pain, etc.
Answered 2017-03-24
Anything is possible but I'm not sure how well this would work. Pain is very difficult to nail down. Do you have a pinched nerve? Is there a problem with the bones or joints of your feet? Juvederm could increase the "padding" in an area but would be absorbed eventually and require repeat treatments. It may stimulate new collagen formation which would be good, or cause more pressure with it's volume which would be bad. It's mostly reversible so if your desperate to try something it may help but there is no data on how well it would work.
I am sorry to hear about you filler difficulties. Fillers can migrate at times but this is generally uncommon. You may want to get a second opinion with another Plastic surgeon who performs injections on a regular basis.