Book Now
Logo media

Had Juvederm under tear trough for first time and it is pretty bad. How can I get rid of it without dissolving it?

As others have mentioned, Juvederm is not the best product choice for this area due to it's hydrophilic properties and the thin skin at the tear trough. I understand your concern regarding medication interactions. Typically hyaluronidase is injected locally into the tissues for dissolution of filler (not IV and not with IV dopamine) so likely you will be fine but make sure to check with your provider. You can consider manual massage to help break down the product but unfortunately this is a very slow method and, not uncommonly, improperly placed filler can last years.

Clinical Context

The tear trough area has very thin skin and little underlying fat, so filler placed there is easy to see and feel. Hyaluronic acid gel attracts water, which can make swelling look worse with dehydration, alcohol, or poor sleep. Because this skin doesn't stretch or hide material well, uneven or excess filler tends to stay noticeable rather than smooth out on its own, which is why many patients seek correction rather than waiting it out.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (925) 875-0700.
Book Now Contact Us