Baby Collagen (Under Eyes), Hyaluronic Acid Injection (Midcheek Groove: Juvederm VOLUMA XC)

Treatment details: Baby Collagen (Under Eyes), Hyaluronic Acid Injection (Midcheek Groove: Juvederm VOLUMA XC)

The shadow across this patient’s mid face ran from the inner corner of the eye diagonally into the cheek, so treating the under eye alone would have left the lower half of the line untouched. Baby Collagen was used in the tear trough where the skin is thin, and Juvederm VOLUMA XC was placed deeper along the midcheek groove where more structural support was needed. Matching product to the depth of each region matters more than using one material throughout. The photograph is immediately after injection. Swelling at the cheek entry point settles within a few days and the junction between the two areas smooths as it does.

Injection into the lower lid causes bruising more often than most sites, and marks are typically visible for a week, occasionally longer. Fluid retention makes the area look puffy for the first days. A superficial deposit may be felt as a small ridge or seen as the bluish Tyndall shade, which can be corrected at review. Asymmetry sometimes remains. Vascular complication around the orbit is rare. The effect fades as the material is absorbed.

Filler in the midcheek groove sits over bone in an area that moves with smiling, so temporary puffiness, tenderness, and a firm feel are usual during the first week. Product can shift or form a palpable lump that requires dissolving. Bruising here may track downward before clearing. Rarely, injection close to the facial artery or its branches causes a vascular problem needing urgent hyaluronidase. Correction lasts several months to a year.