Birmingham Doctors

Can I Get Co2 Fractional Skin Resurfacing if I Already Have Juvederm?

I really need to get something NOW, and have an appt. next week for juvederm for my "smoker's lines". I really want the co2 fractional skin resurfacing done, but my problem is that I don't have the vacation time at work saved up and so I can't get that done until November (10 months from now). I'm just wondering if I have any juvederm left in me by then, would the skin resurfacing ruin it? Should I wait until the juvederm is completely gone? Thanks!

Firstly, By November you might be ready  to have juvederm again. Secondly, I do not think that the laser will harm what you have left in there. 

Jo Herzog, MD

Birmingham Dermatologist

5 Months After Injection, Still Have Lump from Nasolabial Fold Injection. Could It Be a Granuloma

5 months ago I had Juvederm for naso folds. I wasn't very happy with results, 1 side didn't need as much but I feel he overfilled. When he was injecting that side, on the last injection he pulled out the needle & right away there was a lump at injection site along with more bleeding than any other area. He said it will go down. 10 days later still there, went back in. Dr did nothing. Now 5 mos later, Juve is slightly going away & lump seems more noticeable. How can I tell if it's a granuloma?

I would;d go back to your doctor and have this evaluated as we can neither see nor feel this. It is possible that it is juvederm and can be dissolved. If it is anything else it might be possible to calm it down with a steroid injection. 

Jo Herzog, MD

Birmingham Dermatologist

Limitations of Juvederm in Nasolabial Folds? What Can I Expect?

I recently consulted with a plastic surgeon about juvederm for my nasolabial folds. He said that the juvederm is not injected all the way to the corners of the mouth; rather it should stop about halfway down the fold from the nose to avoid any issues with smile irregularities. This concerns me because it would not erase the pronounced line on the left side of my mouth. Is this true?

I agree with Dr. Finder. What to inject and how to inject it should be determined by someone with lots of experience with all fillers. The choice would depend on the depth of your creases and several other characteristics. Restylane is softer for finer lines and Radiesse and Perlane could be used for tougher creases. Filler can certainly be placed up to and around the mouth. I do it ll the time. 

Jo Herzog, MD

Birmingham Dermatologist