Los Angeles Prevelle doctors

I would definitely follow up with your surgeon and show him or her the lumps that you see or feel. If the lumps are excess product, they can be smoothed out with massage if done early on. They can also be dissolved with injection of hyaluronidase, which is an enzyme that breaks down the Prevelle. You can also just wait and let it resolve without intervention since Prevelle is typically gone within a few months. If the lump is not excess product and is a granuloma or other type of inflammatory reaction, it can be improved with careful injection of steroid. There are also risks to injection of hyaluronidase and steroid as well, so these must be done with caution. Another alternative to the above options is injecting additional product to camoflouge the visible lump until it dissolves. Good luck!

Fillers should not be a traumatic experience! There are many ways to prevent pain during injection of fillers, and it should really be a minimally uncomfortable process. Before injection, you can have topical anesthetic cream applied to the skin, or local anesthetic injected near the nerves that provide sensation to the area being treated. Icing before injection also tends to give a numbing effect, and also temporarily shrinks blood vessels and thereby helps minimize bruising. During injection, your surgeon can use a filler that is formulated with anesthetic in the product itself. That way, as soon as the product is injected, it temporarily numbs the surrounding area. Prevelle Silk has anesthetic in the product itself, and in my experience patients really like it. Please note that Juvederm and Restylane also come in versions that include an anesthetic in the formula (Juvederm Ultra XC, Juvederm Ultra Plus CX, and Restylane L). I have found that topical anesthetic, and the use of a formula with anesthetic in the product (all of the above are good options), together offer the patient a very comfortable experience. Even in anxious or nervous patients, numbing cream followed by injection of one of the above products works really well at preventing pain. Patients who have had an experience like yours are shocked at how easy the process can be. The skill and technique of your injector does play an important role, and some surgeons are more heavy-handed than others. If you are unhappy with your results after Juvederm, Prevelle, or Restylane injection (such as the ridge you describe), you can always have the product dissolved with injection of hyaluronidase. This tends to work better the earlier it is performed. Good luck!