West Orange Juvederm doctors

Emily Altman, MD Emily Altman, MD
Short Hills Dermatologic Surgeon
349 E. Northfield Road Suite LL7, Livingston
94 answers
Janet M. Neigel, MD Janet M. Neigel, MD
West Orange Oculoplastic Surgeon
101 Old Short Hills Rd Ste 204, West Orange
7 answers
Eric M. Joseph, MD Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
1500 Pleasant Valley Way Suite 206, West Orange
3 answers
Jeffrey Schiller, MD Jeffrey Schiller, MD
New York Oculoplastic Surgeon
1550 Richmond Avenue, Staten Island
2 answers
A. Peter Salas, MD A. Peter Salas, MD
Manhattan Plastic Surgeon
1016 Fifth Avenue, New York
2 answers

Recent Answers

I Got Juvaderm Under the Eye in Feb 11 I Have Two Dark Spots Under my Eyes, How Do I Remove Them?

Over a year ago after a juvaderm injection, I was left with two dark spots under my eye. I was told they would go away. They won't! I think it is a hemociterin staining. It has been a year, shouldn't it be gone by now? What do you recommend? Should I go back to the same doctor? I was not happy with him but hold him responsible. Is he? Would he help me? What is your opinion?

A: Usually hemosiderin staining is gone after a year

If it is post-inflammatory hyperpigmentation that can be treated with topical creams. Hemosiderin staining after a very bad bruise will usually fade after a year, but sometimes it can take another six months. See a cosmetically savvy dermatologist or other cosmetic specialist.

Jeffrey Schiller, MD
New York Oculoplastic Surgeon
How Can I Correct Bad Juvederm Results Under my Eyes? (photo)

Had Juvederm done under my eyes. After the 1st treatment - a very uneven result-one eye socket looked half an inch or more lower.Went in to correct it, and instead of a correction - ended up with a big protruding bulge under my right eye and a small "ridge" under my left. Went back asking the PA to fix this. He tried to move the Juvederm, which did nothing except cause a lot of pain, and told me to put ice on the area & use a bleaching cream. As I expected - zero result. How can this be fixed?

A: Hyaluronidase will improve the swelling

Hyaluronidase will dissolve the Juvederm and improve the situation significantly. I agree that generally a doctor is better than a PA at injecting, but injecting filler is more art than medical science and so it depends on the doctor's technical and aesthetic skills. And sometimes injections have unexpected results even with excellent technique.

Jeffrey Schiller, MD
New York Oculoplastic Surgeon
Still Numb 3 Hours After Lip Augmentation with Juvederm, is this Normal?

I just had my lip augmentation with Juvederm around 3 hours ago, it still numb. The problem is, while in the office, my lips were nice and even, however, i just noticed that they look crooked. Is this a normal reaction? Should i worry about it?

A: It's not abnormal to have numbness 3 hours after Juvederm to the lips

Every person processes anesthetic differently, shorter duration in some people, longer in others depending on the level of enzymes that break down anesthetic in the person's circulation.

That is particularly true if you had both a nerve block and local anesthetic.  Local anesthetics and nerve blocks in addition to numbing also temporarily weaken the action of motor nerves, the ones that control function of muscles.  That is why there is some slight asymmetry that you are seeing.

By 2-3 hours from now all the action of the anesthetic should dissipate.  If there is still numbness or asymmetry then, please contact your injecting physician as soon as possible.

Emily Altman, MD
Short Hills Dermatologic Surgeon
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