Memphis Juvederm doctors

I have never seen a Juvederm granuloma. If they do exist, they must be quite rare. Since you do not describe redness, I seriously doubt it is a chronic abscess. Another remote possibility may be residual scar tissue associated with the bleeding you describe. The easiest differential approach would be to try and aspirate the mass with a syringe in effect draining it. If that does not work your doctor can try and dissolve the mass with Hyaluronidase. If it goes away, you have your answer.

Peter A Aldea, MD
Memphis, TN

As we age, with millions of facial contractions, with sagging facial structures especially descent of the cheek inferiorly, the deep skin along the advancing edge where the upper lip is densely attached to the deep facial structures, a void in support is created forming visible creases which gradually deepen.

Smoothing the nasolabial lines / folds depends on understanding this anatomy and adding THE right filler at THE right depth along THE whole length of the deficiency. There is no reason to stop filler at any set point. Instead, the Plastic surgeon needs to place it wherever it is needed and in whatever quanitity it is needed. This calls for customizing the treatment to every single person AND often calls for using more than just one filler. Some people may benefit from the use of thicker fillers, such as Radiesse or Perlane, in the deeper layers of the wrinkle to give more support and using Juvederm or Restylane in the more superficial layers of the fold to achieve a much better longer lasting correction.

I do think you should get a second opinion from another Plastic surgeon.

Peter A. Aldea, MD

Great filler and Botox results by seeing a reputable Plastic surgeon instead of getting your treatments in salons, spas or worse, no medical "practitioners". Thanks to China and easy black and gray market imports from "Canadian pharmacies" such individuals commonly sell cheap "Botox, Juvederm, Restylane " and many other injectables at steep discounts because they are paying a fraction of what the authentic products are sold for in the US to doctors by its manufacturers. 

You have the right to see the box and syringe of every product injected into you. Just ask for them. The manufacturers now commonly have hard to fake holographic labels on authentic packages and syringes. 

In the US current Juvederm boxes have a purple and gold coloring. You can look it up on the Allergan website. The importation and use of fake or gray medicines is a federal crime punishable by fines and prison time.