Houston Doctors

Juvederm Did Not Work for Lip Enhancement! Help!

i had juvederm injected into my lips a week ago & once the swelling went down i had no results! my lips still look the same & i'm so disappointed because i was looking forward to finally having nice lips & also because i spent $470. also my doctor didn't seem to care & just suggested that i get another syringe but i cannot afford it. what options do i have? i want fuller lips, but can't throw more money away. please help!!!

Sorry to hear. Were pictures taken to get a real comparison? Was a full syringe injected? If it was and no change took place, then your options are limited if you cannot get another syringe. In the future, other good options include fat transfer injections, or lip implants. You could also express your disappointment to your Dr, and perhaps get another syringe at a discounted price, but that would be up to him.

Michel Siegel, MD

Houston Facial Plastic Surgeon

After Juvaderm Under the Eyes, I Have Hyper Pigmentation. I'm Asian, What Can I Do?

After juvaderm under the eyes, i have hyper pigmentation marks left. They are worse than the dark circles:( I'm asian, what can I do besides Obaji? I'm scared with pigment issues with lasers. Should I stronger hyrdquinone? Im at 4% now? These marks are horrid and make the filler look strange. Please help!

I am not sure if it is hyper pigmentation, or dark circles were accentuated after Juvederm. This is common as the refraction of the skin changes after Juvederm injections. If its dark circles HQ cream will not work. If indeed, it is hyper pigmentation, it can be treated with a higher concentration of HQ. Obagi only does the 4%, but a prescription with a higher concentration can be special ordered through a compounding pharmacy.

Michel Siegel, MD

Houston Facial Plastic Surgeon

Juvederm Voluma Causing Malar Edema, Confused, Help!

Hi! I had juvederm voluma in my cheeks 3 weeks ago. For the first 2 week I had some strange side effects, of palpitations, extreme muscle fatigue and numbness... then suddenly they disappeared.I am now noticing ridges/lines running across my cheeks and swelling across that line, I believe is malar edema,also I feel heat coming out of my cheeks and the injection site now is turning pink... please could u tell me what I could do about these lines and swelling? and wat are the chances of any lumps?

From your photos and description, I would see the physician to make sure you either do not have an infection, an allergic reaction, or that the product was not injected too superficial. Each of these would require different treatment.

Michel Siegel, MD

Houston Facial Plastic Surgeon