San Antonio Juvederm doctors

Kimberly Finder, MD Kimberly Finder, MD
San Antonio Dermatologic Surgeon
14855 Blanco Rd Ste 100, San Antonio
6 answers
Wilberto Cortes, MD Wilberto Cortes, MD
Houston Plastic Surgeon
5000 Westheimer Suite #602, Houston
1 answer
Suresh Koneru, MD Suresh Koneru, MD
San Antonio Plastic Surgeon
423 Treeline Park Ste 300, San Antonio
1 answer
Mario Diana, MD Mario Diana, MD
San Antonio Plastic Surgeon
19234 Stonehue Suite 101, San Antonio
Elizabeth S. Harris, MD Elizabeth S. Harris, MD
San Antonio Plastic Surgeon
540 N. Madison Oak Suite 400, San Antonio

Recent Answers

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?

A: Juvéderm creates smooth results

Juvéderm will create smooth results when injected with good technique by an experienced physician. If you have a problem and your physician isn't helping you, seek another opinion from the most experienced physician in your area who does lots of Juvéderm and other facial fillers.

A granuloma is a very specific type of reaction, and it's not likely with Juvéderm. Most likely some of the Juvéderm was deposited too superficially and it tends to disappear more slowly there than when it's deposited in the correct location. Less likely is that bleeding in the tissue could have created the lump.

The good news is that you don't have to suffer with a poor result. Hyaluronidase can be injected and completely get rid of the poorly placed product. Find an experienced physician with whom you can have a mutually beneficial relationship who can help you start over. 

 

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
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?

A: Is Juvéderm best for nasolabial folds?

The short answer: filler can be injected to the corners of the mouth by someone who is experienced with the right technique.

But, the choice of filler and the way it is placed in the nasolabial folds depends on each person's unique problem. The best way to figure that out is to have a consultation with an experienced physician who uses all the available fillers and Sculptra (an injectable that stimulates collagen production). 

Many surgeons don't spend very much time perfecting filler injection expertise if they spend most of their time operating. Seek another face-to-face consultation with a physician who spends a lot of their time injecting fillers. I believe that only an experienced physician who regularly injects fillers has the needed expertise in understanding facial anatomy to do the best job.

 

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
Tear Troughs and Upper Lip Still Don't Look Good After 8 Months, Is It Permanent?

I had Juvederm injected into my tear troughs and upper lip last year in June. I can see the filler under my eyes still and my upper lip has a raised areas on each side. It doesn't look good at all. Should I be worried or will it eventually get better?

A: Filler in the "tear trough" and lips

Placing filler in the under eye "tear trough" area requires precision and the skill of an experienced injector who understands aesthetics and anatomy. Fortunately, if it isn't placed with skill and precision, it can be completely dissolved. In the under-eye area filler can last well over a year. There's no reason for you to suffer with a poor result; find a skilled physician who does lots of filler injections in the under-eye area, have it dissolved and start over.

Always have your injections done by the most experienced physician you can find. Experience matters. The same advice applies for your lips. 

The best to you!

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
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