Anyone try to dissolve juviderm injection in lips?

Dear Gianna, If you have a small lump, then Hyaluronidase will work to dissolve it. If you have too much material everywhere, then you will probably need to remove all of it and start over. The Hyaluronidase is quite good at removing all the Hyaluronic Acid Filler material that is near the injection point. In my office, we do not use dental blocks any more. We use a custom made topical anesthetic and we mix anesthetic into the material before injecting. By injecting slowly there is VERY little pain. Most of the patients rate the pain as a 1 or 2 out of 10.

Dear Heather, It sounds to me like you have granulomas or scar tissue in your lips. Neither one of those problems will get better with Hyaluronidase. The Hyaluronic Acid fillers would have dissolved years ago. There won't be any Hyaluronic Acid left to dissolve at this point. Without seeing you, I really can't give you any more advice. I would strongly suggest you get a second opinion from a plastic surgeon.

Dear Jeanette, What are you are describing sounds like the swelling is from bruising. My concern is that after 3 days it should be getting better. If it is not getting better, an infection would also be possible....and much more serious. Have a doctor look at your lip. If it is not infected, then there is no harm in waiting a few more days to see if the swelling goes away. If the swelling does not go away, then it may be that you have too much Juvederm or a lump of Juvederm which could be treated with Hyaluronidase. If you just have a small lump, then you may not need to be retreated. If there is too much Juvederm, then you may have to start over. Don't guess or wait.....go see a doctor asap. If your lip is infected, you need to be treated immediately.

Dear Julesc, Hyaluronic acid fillers are much better at fixing contour defects than fixing wrinkles. The area between your eye brows should probably be treated with Botox first and then a resurfacing laser. The Botox will relax the muscles underneath the frown lines so the wrinkle stops getting worse. The laser can stimulate the growth of new collagen to try to smooth out the wrinkle you already have. Fillers between the eyebrows can be risky. Putting filler in between the eyebrows can cause an ulcer that will last for months. By treating the frown lines first with Botox and then waiting 2 weeks, you will minimize the volume of filler you will need. The upper lip wrinkles (aka smoker's lines or kisser's lines in non smokers) are very hard to treat with fillers. The best result I have seen using fillers is to have the filler injected perpendicular to the lines and then massage the filler to try to flatten the skin of the upper lip. Trying to inject filler into each individual wrinkle usually raises the skin underneath the wrinkle but does very little to get rid of the wrinkle. In my opinion, treatment of upper lip wrinkles is much better performed with a resurfacing laser.

Dear Rose, Most of the time, the injections of dermal fillers into the frown lines work out very well. The problem is that the area between the eyebrows is especially prone to vascular compromise (decreased blood supply) due to fillers. If that happens, there is very little that can be done to fix the problem, which might leave you with a very ugly ulcer that could last for months. Cosmetic proceudures should be fun and low risk! If the injector tries to inject this area, and sees that the skin is blanching (turning white)they can try to prevent the ulcer by massagin the area, applying nitroglycerin paste and possibly injecting hyaluronidase. Those maneuvers don't always work. If you are going to try it anyway, it might be a little safer to inject small amounts, very slowly and waiting a few weeks between injections. If you want to try for a longer term result, then Botox, followed by a fractional resurfacing laser, such as a Palomar Lux 2940 or a Fractional CO2 laser would be a great combination. I hope this helps!