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Downtime for Juvederm on Nasolabial Folds?

I am set up to do Juvederm in two days in my Nasolabial folds. I'm only 29 but they're really deep and I can't stand it anymore.

After reading up on it, though, I getting kind of nervous. I haven't scheduled any time off of work and have several school functions to attend on Thursday-Saturday following the injections.

Am I being too optimistic that I won't have side effects? Should I plan on downtime?

Doctor Answers 13

Juvederm recovery

Dear Kimberly,
Thanks for your question. The great majority of patients who undergo Juvederm injections quickly return to work and social activities. Most have a little swelling the day after injection but it is usually minimal. With any injection, bruising can occur and with the bruising there may be more than the usual swelling. This bruising can usually be covered up with make-up. If you are not prepared to have any visible bruises or minor swelling at your events then it would be prudent to put off the injections until a long weekend.  Just in case. I hope this helps.

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Juvederm Recovery

Most swelling resolves in about three to five days, but it can last up to two weeks. Bruising will also go away in this time. While you can go back to work right after your treatment, your appearance may be affected by swelling. You should also refrain from drinking alcohol, smoking, performing vigorous physical activity or extreme temperatures for the rest of the day to help facilitate your recovery.

Juvederm and bruises

With any injection, there is always the potential for a bruise that may last 1 to 2 weeks so you should plan your social events accordingly.  A week before Juvederm injections, avoid alcohol, green tea, vitamin E, fish oils, garlic, Aspirin and Advil which can all cause an increase in bruising.  If you do deveop a bruise, you can use makeup to hide it.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 18 reviews

Radiesse, Beverly Hills Radiesse, Los Angeles Radiesse, Juvederm

  We have used fillers like Juvederm, Restylane, Perlane, Radiesse and Sculptra for many years and if you're having Juvederm to the nasolabial folds, you should have very little bruising, swelling or telltale signs after the injections. 

 Although bruising is always possible with any needle based therapy like fillers, Botox or Dysport, the smaller molecule fillers like Juvederm and Restylane can be used with smaller needles, making it less likely.  You should look fine that same evening.  You can use some ice therapy to the area after the treatment.  We have used the ticker filler, Perlane to treat the nasolabial folds and have patients attend red carpet events that same evening.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Fillers into nasolabial folds

The nasolabial folds are great areas to have filler placed.  Usually there is very little to no bruising and only moderate swelling.   There is mild to no discomfort for most patients.  Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Don't risk it; bruising can happen at any time

This is an elective procedure and you have had your condition for a while. It is not worth doing, especially your first treatment, so close to these social functions. Give yourself a week after treatment in which you won’t mind too much if you get significant bruising. But keep in mind that even if you have had this treatment quite often with no bruising, it is possible any time you get a filler, so never schedule it right before an important function. Avoid blood thinners, if possible, such as aspirin, ibuprofen, fish oils, garlic supplements, ginko, etc. for at least a week prior to the filler to minimize the chance of bruising.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Downtime for Juvederm on nasolabial folds

The "down time" as a result of such injections varies from person to person. The recovery ranges from no bruising and minimal swelling (essentially no down time) to significant bruising and swelling for 2-5 days. If you have never had filler before, I would advise having your filler placed on a Friday to have the weekend (at least) to recover and not schedule the procedure within 1 week prior to any social engagement. It is better to be safe than sorry.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

No Downtime for Juvederm

You don't need any down time but one out of ten people will get a bruise that takes about 2 weeks to completely resolve. That means if you have any immediate functions coming up in the next week, then post pone your injections.

To minimize the chance of bruising good injection technique and proper patient preparation are essential.

Take a look at my instructions and follow them.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Downtime for Juvederm on Nasolabial folds?

I THINK what we are talking in cross purposes about is the general vs. the strict definition of "down time".

Providing you do not bruise (must be off Aspirin, Advil and like agents and supplements) and do not mind some swelling you COULD do everything you want to do.

BUT - if your appearance is extremely important (IE photo shoot, filming WITHOUT make up), I would allow for 2-4 days in the unlikely event that bruising or swelling would happen.

Providing you are NOT allergic to Sulfa, nor have ulcers, you may want to ask your doctor to give you Celebrex before and then daily for two days after the treatment to really prevent swelling.

No need to stress over this. This has been done millions of times without any real complications.

I hope this was helpful.

Peter A Aldea, MD, FACS

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 69 reviews

Typically, no downtime after getting Juvederm

In most cases, you can resume your normal activities after Juvederm except I don't recommend stenuous physical activity until the next day. Swelling and redness is usually very mild or minimal after the injection. Most of the time there is very little bruising. Occasionally, you can have a bruise which is hard to cover with make-up. Evolence will give less bruising and swelling than Juvederm, if that is a concern.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.