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Juvederm Gone in a Week?

I had Juvederm injected in the periorbital lines, nasolabial, chin, upper and lower lips. It has been a week and the swelling is gone and so is the Juvederm. Except for some (uneven) fullness in the upper lips, everyone I know said they don't see any difference. Neither do I. What happened? I went to a very well known dermatologist who is supposd to have a lot of experience.

Asked 41 months ago by berykute1 in Encino,Ca

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Juvederm probably isn't gone, but you may need more

Initially after Juvederm, all the treated areas will appear more full because of the associated swelling. This product attracts a lot of water in the skin. After about 1 week, most of that swelling is gone, and it may appear as though there is no product left. It is very soft so you may not feel it either. Probably, it is is not gone but you need more. One factor in how long Juvederm lasts is the layer of the skin where it was injected. Placing the filler in the dermis /... more

Felix Kuo, MD

Long Island Dermatologist

Juvederm probably not gone, but correction is hard to see

You're probably saying, if I can't see it, then it really doesn't matter if it is there or not. My first question is how many syringes were used. You mention a lot of areas to correct. I would use at least 3 or 4 syringes for this. Any less than this, you will be spreading the filler out too thinly. If someone comes to me and says I want all those areas and can only afford 1 or 2 syringes, I typically will ask which area is most important and fully correct it. The filler is probably... more

Steven F. Weiner, MD

Pensacola Facial Plastic Surgeon

Juvederm gone in a week?

I would agree with Dr. Weiner in that you had a number of areas treated and so effective treatment would realistically require at least 3-4 syringes. Undertreatment is one of the main causes of suboptimal outcome; simply put, if you don't use product and spread it out too much, you're not going to see very much difference and are really wasting your money. I would talk to your dermatologist and express your concerns.

Gregory A. Buford, MD

Denver Plastic Surgeon

ASPS

Juvederm is still there

The most likely expanation is that you need more. Given all the areas that were treated I would expect that not enough was used to adequately address all areas. The more areas that are treated the more product needs to be used. It is possible that the product was not injected at the correct level, however, if you went to a provider who uses the injectable fillers often he or she shoud be aware of the correct level of placement. I would go back to your physician and see what he has to say.... more

Ralph R. Garramone, MD

Fort Myers Plastic Surgeon

ASAPS ASPS

Juvederm gone in a week

Hello, you mention that "periorbital lines, nasolabial, chin, upper and lower lips" were all injected. These are a lot of areas just to be injected with one syringe. If you were injected with one syringe, then I guarantee that you will not see any results. Depending upon the severity of nasolabial folds, I sometimes inject one full syringe on each side. The lips also vary, it depends on how big the lips are to begin with. I've had patients where their lips were full and big to... more

Ben Behnam, MD

Santa Monica Dermatologic Surgeon

Juvederm Duration

Juvederm will last for months. However, if too little is injected around many areas of the face, little to no impact will be seen.

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Juvederm longevity

Juvederm should last in the nasolabial folds anywhere from 6-8 months. It won't last that long in other areas such as the lips and face. Factors that might affect the duration are the volume injected, location and technique.

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Steven Hacker, MD

West Palm Beach Dermatologic Surgeon

Possibilities why Juvederm was gone in a week

Hi Bery, We'd like to offer two possibilities. The first is that you have too little product injected. For the areas you mentioned, you might easily need 3 syringes and perhaps as many as 5 (1 lips, 2 nasolabial, 2 marionette). So, if you did not have this much injected, you may consider asking your practitioner if more is required. The second is that you may have some good correction, but might not be able to tell easily without looking at your "before" photos. In either case,... more

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

You may need more Juvederm.

Hi! Of course I don't really know what happened, but your story is very unusual. Juvederm typically lasts months at least. Perhaps too little Juvederm was injected over too many areas.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Juvederm likely spread between too many areas

These are many areas. My guess is that a small amount of filler material was used, and it was diluted between all these areas. It also depends on how many lines you had and what technique was used.

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Addressing Juvederms Disappearance

I would like to offer a few possible explanations. Perhaps, you received better correction than you thought. I think the best results are when a patient is told they look relaxed or younger, i.e. when they do not look like they had had anything done. Maybe, you achieved this success without knowing it. If not: without looking at the before photos; perhaps, you needed even more Juvederm than 3 1/2 syringes. Though that to me is usually an adequate amount. Perhaps, your physician... more

Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

Sounds like you had a lot of filler placed.

You describe a wide area of your face that was filled. If you used one vial of filler in all those areas, then you can expect to see a mild to minimal improvement in all of the areas treated. The periorbital areas typically require 2-3 cc for adequate treatment. The lips can take up to 1 cc by themselves and the nasolabial folds typically take .3 to .6cc per side for adequate correction. You be the judge. Did you have enough filler injected?

Robert M. Freund, MD

New York Plastic Surgeon

ASPS

Probalby need more Juvederm

If you feel that you did not get a significant effect from the Juvederm, then you probably need more.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Juvederm is there, but you need more!

Juvederm is comprised of hyaluronic acid (HA) which is naturally occuring chemical found in human skin. In fact, HA is a sugar molecule. It's physical correction of wrinkles is due to HA soaking up water like a sponge and the molcule becoming larger. It needs to be injected into the skin, typically into the deeper layers. Immediately after injection, there is some swelling and even minor bruising which can make the area treated appear more full. This usually dissipates in one-two weeks... more