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Juvederm Injected ABOVE Crease?

asked 1 year ago by angelika1 in Philadelphia, PA
Latest answer by David Shafer, MD
Question viewed 451 times
Tags: cheeks, 1 day post-op, crease, injection site, laugh lines

I had Juvederm injected today to soften my laugh lines. There was sagging cheek tissue above them, which bothered me. The doctor injected the filler ABOVE the crease, not in it, even though I expressed that I wanted more volume in the crease & in my upper cheeks. My actual parenthesis lines dont look much softer, but I fear this sagging ridge above them looks more pronounced as it is now filled, & my cheek bones look lower. He assured me this is how it is done?

11 answers to Juvederm Injected ABOVE Crease?

Juvederm to fill in parenthesis.

The difficulty here is that there are many ways to use Juvederm to fill in the nasolabial folds and only your surgeon, MD knows which technique he/she used and where the filler was placed. These fillers give instant results, so if you feel it was placed somewhere in the face, you're most likely correct and in that case I suggest you go back and discuss this with the MD. Perhaps you can have additional filler placed into the nasolabial folds to fill those out. more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Where to inject Juvederm

Without before and after pictures, we care unable to give you specific advice. However, the nasolabial crease and fold are caused by two issues. First, anatomic attachments under the skin which cause a "crease." Second, loss of volume in the cheek which causes loose skin to fold over the crease and make a "fold." So, the treatment is two-part. First, injecting some filler under the crease to help push it out and, second, injecting filler in... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Juvederm mistake can be corrected

If this is truly the care, it is most likely an error in medical judgment. It is correctable. One must first dissolve the filler using hyaluronidase placed expertly within the mis-placed filler. Then, your physician can inject the filler into the more appropriate area.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Juvederm and smile creases

Formerly, when only the smile creases were injected, they would be injected right underneath them or slightly to the inner aspect (closer to the midline of the face) to lift them up. In the last decade we have learned that cheek augmentation is better to help support the loose tissue that falls over the crease and makes the smile line more obvious. Fillers are done by experts, but every expert has a different approach and touch. There is some art related to this sculpting. ... more

Ronald Shelton, MD
Manhattan Dermatologist

Placement of Juvederm

Greetings Angelika~ Unfortunately, without seeing a picture of you before the injections it would be difficult to say what your physician's thinking process may have been. Often times it isn't the nasolabial folds that represent the problem it is in fact a hollowing just lateral to the folds and upper cheek area that make the folds appear more pronounced. In these cases I can totally understand injecting laterally and addressing the cheeks as well..it can make a world of... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

JUVEDERM INJECTED ABOVE CREASE

You may have needed more than one syringe injected to start with. It is possible that your sagging cheeks can be improved by injecting more Juvederm over the malar bones(deeply, over the periosteum). This way, your melolabial creases may also be made shallower. Make sure you have the injections done by an experienced, Board Certified Dermatologist or Plastic Surgeon.

Eugene Mandrea, MD
Chicago Dermatologist

Juvederm Should be Injected INTO the Crease

It is often better to fix the cause of the wrinkle before going after the wrinkle itself. Fixing the "sagging cheek tissue" you describe entails using a volumizing filler such as Sculptra or Radiesse to restore volume to your cheek. They are injected much higher along the cheekbone at "vector points" that provide the greatest lift. The cheek folds can be dramatically improved by injections of the proper fillers below the level of the skin elsewhere in the face.... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Where to inject Juvederm to soften parentheses lines

Parentheses lines form because volume is lost from tissues above the nasolabial folds and marionette lines. Volume is lost from soft tissue (mostly collagen), fat and even bone. So facial skin doesn't have the scaffolding it used to have and sags, forming lines, folds and creases below, around the area of the mouth. In correcting the parentheses, dermal filler can be injected into the lines themselves which would help soften them but also into the cheek areas above that... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Correcting NLFs and Midface Volume

I am a bit confused as to what your physician was trying to achieve by injecting the area right above (and parallel to) the nasolabial fold (NLF). A common way to soften a NLF with hyaluronic acid fillers is to inject linear threads directly under the fold proper, and sometimes inferior to it as well. Another injection technique which can be used is to inject linear threads perpendicular to the fold to provide some additional support. Without visually examining your current appearance, I... more

Kenneth Dembny, II, MD
Milwaukee Plastic Surgeon

www.mycpss.com

Unfortunately I see this to often

Unfortunately, I see this too often. Today I heard the same story. The patient had used Radiesse so could not dissolve it. However, I injected below in area needed to compensate for this and the patient was happy. I would not take "that's the way it is done" for an answer. every patient is different and the way it is to be done is how YOU WANT IT DONE.

Jo Herzog, MD
Birmingham Dermatologist

Juvederm above crease

The good news here is that if you are unhappy with the results of your Juvederm injection there is a way to reverse your poor outcome. A physician can use an enzyme called hyaluronidase to dissolve the unwanted Juvederm. In most instances, both Juvederm and Restylane can be dissolved in 24 to 48 hours to restore the skin to its original anatomy