Having had Juvederm injections several times for smile lines before, one doctor said that she could inject it in my cheeks and under my eyes if I want to try to restore some volume. I am hesitant because my experience is that the product stays where it's injected, so how can it be used to treat a large area and not look lumpy?
How Can Juvederm Be Used in Midface Without Lumpy Results?
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Juvederm for cheeks
You must have injections with an experienced board certified dermatologist or plastic surgeon to achieve the best possible result. Filler in the cheeks is injected deeply so it lifts the area and should be smooth. Restylane usually gives a better result for the tear trough area under the eyes than Juvederm since there is less chance of puffiness.
Juvederm for midface fullness
Facial fillers like Juvederm can be used to augment the midface. This can be threaded in place and then massaged in to distribute it more evenly. Good technique will make this look realy good.
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With good technique, you can avoid Juvederm lumps.
Hi! It is all about technique. In Manhattan, we use a lot of Juvederm to enhance mid face volume, and lumps can be avoided if it is done right.
For under the eyes, we prefer small amounts of Restylane (this area is very unforgiving, so technique is even more important).
Balanced result depends on Juvederm placement
You can have Juvederm used to augment the cheek area and hide "bags" under the eyes. The key as you already have noted is in placement. Areas with thin skin, particularly the periorbital area needs to have placement done in a deep plane to avoid visible contour irregularities.
Also, placement of the filler in a fine diffuse pattern rather then in several large quantities is important to acheiving a balanced result. The nice thing about treating these areas is that it tends to last much longer then when treating the nasolabial folds or lips because these areas have less muscle movement and thus the rate of resorption is less. I have several patients who have filler under the lower eyelids still present at 1-2 years from injection.
I hope this helps you.
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