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Juvederm Puffiness on Nasolabial Fold

I had Juvederm ultra applied on my nasolabial folds. It seems the doctor injected too much (1 syringe), after 2 months I still feel the product under my skin and the visible puffiness. I have the opposite effect now, fist I had the deep wrinkle now after the injection the skin is raised....Is this effect normal? Will this puffiness go away after 1 year?

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18 Doctor Answers | Asked by Gutenberger in USA

Doctor Answers (18)
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Swelling after Juvederm Injection

Hello and thank you for the question. Given that you are 2 months out from your injection and have persistent fullness in the naso-labial fold region, you are well outside of the timeline for the acute swelling period which typically lasts a few days (possibly longer in the peri-orbital area). Subsequently, you would be well served to undergo treatment with hyaluronidase which will break down the hyaluronic acid. If you choose not to do that, the swelling will in all likelihood... more

Juvederm works well for nasolabial folds

Unfortunately Juvederm injections are very technique dependent. It seems that your injections were placed too superficial and too medial. You can either wait the year for it to go away or have Vitrase injected and it will dissolve in a few days.

What to Do About Excessive Fullness after Juvederm.

Your photo seems to show fullness on either side of the nasolabial fold following your injection of Juvederm. A full face frontal view would be useful in comparing both sides for symmetry and to determine more precisely where the Juvederm was injected. Depending on your goals and expectations, you may want to inject additional Juvederm deep to the nasolabial crease, or have the fullness reduced by injection of a medication that dissolves the Juvederm. I suggest that you... more

Puffy after Juvederm

This happens if there is too much product or it's too superficial. I recommend massage to break up the product or hyaluronidase injection.

Juvederm or Restylane for filling smile folds

If the Juvederm was injected but instead of being contained to the area under the smile crease, it was placed or pushed its way during the injection to the cheek side of the crease then it will lift that area making the crease look more noticeable. This can happen with Restylane, Perlane, Radiesse or fat injections. An advantage to using the hyaluronic acid fillers such as Juvederm, Restylane or Perlane is that your doctor can inject hyaluronidase to the elevated area to... more

Juvederm in the nasolabial folds

It appears by your photographs that you do have some excessive Juvederm or swelling in the area above the nasolabial folds. You are two months into the post operative phase and this should get better with time. Juvederm takes anywhere from six months to twelve months to dissipate. If you do not find any Improvement in the near future then hyaluronidase injections to the area treated will help this process along. It is important when injecting Juvederm that it is placed properly into the area... more

Michael Elam, MD

83 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

Nasolabial Fold Puffiness after Juvederm

As long as you have no problems in addition to the fullness after the Juvederm injections, the puffiness is probably secondary to the quantity put in the nasolabial folds. Hyaluronidase, which will dissolve some of the Juvederm, can be injected improve your appearance.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Complications From Facial Fillers

If you feel that you have extra fullness from the injections, this will eventually resolve on its own. However, if you are bothered by it and want it removed, there is an antidote which can be injected to dissolve the Juvederm. Only you and your dermatologist can make this decision together. Most of the time the puffiness will simply even out and generally subsides within 3 months. I would advise that it's best for you to go back to your dermatologist and to show the doctor your... more

Puffiness from Juvederm

Yes, it appears that you have too much filler placed in a localized areas. Treating nasolabial folds involves injecting under the fold but all into the cheek to help left the skin. In your case, it appears to too much was injected just in the fold. There is a medication which can be injected to melt away the Juvederm if that fulling that you have bothers you. Alternatively, Juvederm is naturally metabolized over about 9 months to a year. Good Luck. more

Puffiness after juvederm

Juvederm will attract water as it breaks down.This may contribute to the swelling. Also, the product probably needed to be massaged a bit to flatten it out. At this point hyaluronidase can be used to dissolve it.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Juvederm is usually not puffy

Juvederm should not be able to be felt under the skin after 2 months. Also, any swelling should be gone by then. I would consider an injection of hyaluronidase to get rid of the Juvederm and start over. Andrew Campbell, M.D. Board Certified Facial Plastic Surgeon

Puffiness after Juvederm injections

Hyaluronic acid fillers like Juvederm do dissolve after 6-12 months depending on the filler and the area injected. In the first 3 days or so after injection, it's normal to have some swelling in the area, but by 2 months all the swelling should be gone. If the nasolabial fold is injected above the fold itself, the filler actually accentuates the fold, making the area above heavier. It appears to be that way in your photo. Overcorrection with hyaluronic acid fillers like... more

Juvederm Overinjection Treatment Options

If you are now two months out from you Juvederm injection and you have excess fullness at the treatment site then left untreated it will probably persist for the full 6 to 7 months. First, I recommend massaging the area with one finger or thumb inside the mouth and the other pressing firmly on the outside to help flatten the area. I doubt that this will be effective this late post treatment. Better yet, I would return to the injecting physician's practice and discuss... more

Juvederm for Nasolabial Folds

Radiesse is my filler of choice for this area. I would recommend having the Juvederm dissolved with hyaluronidase and then consider having Radiesse injected instead. When injected properly, Radiesse is injected in a deeper plane beneath the skin and should not cause visible bumps. It gives a more natural look and lasts much longer. Of course, always make sure you are treated by an experienced physician, especially because Radiesse is not reversible like Juvederm. see video

Juvederm puffiness and treatment.

As Dr. Smith said, this is easily reversible with hyaluronic acid. Return to your doctor and he can do this for you.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Juvéderm can be easily removed

HI Evan, It looks and sounds as though the Juvéderm was injected too superficially and/or outside of the area where it should have been put. If this is the case, a great safety advantage of Juvéderm and other hyaluronic acid [HA] based fillers is that they can easily be eliminated by injection of hyaluronidase into the affected area. Perhaps the doctor who treated you could do this. All doctors who inject HA fillers should keep hyaluronidase in their offices, both for... more

Puffiness after Juvederm

Juvederm takes approximately 6 months to 1 year to dissolve. If you wait several months, the puffiness will likely resolve. If you wish to resolve the puffiness sooner, hyaluronidase is a product that can be used to dissolve some of the injected Juvederm. Small volumes of hyaluronidase administered at weekly intervals would be suggested, until the swelling has resolved to your satisfaction.

How to Treat Puffiness and Swelling After Juvederm

After injection of a hyaluronic acid such as Juvederm (or Restylane, among others), swelling that persists could be due to a variety of causes. These include allergic reactions, infections, local water retention, and excess Juverderm, among others. Most importantly, there is an "eraser" for excess Juvederm, if this is indeed your problem. You can have an injection of hyaluronidase in the area, which dissolves Juvederm. Because a minority of folks have allergies to hyaluronidase... more