Larger indent after Juvederm Ultra and Cortisone

I had Juvederm Ultra injected into an indentation on my cheek. The indent was always there, but I had an acne cyst injected with cortisone and it just seemed to make the indent even larger. Anyways, when it was injected, my doctor said the product seemed to just go around the indent, making it look even larger. She was baffled. Why would this happen and will ANYTHING will it in?

Larger indent after Juvederm Ultra and Cortisone
2 answers to “Larger indent after Juvederm Ultra...”

A: Scar correction with filler

Steven H. Williams, MD

Thanks for the question - The challenge with treating scar depressions with fillers is it isn't just the depression you have to deal with.  Depressions that are caused by scars are often tethered by scar tissue.  This means that filler alone injected into the area can't fill the space because the... more

A: Subscision may be required

Ronald Shelton, MD

If the indent from an acne cyst is scarred down to the deeper tissues, then subcision or cutting the scar to loosen the skin above it might be needed for the filler to stay under the indent and not spread out. 

Comments (1)

Krystal
112 posts
31 May 2009

If the doctor is baffled, then she obviously doesn't understand anatomy and physiology too well. I say search for another dr. Remember... somebody had to graduate at the bottom of their class. But they STILL can practice if they pass the boards, at least, and still may not understand certain important concepts.

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