Juvederm Q&A
65%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
742 Reviews
Juvedermbefore & after photos
View Before and Afters

Average Juvederm Cost: $675

Learn about Juvederm

2,115 people and 630 doctors are talking about Juvederm

Get Free Email Updates

Larger Indent After Juvederm Ultra and Cortisone

asked 3 years ago by lmm in Jacksonville, FL
Latest answer by Steven Wallach, MD
Question viewed 2,421 times

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?

3 answers to Larger Indent After Juvederm Ultra and Cortisone

+1

Scars and fillers

Scars are often a combination of adhesion of the overlying skin often to underlying tissue that has had fat  atrophy.  Subcision may help.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Scar correction with filler

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 scar tissue is holding the top layers of the skin to the deeper tissue. The filler can't get in to the appropriate areas to correct the defect. These areas have to be treated with scar revision by... more
Steven H. Williams, MD

San Francisco Plastic Surgeon
+1

Subscision may be required

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. 
Ronald Shelton, MD

Manhattan Dermatologist

Ask a question