Can Juvederm Ultra Plus Injections in Nasolabial Folds Cause Broken Capillaries and Redness?

asked 11 months ago by lr303 in Honolulu, HI
Latest answer by Ronald Shelton, MD
Question viewed 697 times
Tags: nasolabial folds, redness, 1 month post-op, broken capillaries

Four weeks ago I received 3 vials of Juvederm Ultra Plus in my nasolabial folds and cheeks (apex of zygoma). Not only do I now have exaggerated puffiness above the smile lines (closer to nose than cheek injection area), I have red skin discoloration throughout my nasolabial folds and many broken capillaries that never existed pre-treatment. My smile is now also quite hideous and looks like a Joker's grin. Do you recommend that I get hyaluronidase injections to remove the filler?

5 answers to Can Juvederm Ultra Plus Injections in Nasolabial Folds Cause Broken Capillaries and Redness?

Multiple issues after Juvederm Ultra to nasolabial folds and cheeks

The broken capillaries can occur with any treatment (tissue insult) and come as a result of the skin trying to heal itself after the injury. IMHO, it's always best to gently massage the area and let the filler go away on its own however, if you are very self concious, see the MD that did the injections and have it dissolved with hyaluronidase injections. For the future, if you wanted fillers to the NLF again, you might consider Perlane or Radiesse and a slightly... more

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

drfrancispalmer.com

Juvederm Ultra Plus reaction

Typically puffiness from a filler lasts no more than one week. An allergy to Juvederm is extremely rare. If you have swelling lasting 2 more weeks ( a total of 6 weeks) I would encourage you to have the area treated with hyaluronidase to remove as much of the product as possible. In regards to the "joker's grin", did you have any neuromuscular block such as Botox or Dysport placed in your lower face? These can sometimes relax the depressor angularis oris - DAO (muscle... more

Vera A. Chotzen, MD
Sacramento Dermatologist

Juvederm Ultra vs Ultraplus for cheeks and smile folds and wrinkles

You may benefit from hyaluronidase as you have been patient to wait three weeks. Thre syringes (not vials) of Juvederm Ultra plus, does not indicate how many were used in the smile folds vs. the cheeks. You might do better to have, in the next treatment, some Juvederm Ultraplus in the deepest areas of the cheeks, but you might only need juvederm ultra in the smile folds, or some conservative amount of Juvederm Ultraplus in the smile folds deeply and Juvederm Ultra layered... more

Ronald Shelton, MD
Manhattan Dermatologist

Juvederm Ultra Plus can cause redness if placed too superficially

Yes, this is a common adverse effect. It usually is seen in patients who have received an excessive amount of an HA filler like Restylane™ or Juvederm™. It also may occur more commonly if the HA filler is placed too superficially in the skin.The good news is that the excessive blood vessels can be treated with a IPL or pulsed dye laser. If they are persistent or recur, then one can dissolve the HA filler with hyaluronidase or just wait for the filler to resorb. more

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Fillers and vessels

Telangiectasias are not common with fillers. Lumps can occur and may be due to superficial placement or improper molding of the product. If you are unhappy with the filler, it can be dissolved with hyaluronidase.

Steven Wallach, MD
Manhattan Plastic Surgeon

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