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How Do I Remove Juvederm Injected Into Cheeks?
asked 1 year ago by Miss C in New Orleans, LA
Latest answer by Ronald Shelton, MD
Question viewed 1,656 times
Tags: cheeks, lips, acne scars, options, overfilled, removal
Previously in CA, 1/3 of a vial of Rystalane to fill shallow acne scars in cheeks every 9 mths. Now, in LA I have seen two doctors, one Derm, one PS, 4 V's of Juvaderm, both missed the scars, which everyone can see. The result is they injected three 1/2 vials into my cheeks which were already full. I look like a chipmonk WITH acne scars remaining. I wanted NO volume. Also placed too much in my top lip now protruding over the bottom lip. UGLY! Help !
19 answers to How Do I Remove Juvederm Injected Into Cheeks?
+1
Restylane removal in cheeks
You can go to an MD that has hyaluronidase and is willing to inject it into your cheeks to dissolve the Restylane.
+1
Too much Juvederm
Your prior provider must have expertly superficially placed tiny drops of REstylane underneath your acne scars to lift them up but the recent placement of Juvederm was more of a volume effect that you didn't want. Juvederm can retain more water at times than REstylane. Fortunately it does resolve but you can have hyaluronidase injected to dissolve some of the product that you don't like. You couldn't have too much hyaluronidase injected per session so discuss the plan...
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+1
Removing Juvederm
As expressed by others, Juvederm is not a permanent filler, therefore it will slowly disappear on its own after 6-12 months. If you are very dissatisfied with the outcome, the physician can inject hyaluronidase to quickly dissolve the filler.
Alison Stallings, MD
Tarrytown Dermatologic Surgeon
Tarrytown Dermatologic Surgeon
+1
Juvederm Removal
Luckily for you, the effects of Hyaluronic acid (HA) based fillers like Juvederm and Restylane are both rapidly reversible with injection of the enzyme Hyaluronidase. If shallow acne scars are your main concern, these can be addressed very effectively with a skin resurfacing technique (Dermabrasion or fractionated CO2 laser).
+1
Too much Juvederm in acne scars
Juvederm will resorb naturally, but if you absolutely can't wait, then it can be eliminated with the enzyme hyaluronidase. I would suggest that you return to your injecting physician for them to do this, since they know exactly where the product is. As an aside, I would recommend considering fractionated laser resurfacing, such as the Lumenis UltraPulse laser, to address the acne scars. I have personally achieved great results with laser treatments of acne scars.
Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
Fort Lauderdale Facial Plastic Surgeon
+1
Removal of Juvederm injected in the cheeks
Apparently you have some deep, or very fibrous scars.
For superficial scars, fillers such as Juvederm can work well, but not always
Occasionally, doing a subcision before injecting the filler can improve the chances of success.
Juvederm is Hyaluronic Acid and Hyaluronidase, a specific enzyme, can disolve it.
It is likely that a little Juvederm did in fact get under the scar, and after removing the excess, adding a Traditional
or...
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Eugene Mandrea, MD
Chicago Dermatologist
Chicago Dermatologist
+1
Hyaluronidase Removes Juvederm and Restylane
I am sorry you had a tough time getting someone to fill your acne scars. Acne scars can be tough to fill. The product needs to be injected very superficial to only lift the scar and not just plump the whole area (which doesn't fill the scar but rather puts it on top of a mound). It sounds like you would like to have all of the product removed which is a simple matter of injecting some Hyaluronidase into the area. This should dissolve the product within hours and...
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+1
Removing Juvederm
Juvederm that is superficial in the skin can often be removed with a small puncture through the skin and lateral pressure to squeeze out the unwanted material. Hyaluronidase can be injected but this will remove all of the Juvderm that is in the area.
see video
+1
Remove Juvederm
It is always better to let Juvederm reabsorb naturally. It lasts in certain areas only 3 months versus other areas up to 12 months. If you cannot wait based on your result, Vitrase is an option.
+1
Dissolve with Vitrase (hyaluronidase)
You can get these types of fillers dissolved with a product called Vitrase (hyaluronidase). It will remove the excess "volume" that the product gave you. If you choose to do nothing, it is not a permanent filler, it will absorb with time on its own.
Good luck.
Dr. Grant Stevens
+1
Too much filler!
For the fullness, there is a medicine that can be injected to dissolve the filler that has been placed in your cheeks. However, for your acne scars, it's not unusual that filler didn't help you. Often scars have deep attachments (causing the dent) and filler only poofs up the skin in general and can't erase the scars. For the scars, you may want to try laser (if you haven't already)
Dr. Cat Begovic M.D.
Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
To remove Restylane
Or Juvederm, hyaluronidase can be injected to desolve the filler. Often fillers are injected into acne scars to plump them up prior to laser treatments. A fractional laser, such as the Fraxel Restore, is most often used for acne scarring.
Karen Beasley, MD
Baltimore Dermatologic Surgeon
Baltimore Dermatologic Surgeon
+1
Removing excess Juvederm
Juvederm can be removed by injection of hyaluronidase, an enzyme that dissolves hyaluronic acid, what Juvederm is made of.
If you want no volume and want to treat acne scars, consider fractional laser resurfacing which works well for acne scars without adding any volume.
+1
Hyaluronidase will remove the Juvederm
Hyaluronidase will remove the Juvederm or any other hyaluronic acid. You should go back to the person who did the initial injection so they know where it was injected and the easiest way to remove it. Good luck!
+1
Removal of hyaluronic acid products
Fortunately, hyaluronic acid products like Restylane and Juvederm can be eliminated by injecting an enzyme called hyaluronidase, which is safe and effective. These are the only fillers that can be eliminated in any way other than "tincture of time".
+1
Juvederm removal
The quickest way to remove juvederm is to inject hyaluronidase to melt the filler material. It may lead to some initial swellling but within a short while the material goes away.
+1
Juvederm Injections can Easily be Reversed
Juvederm is made of hyaluronic acid, a natural component of the skin. It is safe, easily absorbed, and poses very little risk of an allergic reaction. If you do not like the results, fortunately Juvederm can be removed by injecting an enzyme called hyaluronidase that will quickly dissolve the Juvederm in whichever areas you want it removed. In the future, please remember, your results depend upon the skill and experience of your physician injector. Look for someone with as much experience as...
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+1
Undesired Restylane
Hi Miss C,
Not to worry. . . there is a product called Vitrase (hyaluronidase) that can be injected into those areas to break down the hyaluronuc acid product (Restylane). Good luck to you and I hope this helps! MK
Monika Kiripolsky, MD
San Diego Dermatologic Surgeon
San Diego Dermatologic Surgeon
+1
Too much Restylane, no problem
Miss C, You are lucky because some or all of the material that you had injected can be dissolved with hyaluronidase as long as you have no allergies to that product. Secondly, it is not permanent.
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