How Do I Remove Juvederm Injected Into Cheeks?

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 !

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21 Doctor Answers | Asked by Miss C in New Orleans, LA

Doctor Answers (21)
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Removing Juvederm from the Cheeks

Juvederm, like all hyaluronic acid fillers (e.g Restylane, Perlane, Teosyal), can cause swelling after injection, especially if the lips are treated. Give it 1 week to settle down ; if at that point you're unhappy, you can have your physician inject you with hyaluronidase to dissolve some of the Juvederm. I would consider some laser resurfacing such as the ProFractional laser, and possible CROSS therapy or subcision.

Benjamin Barankin, MD

10 reviews

Toronto Dermatologic Surgeon

Juvederm and Restylane for acne scars

Hyaluronidase will dissolve Juvederm and Restylane fillers if you cannot wait for them to dissolve on their own. Consider subcision with fractional laser treatments for improvement of your scarring.

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... more

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.

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).

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

20 reviews

Fort Lauderdale Facial Plastic Surgeon

www.DrRyanGreene.com

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... more

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... more

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

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.