Remedy for misplaced Juvederm?

I had Juvederm 4 week touch up done 4 days ago. The doctor injected it above the nasolabial lines, not in them. Now there is a ridge next to the lines making the crease deeper than when i first came 4 weeks ago! IIs there a remedy for this? Should the Juvederm have been injected directly into the crease?

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7 answers to “Remedy for misplaced Juvederm?”

A: Massage asap

Kenneth R. Francis, MD

Get to your injector as soon as possible for guidance as to how you should massage and whether or not you need hyaluronidase injected to break down the Juvederm.  Good luck!

A: "Misplaced" juvederm can be corrected

Brenda Dintiman, MD

I agree with the other comments that it is helpful to go back to your doctor so that he or she can see what you are unhappy  about. There are many ways to inject juvederm in the nasolabial folds and you may actually need more or need it cross-hatched or feathered under the line to soften it. If it is... more

A: Misplaced Juvederm in Nasolabial Folds

Michael A. Persky, MD

Hi Young, Fillers in the nasolabial area are preferably injected medial to the fold; they can be injected in the crease, but not lateral to the crease in the majority of cases.  You should return to your physician for re-evaluation.  Hyaluronidase may be used to lessen the effects of... more

A: Discuss your results and concerns with your injector!

Stephen A. Goldstein, MD

You should return to your treating injector and discuss the results and your concerns. Juvederm® will probably last 9-12 months or more. There are three maneuvers that you might consider in attempt to try to improve the area in your cheek.  Going from simplest to complex they... more

A: Juvederm injection

Steven Wallach, MD

Massage may help. If this does not improve it, sometimes adding filler by the ridge can soften its appearance.  Also, hyularonidase can be injected to melt it.

A: I agree entirely with Doctor Baxter.

George J. Beraka, MD

1) See your doctor quickly. 2) Massage may well help. 3) Injection below the ridge may help. 4) Hyaluronadase injection will dissolve the Juvederm.

A: several options if you act quickly

Richard Baxter, MD

Since it is still fairly early  after the injections, it is possible that some massage will help. You should ask your injector about this though. Occasionally, additional filler can be helpful to fill in the area between the ridge and the crease, but this is not typical. A final option is injection of an... more

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