Swelling or too much Juvederm?

Yesterday, I had Juvederm for the first time. Being a bit afraid, I opted for the most bothersome area: the marionette lines. I had a total of one syringe (1/2 on each side). From the front, there is a subtle improvement, which is fine for me. However, from my side profile, it looks like I'm holding cotton balls between my lower cheek and gum. One side has more swelling, but the bruising is mild. Is this typical swelling or was too much injected? How can you tell if it's just swelling or too much product was injected? Thanks.

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7 answers to “Swelling or too much Juvederm?”

A: Give it two weeks to evaluate results of the treatment

Daniel C. Mills, MD

One syringe divided between two sides in that area is a reasonable amount so the likely hood of it being too much is not high. You are most likely experiencing swelling. At one day it is too soon to see the final effect due to swelling and sometimes bruising. For reassurance, you should call your doctor's... more

A: You are probably experiencing normal swelling post-injection

Stephen A. Goldstein, MD

It sounds like you are experiencing a bit of swelling post-injection--which is very normal.  I always discuss with my patients the potential for bruising, swelling or both after receiving injectible fillers.  Just be patient for several days, and most likely your face will settle in to its new look... more

A: The swelling should resolve by 2 weeks.

Bryan K. Chen, MD

Juvederm can swell considerably the first several days after injection.  What you are experiencing is totally normal.  You should have a very good idea of the final result within 2 weeks.  

A: Call the office for reassurrance

Philip S. Schoenfeld, MD

Dear Cindy, A single vial of Juvederm in the areas you have described seems reasonable and should not result in an abnormal amount of volume enhancement in your injection area.  Of course this will have to do with the degree of the marrionette lines you started with and the size of the area your doctor... more

A: Probably swelling

Stella Desyatnikova, MD

What you are experiencing is probably the normal swelling on the first day after the injection. Give it several more days and if it persists, talk to your doctor.

A: Time will tell

Marc Cohen, MD

Juvederm is made from  a natural skin substance called Hyaluronic acid.  It attracts water, which is how if fills in depressions in your skin.  Sometimes it may take a week or so for the Juvederm to reach a balance in terms of how much fluid it holds. It can de difficult to tell, early on, if an... more

A: Juvederm results

Otto Joseph Placik, MD

If only one syringe was divided between the two areas, it is unikely that you have had too much injected. That would be improbable. Give it at least two weeks to settle and for you to become accustomed to your new look. If, at that point, you still feel you are too large, then you could have hyaluronidase... more

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