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Juvederm Paralyzed my Smile

I had juvederm injected in the upper left...

I had juvederm injected in the upper left lip/vermillion ONLY to even out with the other right upper lip/vermillion. I had three injections a few months apart. After the first two injections a slight ball formed above the lip line. Eventually the ball smoothed down to a slight mound above the lip line. Initially I just thought the small sphere-like ball was just swelling. And/or I thought it might be the juvederm material that migrated above lip line. In either case, my understanding is that both swelling and juvederm ARE TEMPORARY ISSUES so I was NOT concerned. Why would I be? THESE TWO ISSUES ARE BOTH TEMPORARY!

...with the third injection a ball that formed was HUGE and I developed severe hematoma, extreme pain, bruising and tremendous swelling. My lip was hanging way down!! I immediately called my dry’s office spoke to nurses since he was in procedures. They said it was normal and it’s just swelling and I should ice it and massage it ….I informed I could not massage it, it was too painful so I made an appointment to see my dr again as soon as I could get in his schedule within a few days. My Doc saw the ball, swelling and bruising and said it was normal and that my lip would recover..my lip hung down but I had to be patient until all swelling went away. It took about two months before the huge ball ultimately smoothed down to a slight mound above my lip line…I thought all was well!!!Read more »

One year later I smiled in the mirror and could not see the upper left teeth of my smile ! this really bothered me because I could not figure out why!! I DO NOT have a habit of smiling in the mirror so I NEVER noticed my smile was disfigured until then and I did not connect it to the previous traumatic juvederm injection until I saw a photo of myself shortly thereafter. When I looked at the photo I saw my face as a whole and could see not only was my smile disfigured but the position of my lip looked just like it did after the previous traumatic injection one year prior ( I have photos that I compared).…I immediately went back to my original Cos Derm and he told me my deformity had nothing to do w the juvederm injections...THAT MADE NO SENSE TO ME I HAVE PICS BEFORE AND AFTER JUVEDERM ...went to numerous plastic surgeons, Neuro Docs, internal medicine doc, numerous cos derms, wrote numerous emails to docs all over the country and even spoke to several researchers of HA fillers and anyone I could find to figure out what caused my smile to be disfigured …what exactly might have happened to me !! Finally my neuro doc confirmed after an EMG and nerve conduction study I have permanent paralysis upper left smile/lip...also did MRI of brain and NOTHING is pressing on my 7th cranial facial nerve. No tumor and NO stroke occurred …Also took a Lyme disease test and it was negative for that …since Lyme can cause facial palsy…however all my docs said I do not have bell’s palsy OR any other neuro disease.

Could it be the injection hit my angular/facial artery that runs along the upper lip ? or was I so overfilled that the juvederm pressed on my nerves/facial artery ? could it be the juvederm material was attacked by my own body as a foreign object in an attempt to isolate the juvederm material ? could it be that the juvederm material literally ate out my nerves ? since I have recently found out that juvederm is made from Strep C bacteria found in horses (i.e., Strangles disease) and is a gram positive killed bacteria that is being injected into the human body ….

Please if you have a similar story contact me. If any doctors reading this have had similar cases please contact me I would much appreciate it ... Thank you.

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Hi Ventaris - can you update us on your situation with Juvederm? I am having issues with it too. My smile has been stunted by the juvederm on one side of my face. I am curious if your situation resolved okay over time, or if you did the expensive surgery. There are many having bad reactions to fillers - this website documents a lot of them. Please let us know how you're doing. I hope you are well and it resolved okay. Best wishes, Biggyc
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Yes...it resolved itself over about two weeks.... Hope you are okay...
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I am in the same situation! My left upper lip paralyzed from juviderm.
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Did this appear right after you had the injection or days/weeks/months after?

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ventaris, will you post your email to email you privately on a curiosity?
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Hi i have been on this site before just to let you all know that i am still suffering 10 months after juvederm ultra 2 in the glabella area in August last year.I have had tests recently in a brain hospital for 3 and a half weeks where they cobfirmed i have face and brain nerve damage and also microscopic cells in my brain circulation that they do not know how to get out.I am losing my sight mainly in my right eye.I have continuous burning 24 hours a day in my eyes forehead and inside my head.I have dementia like symptoms,4 stone weight loss,psoriasis,hair loss,incontinence,i cannot walk a flight of stairs,i have feeelings of brain suffocation all day and night i have not slept in 10 months,averaging 1-2 hours per night,vomiting,diahorea,personality change,memory loss.I was perfectly healthy and happy prior to these injections i am 41 with 2 young children this was done for my wedding,i am so ill i am now having to go abroad for possibly treatment of what kind i dont know,i am slowing dying from this toxic sludge and no one can help,this stuff should be banned,can anyone help,please.kx.
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I went to a NJ doctor for injections; I didn't ask what she was using, she suggested injecting in cheek area since my face is thin and she said I am lost collagen there; she injected it horizontally into the cheek; I left and immediately upon arriving home I noticed that my cheek looked deformed, there was a huge rash on that cheek and lumpiness together with a huge bruise under the skin; even the skin on the other side which had not been injected looked lumpy, is this possible? I immediately returned to her which cost me some sum of money to take a cab to NJ from NY and wait for me; she claimed it was nothing; the next day it looked even worse, I wrote to her and she said to return yet again, that there would be a rep from Juvederm there. I went and the rep was very condescending, talking about there was nothing wrong, and saying I had nice eyes and teeth, I thought she was quite obnoxious and felt insulted. Since then it got worse, and left me in a terrible depression. When I returned finally to my home country I went to see another doctor who took photos and injected the dissolvent where the horizontal bump (like a snake was under my skin) went away but I still had the bruising under the skin, and the lumpiness and depression; in addition i am certain she used a large needle that left holes in my cheek; in short, my skin looks horrendous now, like I had a serious case of acne scarring and I am extremely self conscious about it. I would recommend a lawsuit for all those harmed by these hideous drug that was approved by the FDA to allow these companies to profit knowing that with all these complaints that it harms people; if one person complained about nausea or anything from say Vitamin C, they would withdraw it from the market. There should be a class action lawsuit and I would join the group.

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I highly recommend going to a infectious desies specialist. Before going to him, I had the same issue. As soon as I stopped taking the antibiotic, it got worse again.
Keeo in mind, i went through all of this almost two years ago. I recently had some dental work done. The dentist injected novacain in the front area on my upper teeth to do the procedure....I was again feeling the area that had been infected. I went back to my doc and he told me never ever to have novicain or anything injected around that area and that I will always have cellulitis cells in that area. Any injection ot tram to the area can deactivate the cells! So as you see, this is never ending for me, but I think my case was extreme.
I am working with an attorney now and hope to have this settled by the end of 2012.
Take your situation very serious, don't delay! See a specialist as soon as possible!
(my post are above. Posted around June 2010
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Had a tiny amount of juvederm placed 1 week ago into an acne divot located on the crease of my left nostril and cheek. The nurse injector attempted to be somewhat superficial with the initial injection, but the product wouldn't correct the divot. She went deeper into the skin and injected probably 0.05 ml into the area and the divot was filled. I had the initial numbness feeling from the lidocaine in the product, and that faded within a few hours. I noticed that evening that my nose was running and having post nasal drip only in the side that was injected. I also felt my sinus cavity swelling on that side only. I woke up the next morning with my entire sinus cavity swollen and my equilibrium feeling off. I felt slightly dizzy and thought I was getting a sinus infection. Slight tingly, pins needles feeling running from my lower eyelid to lips also. Went to ear, nose and throat dr and she noticed significant swelling of that sinus cavity only, she didn't believe the juvederm would cause any of those symptoms. As the days progressed, I continued to feel tingly on the injection side and closed off sinus. Also, things just didn't look the same. I tried to focus on people's faces when I talked to them, and I could see them but it just looked different and off balance. I progressed to getting a neuralgia facial pain because I massaged the injection area and i assume inflamed the nerve there. I studied the nerve and lymphatic anatomy of the face in that region and saw the maxillary branch of the facial nerve branches off and can be located exactly in the region my injection was done. I had hyaulonidase injected yesterday with my thoughts being that the juvederm continued to press on that nerve and irritate it. I'm hoping that the hyaulonidase will actually get into the juvederm because I did a lot if massaging in that area and hopefully didn't disperse it too much. My face still feels tingly and I also feel some pressure type feelings in the upper teeth in that region, my left sinus is still swollen, but has improved a little since 1 week ago. My final conclusion is the injection itself irritated the maxillary nerve in that area, maybe affected the lymph channels in that area, and caused me to have sinus pressure and fullness on that side, tingling and pins and needles in my cheek, lower eyelid and lips in that area, and also visual disturbances on my left eye. Question is : is the juvederm still in that region compressing something, or is it my nerve trying to heal from the trauma if the needle and the filler? Ive lost a lot if sleep and countless hours trying to figure this out. Too many panic attacks worrying that thus is permanent. Don't know what to think anymore. Very frustrated and mad at myself for trying to fill a divot that was my fault to begin with! Hope it resolves!
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I had a terrible reaction to juvederm, it was injected in my cheeks and left what looked like a horizontal scar going across my cheek, it was bumpy and became red and i was devastated. I went back to the doctor who had a juvederm consultant there who tried to tell me i had nice eyes and teeth or whatever garbage, it made me sick....she denied i had a problem. i returned to my home country and had it dissolved. the doctor there took photographs and when i saw them, it was so much worse that i had even thought, I wrote and asked for my $750 returned and she never responded. I think juvederm is a danger and what had happened was that when she injected the needed it just accumulated in the direction of the needle, it was terrible, and it caused swelling and redness in the surrounding areas. I will SWEAR OFF ANY JUVEDERM again. IT IS POISON.
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I am back to reiterate... becareful with Juvederm... we do not have access to the data which uncovers complications... I do know, that at doctors'office... if you were to watch all the clients who get this procedure, and talk to them... I am quite sure we would find a lot more stories like ours... My lips are not paralysed... but I was scared to have long term complications... everything about Juvederm or other cosmetic procedures... data relevant to post-op are not available for us to consult... prior to these procedures... that is not right... for the consummer... we have to go on the hunt to try to get information... we were just fine before these injections... and the medical community washes their hands... of any responsabilities... while what we are after is reassurance, information and remedial actions... I hope these complications, the statistical data should be readily available to the consummer... the companies behind these products are not forthcoming... only the FDA has the power to regulate this industry...
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Hi! I had 2ml juvederm voluma injected in my cheeks and had an allergic reaction to it! I am completely traumatised! Had palpitations, extreme muscle fatigue, and shortness of breath!...Im 27 and had it done for my engagement in 2 weeks now I feel like my life is ruined! I am currently on steroids but as soo as the effects starts wearing of before the next dose, I start experiencing symptoms! I had the procedure done from an aesthetic nurse... should I get this dissolved? I tried contacting doctors who say the person who did it is best to see, but she's a nurse! And i don't feel very confident going to her....but at the same time i am thinking if the juvederm voluma is to last in my body for nearly 18 months what are the chances of something worse happening or repeated allergic reactions? ...... Im scared of the hylarodisne making me look worse or over dissolving facial tissue! please some one help me! I am very scared and havnet told any family or friends about all this, so feel very lonely in this mess...any advice from anyone experienced as to what would be best? :(
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Hi Natasha,
I read your above post about having palpitations, extreme muscle fatique,and shortness or breath - did you have Botox at this apt as well, or any time in previous 3 weeks before you felt these symptoms. Botox reaction can feel like this. Check out the forum on Botox reactions on the site. I hope you are doing better.
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No max, only had juvederm voluma in my cheeks...im 27 years old and had recently lost some weight that made my cheeks gaunt, so decided to get the filler...this was also my first experience, and now probably I would never repeat it...im also getting these depressed lines across my cheeks :(
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I highly recommend going to a infectious desies specialist. Before going to him, I had the same issue. As soon as I stopped taking the antibiotic, it got worse again.
Keeo in mind, i went through all of this almost two years ago. I recently had some dental work done. The dentist injected novacain in the front area on my upper teeth to do the procedure....I was again feeling the area that had been infected. I went back to my doc and he told me never ever to have novicain or anything injected around that area and that I will always have cellulitis cells in that area. Any injection ot tram to the area can deactivate the cells! So as you see, this is never ending for me, but I think my case was extremely seaver.
I am working with an attorney now and hope to have this settled by the end of 2012.
Take your situation very serious, don't delay! See a specialist as soon as possible!
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Dear Ventaris,

I feel really bad for you as I going through right now... the exact same thing... here are my symptoms:
Friday morning 9:30 am - Injection of Juvederm in upper and lower lips
Friday 10:00... my doctor is rubbing and rubbing and applying Nitrocream... asking for an empty serige... she is mentionning to the assistant to get her warm compresses...
She spent an extra hour with me... rubbing... the freezing disappeared... and I suffered from the rubbing... however I had to go to another appointment... she asked me to return...
I had no idea... what was happening...
I returned for 16:30... more rubbing... more nitrocream...
The doctor mentionned vascular spasm...
The pain was not too bad after the excrutiating rubbing session... that lasted until 17:00 Friday...
Saturday... excrutiating pain on my lower lip... bruising on my chin, cheek and on my skin on my upper lip on the right side of my face... the pinching pain and swelling was bad... called the doctor (she had given me her number at home- making me puzzled even more about what was going on after a simple filling procedure)...
She prescribed oxycocet... under my expressed demand (the pain was making me feel quite sick) and also cortisone pills... which I took on Saturday night...
Sunday... pain as I woke up... as soon as I talked... had to take more painkillers and started to worry... called the pharmacist to get antibiotic to avoid infection...
I do feel my lip... it is raw.. sensitive to the touch, taking coffee with a straw... extremely raw inside my mouth...
The doctor wants to see me on Monday... I will refuse any rubbing or further needles...
I am traumatised... by what has occured during such a simple procedure... It was Juvederm Ultra Plus... my reaction seems rare however... I was not aware of such complication... I have two kids... and many activities... this is not right...
Please advise... if you can guide me... the doctor said that my artery in my lower lip on the right side went in spasm... I doubt that spasm bleeds internally like this... I think it was ruptured... will it come back... there is a hard cord inside the area... beside being scared... I think women should know about Juvederm... and its side effect... I do think it might happen more often... as we have no place to complain or get together about this...
Let me know...
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i have been to every park ave nyc plastic surgeon every neurologist every nyc dermatologist and there is nothing that can be done for me i am paralyzed upper left lip...i dont know what you are really saying ? is your lip or lips paralyzed?? is your smile deformed ????
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Ventaris, did your lip is back to normal? My left upper lip paralised after 5 month of juvederm injection.
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thank you for posting an update.  I'm so sorry for your unhappy outcome.  Very kind of you to share photos with others.

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It is possible that when you suffered the hematoma, there could have been damage to a branch of the facial nerve that lifts the lip. It is a one in a million sort of thing but technically possible. Alternatively, has your regular doctor worked you up for other causes of facial palsy. A terrible thing would be the chalk this up to the Juvederm while something systemic (body wide) is going on that is being missed.
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Hi Chris I had an MRI and nerve conduction study with EMG. I had complete blood work and also was tested for lyme. NOTHING!!! and this is NOT Bell's Palsy ! I am totally exhausted. Have seen and talked to over 10 doctors !! I am tired of reading comments from doctors on this site that have NO CLUE WHAT THE REAL SIDE EFFECTS CAN BE FROM JUVEDERM!! YOU at least just said something that MAKES SENSE !! My neuro docs both confirm I became paralyzed by the Juvederm!! Thanks for your POV...appreciate it!!
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Juvederm definitely has side effects, a friend also broke out in a terrible inflammation and rash from it and has never used it again. Now I realized that this was injected in me about 2 years ago and was why my face suffered a complete reaction as well . Juvederm should be banned, I wish you tremendous success in your attempts to do so.
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I have spoken w the FDA. I have spoken at length w a very prominent doctor advocate for Health. I am to get bk to her when I find people who are willing to come forward n actually meet w FDA authorities. And tell their stories. I need some women to come forward w me maybe like 4 others. Once I find them I can go to the doctor Advocate n really get a meeting at the FDA. She knows all of the FDA officials she told me to round up a few others n she will set up the meeting. I contacted a newspaper but now I'm on my way to ALL MEDIA. CNN ABC NBC NY TIMES NYPOST etc. PLS ANYONE READING THIS POST I URGE YOU TO CONTACT ME THRU SENDING ME AN EMAIL IF YOU HAVE BEEN INJURED IN ANY WAY. I AM PARALYZED!!! I'm so distraught about it. Been to over 13 doctors. Reconstructive surgery to fix my smile will cost $68,000.00 US. NOT TO MENTION IT MIGHT NOT BE A GOOD RESULT!
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I not not have paralysis, but, this Juvederm has been in my face now for seven years! It was injected in the lower part of my face and is a mess. I live in Canada, but, if you need any signatures or anything I would gladly help out. I too am very fustrated that the real truth is not told by the companies and the doctors.
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Hi I think we have been in contact before....what kind of surgery do they do to correct your smile? I had juvederm in my cheek and it left a horizontal ribbon line right across my cheek. I went back to the doctor and she had some juvederm representative who was trying to psychologically appease me by false compliments etc, I really didn't appreciate that. I wanted that dissolver and they wouldn't give it, saying it dissolves the natural tissue;;;i had heard it only dissolves the filler. I also noticed a lump and a depression. I waited a month in agony and then went to another doctor who dissolved the horizontal line, it was amazing it was like the juvederm took the form of the needle as it went into the skin and just stuck there.
I think juvederm is horrible--I asked for my money back and she doesn't respond to my mails.
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