“Horrible Results from Juvederm Under Eye Injections!”

The juvederm should be degraded naturally by your body within 9 months-1 year. Ask your practitioner to please "remove" the hyaluronic acid product with hyaluronidase, which is an enzyme that degrades hyaluronic acid. It is very safe, and you should see results within 24 hours. The concentration can be 75-150U/injection site to get rid of the juvederm. It sounds as though your eye area was overfilled. Good luck.

I have been back three times and asked my Plastic Surgeon to help me. All he has done is send me to a make up artist and tell me he has no idea. Why has he not suggested the hyaluranidase? Actually, I'm afraid to bring it up as I really don't want him to be the one to inject it. I have the "pillows" are both of my eyes and the skin has a gray doscoloration. What does this mean?

Rule of thumb: If the practitioner injected the juve wrong, DO NOT USE HIM FOR VITRASE! Too many people make the mistake of going to the same person who screwed up their eyes in the first place, and then trust them to fix it with disastrous results. Do a lot of homework and find someone else who can fix it. I have Juve in my eyes from 2 years ago injected and still going strong. the whole "9 months to a year" is a lot of hooey. I am not sure which in vitro model they used to determine this, but in vivo this is not true.

incorrect. hyaluronidase is not as safe as many people believe. Just ask those who have actually been disfigured by it. This should be dealt with great caution. Also incorrect: there is no guarantee the juve will be absorbed by the body within 9 mos to a year. I had juve under my eyes. 6 months later I had part of it removed with vitrase (and disfigured again). the remaining juve that was there is STILL there, and it is more than 2 years after I had it injected under my eyes. I am not letting anyone else inject juve or vitrase under my eyes. I inject my own eyes now from juve I purchase from reputable international distributor who dispenses Allergan products. I look infinitely better. My philosophy is this: if the doctor who injected the juvederm screwed up to the point you need to have it removed, GO TO SOMEONE ELSE WHO IS COMPETENT TO REMOVE IT! If the guy can't get it right the first time, don't trust him anymore. Don't give him another dime.

What is Amica gel? I went on several retailers' websites: Target, Walmart, Walgreens, and CVS and none of them have anything called "Amica gel."

Thanks Sharon. I did figure it out. I'm in my 40s - I'm losing my close vision! haha

I agree. besides, we typically trust the doc because he has MD after his name. But more and more ppl are discovering that "MD" and "board certified" doesn't mean a hill of beans. I have had 2 board certified derms and 2 board certified plastic surgeons each have a hand in disfiguring me. I am now buying my own Juvederm from international distributor and injecting myself for the past year and a half with MUCH better results!

Do you have any idea why hyaluronidase would not dissolve juvederm? I had a really horrible liquid facelift done in july and 4 sessions have not brought it down much. I think he used 80 units each time-less the 4th time-still obvious areas-really unattractive and ridges under eyes-depressed as heck. Thanks

How can you determine if there was or was not malpratice? I too had a bad experience. Its been over 8 months, I still have the heavy sacks under my eyes that are a gray discoloration. People asking me all the time if I have been sick? I hate to even look at anyone. I can't find a Plastic surgeon to look at me and tell me what happened and what we need to do to fix it. I live in upstate NY but will travel. Can you help me?

I am only a student and I am not qualified to give legal advice, so please do not interpret this as such. The legal definition of malpractice can be found here: http://definitions.uslegal.com/m/medical-malpractice/ I am not sure if you even have a case, but if you know that the doctor was negligent, or violated standards of care, then you should by all means contact an attorney. I would recommend finding a reputable attorney who specializes in medical malpractice. Beware though, these types of cases (if you find an attorney that determines that you do in fact have a case) are EXTREMELY costly and emotionally draining.

Hi Mishka, Did this practitioner take pix of you before and after? Even if he did not, please request a complete copy of your medical records with this practitioner. I hope that you have a fairly recent "before" picture of yourself that gives a full face view of you before these injections. I'll tell you why momentarily. Do I read correctly when you state that this man charged you to CORRECT his mistakes? And that he refused to inject your tear troughs at all? I find this to be a remarkable lack of empathy for a bad job. Even if he truly thinks he did a great job, the fact is that you do not. He should honor your feelings and try and fix these problems. If your friends are telling you that you look awful, go back to his office with 3-4 (or more) of them in tow, and gang up on him, and let his office staff and the doctor explain to everyone how fabulous you look. I doubt he would have the temerity to do this in front of an audience of YOUR peers. I'm serious, I would do this. Make another appt, and show up with some friends who politely ask for an explanation of why this looks so "great." You sound as though you were over-filled with product in some places and not filled appropriately in others to increase overall volume and maintain symmetry with the other planes of your face, AND perhaps the injected areas were incorrectly injected. But without pictures it would be difficult for me to say. I am uncertain as to why he would have injected into the cheek area that you describe--I am assuming this is in the area of the "apple" of the cheek? Usually, the entire length of the cheekbone is injected--but with a different product (below). This is not usually an area that is exclusively wasted when you are talking about facial lypoatrophy, or fat decrease from the face. This is what I am assuming you mean when you have a "thin face"---not so much fat, and some sagging that volume replacement with an appropriate filler would improve. You definitely have a more youthful appearance when you have a fuller cheek line (not just the apple area by the nose). Unfortunately, juvederm is not the filler of choice for this, in my opinion. There is another more appropriate filler that is supposed to be injected deeply (just above the bone under the facial muscles) but this product is called PLLA (Poly-L-lactic acid). Juvederm is to replace the volume of LINES ONLY. Specifically, nasolabial folds, period. It IS NOT FDA approved for ANY other area. It is not for volume replacement for your entire face. I have NEVER used it for large-area volume loss--only volume loss that leads to lines and crevasses. I have sculpted jawlines, marionette lines, lips, tear troughs, nasolabial folds, and forehead lines (notice that the theme here is LINES), but I have NEVER injected cheeks with juvederm. Ever. Nor have I heard of anyone I know doing so. As a practitioner, when you use a product "off-label" and then screw it up, or have a patient complain of poor results, you open yourself up to a lawsuit. It DOES NOT MATTER WHAT RELEASE YOU HAVE SIGNED. This is because there is the expectation of competency in the practitioner. I would do several things IMMEDIATELY: 1. Request your complete medical record ASAP. 2. Get a second opinion. 3. Write a letter to the Ohio Board of Medical Examiners explaining to them what happened to you and that you would like them to investigate this issue, as this practitioner refused to correct his work appropriately, then charged you, and you believe he is guilty of malpractice. Hire an attorney to assist you with this letter if you need to---it will be worth it. If you can do the letter on the attorney's letterhead, so much the better!! 4. Mail that letter, and make certain to mail the doctor a copy. 5. Use the attorney to request in a second letter to the doctor, that the doctor a) refund your money--ALL OF IT, FOR EVERYTHING. b) If he doesn't do this, state that you will be seeking redress in a court of law and will be contacting his malpractice insurance carrier (or whatever the attorney thinks is suitable to say to convince the doctor that it is easier to get you out of his life). 5. If you have paid someone else to take the product out of your face, or have had to undergo any other diagnostic procedure related to this cosmetic treatment to fix your face, give him the bill and ask that he pay for it. Regarding the "hard ridges at the tear troughs," this is NOT juvederm, as juvederm is fairly pliable feeling after injection. If you have hard ridges, then you actually may have some scarring or an immune response to the injection site trauma from the procedure. The immune response is nothing that you can hold a practitioner liable for. But he should attempt to inject this area w/hyaluronidase in order to remove the product from your face, if this is what you are requesting. I would like to know the reason why he refused---he may think he might over inject you with hyaluronidase and make you look like you have hollows under your eyes---but I don't know for certain, of course. If this IS the reason, it would tell me that he is not sure of what he is doing in this area and most likely never should have injected you there in the first place. Again, I am speculating. I am not necessarily suggesting you sue this person, I am suggesting you inform him that it may be in his best professional interest to fix his mistake, and own up to his screwup. I believe that you need more injections of hyaluronidase of 150U/cc per area to further dissolve the remaining juverderm. Under the eyes I would use 75U/cc. Your only other choice is to do nothing, and to hope this product disintegrates quickly for you naturally. It will eventually, but I personally would seek to recoup the money that I wasted. Good Luck!!

Also less than 80 units total whole face-divided over 6 or more places.(dissolver) Sounds as if more could maybe work!

What do you mean bt multiple discolsures? I signed one. I too am in a nightmare. People look at me all the time and ask me if I have been ill? I understand that we have signed "a" consent form but in the same format we exspect a good ot atleast a fair result and if not fix it. Don't just hand us back our money and say Good Luck. Doesn't the Doctor have any after responsibility to the patient? My other question is how can I get help? I am really having a hard getting answers. I cannot find a Doctor (in my area) that will tell me what happened and what we need to do to fix it. There hiding behind each other and don't want to get involved. Can you help me?