Hagerstown Dermatology and Skin Care

1136 Opal Ct., Hagerstown, Maryland
Medical Director: Johanna Fangmeyer, CRNP

Hagerstown Dermatology and Skin Care

1136 Opal Ct., Hagerstown, Maryland
Medical Director: Johanna Fangmeyer, CRNP

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mon9:00am - 5:00pm
tue9:00am - 5:00pm
wed9:00am - 5:00pm
thu9:00am - 5:00pm
fri9:00am - 5:00pm

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1 Hagerstown Dermatology and Skin Care Reviews

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4 Before & After Photos


4 Q&A

Q: My mouth and cheek area are completely numb 2 weeks after Voluma and Juvaderm treatments, will this go away?
Answered by Johanna Fangmeyer, CRNPMarch 21, 2018

A: Numbness is not typical post injection.  It is normal to have some numbess for maybe an hour after injection as Juvederm syringes have lidocaine premixed into them however past that it is not normal.  It's possible that placement of the filler may be causing some nerve compression and needs to be addressed by your injector.  It will need to be dissolved.  

Q: Possible allergic reaction in my tears troughs from Restalyne-L. I had it dissolved. Is there an alternative? (Photo)
Answered by Johanna Fangmeyer, CRNPMarch 21, 2018

A: I am so sorry to hear about this but there have been significant improvements and results with the use of PRP to the tear troughs.  PRP is platelet rich plasma which is a process of drawing your own blood and spinning it down and extracting your own natural growth factors and stem cells.  You probably would need 3 sessions about one month apart but it works well.  Each time you have it done it builds upon itself and you achieve more volume in that area with each session.  Best thing is you won't have any reactions because it's all your own stem cells.  Hope this helps!

Q: Bad filled tear trough, overfilled, bad placement: I feel lumpy, it created eye bags. (Photos)
Answered by Johanna Fangmeyer, CRNPMarch 21, 2018

A: Hyaluronidase is very safe and very effective to dissolve unexpected or undesirable effects of fillers such as Restylane and Juvederm.  Restylane and Belotero are the best fillers for this part of the face and should be injected deeply to avoid lumps.  You will be much happier once it's dissolved but make sure to wait at least one week before having the tear troughs injected with more filler because if there's any residual hyaluronidase it will dissolve the newly injected filler.  Good luck! 

Q: Is blue color normal for bruising post lip injections, or is it something serious? (photos)
Answered by Johanna Fangmeyer, CRNPMarch 21, 2018

A: Sometimes what can happen with filler is that if you have been receiving filler over a period of time, the filler will move more superficially to the top creating a "tindel" effect which causes a "bluish-gray" color.  It's not harmful but is noticeable more to you than anyone else.  This is more caused by hyaluronic acid fillers such as Juvederm and Restylane.  It can be resolved with an enzyme that is injected called hyaluronidase that dissoles the filler.  However, the best thing to do is to consult with your injector.